Skilled nursing facility · CMS certification number 385217
HILLSBORO HEALTH AND REHABILITATION
HILLSBORO, Oregon · Medicare and Medicaid
Certified beds, as filed in Care Compare: 78
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,848,652 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$2,176,882 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,025,534 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,143,995 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,118,461 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $145 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,118,316 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,118,318 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 28,182 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,085 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,091 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,230 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 19,406 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 72 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 67 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 205 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 344 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 135.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1435320, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 31 August 2023 to 31 December 2023 — a reporting period of 122 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,658,893 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$562,267 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,221,160 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,918,194 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$697,034 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$697,027 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$697,029 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,213 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 211.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 60.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395904, 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 29 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,630,647 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$474,267 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,104,914 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,726,504 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$621,590 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,802 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$597,788 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$597,786 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,462 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 178 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 264.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 86.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363477, 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 16 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,666,431 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$49,561 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,715,992 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,736,264 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$20,272 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $428,375 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $408,103 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $408,103 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,859 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,709.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 291.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331284, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 November 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,379,857 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $532,908 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,846,949 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,469,881 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $377,068 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $522,862 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $899,930 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $899,931 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,834 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 189 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 390.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304078, 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 17 July 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,906,281 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,274,356 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,631,925 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,973,155 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $658,770 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $656 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $659,426 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $659,429 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,911 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 359 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 211.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1260197, 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 22 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,306,016 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,616,138 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,689,878 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,981,335 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $708,543 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $988 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $709,531 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $709,531 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,504 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 376 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 106.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237850, 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 27 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,978,878 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,866,323 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,112,555 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,864,495 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $248,060 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $470 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $248,530 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $248,529 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,902 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 363 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 178.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1203566, 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 28 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,456,546 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $661,227 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,795,319 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,563,143 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $232,176 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $704 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $232,880 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $232,880 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,390 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 433 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 168.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 44.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171152, 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 25 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,433,911 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $585,747 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,848,164 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,279,892 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $568,272 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,251 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $569,523 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $569,523 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,609 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 519 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 111.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 37.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1134616, 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 25 June 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,448,910 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $716,567 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,732,343 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,031,687 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $700,656 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,479 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $702,135 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $702,135 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,734 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 497 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 133.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 39.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1100087, 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 23 July 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,388,176 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $656,745 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,731,431 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,966,223 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$234,792 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $335 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$234,457 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$234,457 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,738 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 501 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 97.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 37.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1073216, 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 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,076,617 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $553,009 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,523,608 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,661,867 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$138,259 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $855 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$137,404 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$137,404 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,428 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 439 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 93.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042995, 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 25 September 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,072,471 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $144,402 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,928,069 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,868,247 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $59,822 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $364 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $60,186 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $60,186 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,662 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 448 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 98.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1012099, 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 17 April 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,991,049 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,352,651 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $638,398 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,206 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $640,604 (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 | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,278 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 368 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 139.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 57.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 427529, 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 15 July 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,127,941 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,456,169 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $671,772 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $135 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $671,907 (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 | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,204 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 339 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 130.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 62.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 381755, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 19 August 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,386,473 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,616,084 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $770,389 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $70 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $770,459 (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 | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,598 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 406 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 121.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 55.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355038, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 August 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,618,181 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,010,552 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $607,629 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $442 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $608,071 (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 | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,577 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 193 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 253.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 116.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324607, 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 7 August 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,125,385 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,940,106 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $185,279 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $185,309 (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 | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,368 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 233 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 444.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 291220, 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 17 August 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,104,871 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,660,610 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $444,261 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $622 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $444,883 (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 | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,266 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 208 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 318.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 116.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261473, 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 12 August 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,550,598 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,875,233 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $675,365 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $675,365 (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 | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,224 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 184 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 826.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 137.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 230659, 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 21 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,905,921 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,544,696 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $361,225 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $361,225 (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 | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,912 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 911.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 199.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 194175, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 June 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,381,547 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,332,981 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $48,566 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $853 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $49,419 (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 | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,879 | 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 | 23.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 429.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 129.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 181175, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 July 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,141,156 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,591,785 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$450,629 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $236 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$450,393 (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 | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,216 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 218 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 273.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 111.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 153708, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 18 March 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,823,268 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,201,682 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$378,414 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,423 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$363,991 (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 | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,700 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 302 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 154.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 81.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133493, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 July 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,004,445 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,949,308 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $55,137 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,063 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $75,200 (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 | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,419 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 228 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 250 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 115.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 51836, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 13 April 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,020,970 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,364,011 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$343,041 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,649 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$337,392 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,561 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 245 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 217.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 108.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 51833, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 May 1997 to 31 December 1997 — a reporting period of 244 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on 12 April 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,997,386 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,352,888 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$355,502 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $881 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$354,621 (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 | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,752 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 351.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 190.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 51830, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 27 October 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,021,697 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,089,445 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$67,748 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,251 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$63,497 (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 | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,864 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 151 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 171.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 51828, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
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 |
|---|---|---|---|---|
| CEPEDA, MYLENE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| CH PACIFIC NORTHWEST HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/21/2025 |
| HERZKA, YISROEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| HILLMAN, JONATHAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| HILLSBORO SNF OPERATIONS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/17/2025 |
| LARSON, DAVID | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| ODENTHAL, JASON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| OREGON SNF CONSULTING LLC (DE) | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/21/2025 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/31/2023 |
| SPIELMAN, SHIMON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| WITZCORP GLOBAL LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| ODENTHAL, JASON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/31/2023 |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (OR) LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/31/2023 |
| CH PACIFIC NORTHWEST HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/31/2023 |
| HERZKA, YISROEL | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/31/2023 |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/31/2023 |
| WITZCORP GLOBAL LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/18/2025 |
| CEPEDA, MYLENE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/31/2023 |
| ODENTHAL, JASON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/31/2023 |
| CEPEDA, MYLENE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| HILLMAN, JONATHAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| HILLSBORO SNF OPERATIONS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| LARSON, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| ODENTHAL, JASON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| OREGON SNF CONSULTING LLC (DE) | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| SPIELMAN, SHIMON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HILLSBORO SNF OPERATIONS LLC (enrollment ID O20231017001815).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| CH PACIFIC NORTHWEST HOLDINGS LLC | Organization | ADP OF THE SNF | 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. | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| COUVE FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | 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. | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| COUVE HEALTHCARE CONSULTING LLC | Organization | ADP OF THE SNF | 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. | 3/21/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID P LARSON | Individual | ADP OF THE SNF | 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. | 8/31/2023 | 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. |
| HILLSBORO SNF OPERATIONS LLC | Organization | ADP OF THE SNF | 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. | 9/17/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JASON ODENTHAL | Individual | ADP OF THE SNF | 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. | 8/31/2023 | 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. |
| JONATHAN HILLMAN | Individual | ADP OF THE SNF | 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. | 8/31/2023 | 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. |
| MYLENE CEPEDA | Individual | ADP OF THE SNF | 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. | 8/31/2023 | 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. |
| OREGON SNF CONSULTING LLC (DE) | Organization | ADP OF THE SNF | 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. | 3/21/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | Organization | ADP OF THE SNF | 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. | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHIMON SPIELMAN | Individual | ADP OF THE SNF | 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. | 8/31/2023 | 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. |
| WITZCORP GLOBAL LLC | Organization | ADP OF THE SNF | 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. | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| YISROEL E HERZKA | Individual | ADP OF THE SNF | 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. | 8/31/2023 | 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. |
| YITZCHOK YENOWITZ | Individual | ADP OF THE SNF | 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. | 8/31/2023 | 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. |
| 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. | Organization | ADP OF THE SNF | 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. | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| JASON ODENTHAL | Individual | CORPORATE 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. | 8/31/2023 | 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. |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (OR) LLC | Organization | DIRECT OWNERSHIP INTEREST | 100 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| CH PACIFIC NORTHWEST HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | 66.5 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | 100 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| WITZCORP GLOBAL LLC | Organization | INDIRECT OWNERSHIP INTEREST | 25 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| YISROEL E HERZKA | Individual | INDIRECT OWNERSHIP INTEREST | 66.5 | 8/31/2023 | 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. |
| YITZCHOK YENOWITZ | Individual | INDIRECT OWNERSHIP INTEREST | 25 | 8/31/2023 | 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. |
| 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. | Organization | INDIRECT OWNERSHIP INTEREST | 3 | 8/31/2023 | Private equity company: Yes Real estate investment trust: No Holding company: No |
| 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. | Individual | INDIRECT OWNERSHIP INTEREST | 3 | 8/31/2023 | 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. |
| 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. | Organization | INDIRECT OWNERSHIP INTEREST | 1 | 8/31/2023 | Private equity company: Yes Real estate investment trust: No Holding company: No |
| 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. | Organization | INDIRECT OWNERSHIP INTEREST | 2.25 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| 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. | Individual | INDIRECT OWNERSHIP INTEREST | 1 | 8/31/2023 | 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. |
| 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. | Organization | INDIRECT OWNERSHIP INTEREST | 2.25 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| JASON ODENTHAL | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 8/31/2023 | 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. |
| MYLENE CEPEDA | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 8/31/2023 | 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. |
| COUVE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 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. | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| COUVE HEALTHCARE CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 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. | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID P LARSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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. | 8/31/2023 | 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. |
| HILLSBORO SNF OPERATIONS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 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. | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| JASON ODENTHAL | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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. | 8/31/2023 | 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. |
| JONATHAN HILLMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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. | 8/31/2023 | 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. |
| MYLENE CEPEDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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. | 8/31/2023 | 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. |
| OREGON SNF CONSULTING LLC (DE) | Organization | OPERATIONAL/MANAGERIAL CONTROL | 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. | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 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. | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHIMON SPIELMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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. | 8/31/2023 | 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. |
| YITZCHOK YENOWITZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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. | 8/31/2023 | 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: A listing under INDIRECT OWNERSHIP INTEREST no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2026: HAROLD PERLMAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: HAROLD PERLMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 November 2025: CH PACIFIC NORTHWEST HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SHIMON SPIELMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (OR) LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: YISROEL E HERZKA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: YITZCHOK YENOWITZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: YITZCHOK YENOWITZ no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: LEO SATRIAWAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: LEO SATRIAWAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: WITZCORP GLOBAL LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: HILLSBORO SNF OPERATIONS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: HILLSBORO SNF OPERATIONS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CH PACIFIC NORTHWEST HOLDINGS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CH PACIFIC NORTHWEST HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JASON ODENTHAL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JASON ODENTHAL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JASON ODENTHAL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JASON ODENTHAL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SHIMON SPIELMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (OR) LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: OREGON SNF CONSULTING LLC (DE) appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: OREGON SNF CONSULTING LLC (DE) appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: YISROEL E HERZKA appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: YISROEL E HERZKA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: YITZCHOK YENOWITZ appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: YITZCHOK YENOWITZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JONATHAN HILLMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JONATHAN HILLMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: PACIFIC NORTHWEST OPCO MANAGEMENT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DAVID P LARSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DAVID P LARSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MYLENE CEPEDA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MYLENE CEPEDA appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MYLENE CEPEDA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: COUVE FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: HAROLD PERLMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: HAROLD PERLMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: COUVE HEALTHCARE CONSULTING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: COUVE HEALTHCARE CONSULTING LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: WITZCORP GLOBAL LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: WITZCORP GLOBAL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 August 2024: EMPRES HEALTHCARE GROUP, INC. EMPLOYEE STOCK OWNERSHIP TRUST 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: MICHAEL J MILLER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: MICHAEL J MILLER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: BRENT WEIL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: EMPRES FINANCIAL SERVICES LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: EMPRES FINANCIAL SERVICES 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: MIDCAP FINANCIAL TRUST no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: GREATBANC TRUST COMPANY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: JUSTIN POLSON 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: THOMAS P CARDEN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: EMPRES OREGON HEALTHCARE 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: GRENIKA SOYSA 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: KATIE FIOLA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: NANI L GRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: EMPRES HEALTHCARE MANAGEMENT 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: LAURA L FOX 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: EMPRES HEALTHCARE GROUP INC 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: WILLIAM MILLER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: CH PACIFIC NORTHWEST HOLDINGS, LLC 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: SHIMON SPIELMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: SHIMON SPIELMAN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (OR) 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: YISROEL E HERZKA 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: YITZCHOK YENOWITZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: YITZCHOK YENOWITZ appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: YITZCHOK YENOWITZ 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: PACIFIC NORTHWEST OPCO MANAGEMENT, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: COUVE FINANCIAL SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: LEO SATRIAWAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: LEO SATRIAWAN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 August 2024: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS, LLC 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: WITZCORP GLOBAL LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
Recent changes on this record
- 1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2026: HAROLD PERLMAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: HAROLD PERLMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 November 2025: CH PACIFIC NORTHWEST HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SHIMON SPIELMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (OR) LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: YISROEL E HERZKA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: YITZCHOK YENOWITZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: YITZCHOK YENOWITZ no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: LEO SATRIAWAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: LEO SATRIAWAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: WITZCORP GLOBAL LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: HILLSBORO SNF OPERATIONS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: HILLSBORO SNF OPERATIONS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CH PACIFIC NORTHWEST HOLDINGS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CH PACIFIC NORTHWEST HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JASON ODENTHAL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JASON ODENTHAL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JASON ODENTHAL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JASON ODENTHAL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SHIMON SPIELMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (OR) LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: OREGON SNF CONSULTING LLC (DE) appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: OREGON SNF CONSULTING LLC (DE) appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: YISROEL E HERZKA appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: YISROEL E HERZKA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: YITZCHOK YENOWITZ appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: YITZCHOK YENOWITZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JONATHAN HILLMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JONATHAN HILLMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: PACIFIC NORTHWEST OPCO MANAGEMENT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DAVID P LARSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DAVID P LARSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MYLENE CEPEDA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MYLENE CEPEDA appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MYLENE CEPEDA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: COUVE FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 23 May 2025 | 23 May 2025 | 9 | 1 |
| 2 | 9 February 2024 | 9 February 2024 | 12 | 1 |
| 3 | 4 November 2022 | 4 November 2022 | 6 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
27 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 12 August 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 19 September 2025 |
| 12 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 | 19 September 2025 |
| 12 August 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. | D | Yes | Deficient, Provider has date of correction | 19 September 2025 |
| 23 May 2025 | 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. | D | No | Deficient, Provider has date of correction | 25 June 2025 |
| 23 May 2025 | 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 | No | Deficient, Provider has date of correction | 25 June 2025 |
| 23 May 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 | 25 June 2025 |
| 23 May 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 25 June 2025 |
| 23 May 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | 25 June 2025 |
| 23 May 2025 | 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 | 25 June 2025 |
| 9 February 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 15 March 2024 |
| 9 February 2024 | 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 | 15 March 2024 |
| 9 February 2024 | 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 | 15 March 2024 |
| 9 February 2024 | 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 | 15 March 2024 |
| 9 February 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | 15 March 2024 |
| 9 February 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | E | No | Deficient, Provider has date of correction | 15 March 2024 |
| 9 February 2024 | 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. | D | No | Deficient, Provider has date of correction | 15 March 2024 |
| 9 February 2024 | 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 | 15 March 2024 |
| 9 February 2024 | 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 | 15 March 2024 |
| 9 February 2024 | 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 | 15 March 2024 |
| 9 February 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | 15 March 2024 |
| 9 February 2024 | 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 | 15 March 2024 |
| 5 September 2023 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Deficient, Provider has date of correction | 29 September 2023 |
| 4 November 2022 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 13 December 2022 |
| 4 November 2022 | 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. | D | No | Deficient, Provider has date of correction | 13 December 2022 |
| 4 November 2022 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | 13 December 2022 |
| 4 November 2022 | 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. | D | No | Deficient, Provider has date of correction | 13 December 2022 |
| 4 November 2022 | 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 | 13 December 2022 |
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
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | HILLSBORO SNF OPERATIONS LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1990-05-02 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Washington |
| Telephone Number | 5036486621 |
| Chain Name | EVERGREEN HEALTHCARE GROUP |
| Chain ID | 846 |
| 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 | 78 |
| Average Number of Residents per Day | 58.0 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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The citable document for HILLSBORO HEALTH AND REHABILITATION
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 Oregon at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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