Skilled nursing facility · CMS certification number 385259
HOLLADAY PARK PLAZA
PORTLAND, Oregon · Medicare
Certified beds, as filed in Care Compare: 51
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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 March 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,226,954 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,005,552 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,221,402 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,098,248 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$16,876,846 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,618,190 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $741,344 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $741,344 (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 | 123 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 45,018 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,593 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 19,035 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,628 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 88 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 136 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 224 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 96.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405829, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 30 September 2023
Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,260,762 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $750,779 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,509,983 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,784,704 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,274,721 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,479,457 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $204,736 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $204,736 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,465 | 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 | 26.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 109.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1377119, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 30 September 2022
Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 May 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,187,302 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $571,531 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,615,771 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,002,956 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,387,185 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,109,886 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,277,299 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,277,299 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,038 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 145.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1348638, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 30 September 2021
Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 April 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,776,013 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $808,917 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,967,096 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,298,830 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,331,734 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,184,420 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,852,686 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,852,686 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,412 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 247 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 94.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314966, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 30 September 2020
Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 3 May 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,986,597 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,081,495 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,905,102 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,013,020 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,107,918 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,523,843 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,415,925 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,415,925 (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 | 269 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,150 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 204 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 162.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283226, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 30 September 2019
Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,157,083 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,631,507 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,525,576 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,223,884 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,698,308 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,950,295 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,251,987 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,251,987 (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 | 269 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 115,368 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 306 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 377.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254012, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 30 September 2018
Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 March 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,626,461 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,799,607 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,826,854 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,446,757 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,619,903 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,484,138 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,864,235 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,864,235 (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 | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,664 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 308 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 93.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221619, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 30 September 2017
Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 June 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,394,638 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,949,053 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,445,585 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,384,035 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,938,450 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,698,974 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,760,524 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,760,524 (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 | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 107,990 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 271 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 398.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1234364, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 30 September 2016
Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 April 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,052,417 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,707,660 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,344,757 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,788,070 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$11,443,313 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,975,346 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,532,033 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,532,033 (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 | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,902 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 332 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 47.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156547, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 September 2015
Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 March 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,260,997 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,998,394 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,262,603 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,159,740 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,897,137 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,208,949 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $311,812 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $311,812 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,337 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 299 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 51.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1120483, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 30 September 2014
Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 May 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,142,157 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,346,375 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,795,782 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,904,281 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$108,499 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,000,485 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,891,986 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,891,986 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,632 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 237 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 65.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1090675, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 30 September 2013
Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 May 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,480,964 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,573,486 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,907,478 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,302,931 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$395,453 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,818,403 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,422,950 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,422,950 (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 | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,948 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 198 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 80.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1060809, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 30 September 2012
Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 May 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,765,446 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,970,042 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,795,404 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,219,985 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$424,581 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,488,758 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,064,177 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,361,622 (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 | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,418 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 204 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 70.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1029889, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 30 September 2011
Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 April 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,768,594 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,873,220 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$104,626 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,758,490 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $434,538 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,219,326 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,229 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 171 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 83.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428323, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended 30 September 2010
Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 April 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,424,433 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,783,114 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $641,319 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,684,842 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,326,161 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,364 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 154 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 73.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398164, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 30 September 2009
Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 April 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,487,136 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,951,985 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $535,151 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,865,706 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,400,857 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,071 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 153 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 105.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 368557, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 30 September 2008
Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 30 April 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,272,893 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,939,361 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $333,532 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $444,039 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $777,571 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,723 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 128.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 338132, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 30 September 2007
Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 April 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,393,635 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,104,466 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $289,169 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,298,414 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,587,583 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,230 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 79.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 154.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 308014, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 30 September 2006
Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,307,391 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,039,203 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $268,188 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,607,290 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,875,478 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,200 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 133 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 91.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 303251, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 30 September 2005
Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 September 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,279,103 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,457,289 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$178,186 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,280,679 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,102,493 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,929 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 89 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 134.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264107, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 30 September 2004
Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 3 March 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,530,330 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,198,254 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$667,924 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,620,127 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $952,203 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,440 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 97.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 244265, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 30 September 2003
Cost report for 1 October 2002 to 30 September 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 June 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,527,392 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,689,848 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$162,456 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,534,764 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $14,056 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,358,252 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,820 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 114 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 13.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 86.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 221202, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 30 September 2002
Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 April 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,292,543 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,852,049 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$559,506 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $701,889 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $116,067 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $26,316 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,747 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 104 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 115.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 112.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173291, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 30 September 2001
Cost report for 1 January 2001 to 30 September 2001 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 18 March 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,628,734 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,623,532 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$994,798 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $623,531 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$371,267 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,549 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 71 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 148.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133569, 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 11 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,695,058 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,811,962 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$7,116,904 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,695,320 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $578,416 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,673 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 190 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 71.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 114366, 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 7 June 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,655,364 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,454,988 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,799,624 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,727,933 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $238,628 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$310,319 (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 | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,990 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 199.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 52060, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 14 August 1998 to 31 December 1998 — a reporting period of 139 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 12 April 2000.
None of these figures is carried on this report.
CMS report record 52058, read from the public cost report file SNFFY1998.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 |
|---|---|---|---|---|
| KALIN, LEAH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2024 |
| KIERNAN, JANET | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/16/2023 |
| PACIFIC RETIREMENT SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/28/2025 |
| PLATTE, SUSAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/18/2016 |
| SABATINI, ANTHONY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/17/2024 |
| SAMUELSON, KATELYNN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/28/2025 |
| HAWKINS, RICHARD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| JENSEN, CHRIS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/18/2023 |
| JOHNSON, LYNN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/18/2017 |
| MCLAUGHLIN, KATHLEEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/17/2018 |
| JOHNSON, LYNN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2022 |
| MCLAUGHLIN, KATHLEEN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2023 |
| PLATTE, SUSAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/18/2016 |
| KALIN, LEAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2023 |
| KIERNAN, JANET | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/16/2023 |
| PLATTE, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/18/2016 |
| SABATINI, ANTHONY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/28/2025 |
| SAMUELSON, KATELYNN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/21/2019 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HOLLADAY PARK PLAZA INC (enrollment ID O20050727001164).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| ANTHONY SABATINI | 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. | 10/17/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JANET KIERNAN | 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. | 7/16/2023 | 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. |
| KATELYNN SAMUELSON | 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. | 5/28/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LEAH BETH KALIN | 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. | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PACIFIC RETIREMENT SERVICES INC | 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. | 5/28/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SUSAN PLATTE | 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. | 7/18/2016 | 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. |
| CHRIS JENSEN | Individual | CORPORATE DIRECTOR | 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. | 7/18/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KATHLEEN MCLAUGHLIN | Individual | CORPORATE DIRECTOR | 0 | 7/17/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LYNN JOHNSON | Individual | CORPORATE DIRECTOR | 0 | 4/18/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RICHARD HAWKINS | Individual | CORPORATE DIRECTOR | 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. | 10/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KATHLEEN MCLAUGHLIN | Individual | CORPORATE OFFICER | 0 | 10/1/2023 | 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. |
| LYNN JOHNSON | Individual | CORPORATE OFFICER | 0 | 10/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SUSAN PLATTE | 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. | 7/18/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ANTHONY SABATINI | 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. | 3/28/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JANET KIERNAN | 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. | 7/16/2023 | 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. |
| KATELYNN SAMUELSON | 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. | 2/21/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LEAH BETH KALIN | 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. | 8/1/2023 | 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. |
| SUSAN PLATTE | 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. | 7/18/2016 | 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: JANET KIERNAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANET KIERNAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RICHARD HAWKINS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANET KIERNAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANET KIERNAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RICHARD HAWKINS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2026: ERIC SHOLTY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: PACIFIC RETIREMENT SERVICES INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MICHAEL ELLIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MUFG UNION BANK NA no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: SUSAN PLATTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MICHELLE NEAL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: THOMAS B FULLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LYNN JOHNSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LEAH BETH KALIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LEAH BETH KALIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: PACIFIC RETIREMENT SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KATELYNN SAMUELSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KATELYNN SAMUELSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KATHLEEN MCLAUGHLIN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: SUSAN PLATTE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: SUSAN PLATTE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: SUSAN PLATTE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ANTHONY SABATINI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ANTHONY SABATINI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CHRIS JENSEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: JANET KIERNAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: JANET KIERNAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: RICHARD HAWKINS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
Recent changes on this record
- 1 July 2026: JANET KIERNAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANET KIERNAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RICHARD HAWKINS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANET KIERNAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JANET KIERNAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RICHARD HAWKINS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2026: ERIC SHOLTY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: PACIFIC RETIREMENT SERVICES INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MICHAEL ELLIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MUFG UNION BANK NA no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: SUSAN PLATTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MICHELLE NEAL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: THOMAS B FULLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LYNN JOHNSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LEAH BETH KALIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LEAH BETH KALIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: PACIFIC RETIREMENT SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KATELYNN SAMUELSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KATELYNN SAMUELSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KATHLEEN MCLAUGHLIN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: SUSAN PLATTE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: SUSAN PLATTE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: SUSAN PLATTE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ANTHONY SABATINI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ANTHONY SABATINI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CHRIS JENSEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: JANET KIERNAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: JANET KIERNAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: RICHARD HAWKINS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 26 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 2 May 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 26 May 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 28 April 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 3 May 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 15 April 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 28 June 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 21 March 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 28 April 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 14 March 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 16 May 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 5 September 2025 | 5 September 2025 | 3 | 1 |
| 2 | 13 June 2024 | 13 June 2024 | 2 | 2 |
| 3 | 13 March 2023 | 13 March 2023 | 13 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
18 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 30 June 2026 | 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 plan of correction | 31 July 2026 |
| 5 September 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 10 October 2025 |
| 5 September 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 | No | Deficient, Provider has date of correction | 10 October 2025 |
| 13 June 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | 24 July 2024 |
| 13 June 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 24 July 2024 |
| 13 March 2023 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 26 April 2023 |
| 13 March 2023 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | No | Deficient, Provider has date of correction | 26 April 2023 |
| 13 March 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 26 April 2023 |
| 13 March 2023 | 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 | 26 April 2023 |
| 13 March 2023 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | 26 April 2023 |
| 13 March 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 26 April 2023 |
| 13 March 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 26 April 2023 |
| 13 March 2023 | 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 | 26 April 2023 |
| 13 March 2023 | 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 | No | Deficient, Provider has date of correction | 26 April 2023 |
| 13 March 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 26 April 2023 |
| 13 March 2023 | Health | F 0742 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | No | Deficient, Provider has date of correction | 26 April 2023 |
| 13 March 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 26 April 2023 |
| 13 March 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | 26 April 2023 |
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 |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | HOLLADAY PARK PLAZA INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1998-08-14 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Multnomah |
| Telephone Number | 5032886671 |
| Chain Name | PACIFIC RETIREMENT SERVICES |
| Chain ID | 391 |
| 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 | 51 |
| Average Number of Residents per Day | 38.2 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| 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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One email a day naming what moved on HOLLADAY PARK PLAZA: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: JANET KIERNAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for HOLLADAY PARK PLAZA
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.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 385259.