Skilled nursing facility · CMS certification number 395344
EDENBROOK OF GREENWOOD HILL
POTTSVILLE, Pennsylvania · Medicare and Medicaid
Certified beds, as filed in Care Compare: 160
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 February 2025 to 30 June 2025 — a reporting period of 149 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 7 May 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,384,112 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,154,281 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,229,831 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,072,093 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$842,262 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,628 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$838,634 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$838,634 (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 | 179 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 26,850 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,254 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 15,845 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 840 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 17,939 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 31 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 27 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 21 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 586.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 227.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1449467, read from the public cost report file SNF10FY2025.zip.
Fiscal year 2024, ended 30 June 2024
Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 February 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,490,470 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,759,502 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,730,968 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,185,040 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,454,072 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $171,185 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,282,887 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,282,887 (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 | 179 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,053 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 370 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 160.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448007, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 30 June 2023
Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 April 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,369,122 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,343,520 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,025,602 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,826,301 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,800,699 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,535 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,795,164 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,795,164 (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 | 179 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,878 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 220 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,163 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 222.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1420782, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 30 June 2022
Cost report for 31 May 2021 to 30 June 2022 — a reporting period of 395 days, on form CMS-2540-10, settled, processed by CMS on 2 March 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,271,834 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,513,309 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,758,525 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,102,126 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,343,601 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $621,820 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,721,781 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,721,781 (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 | 179 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,340 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 327 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 242.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 123.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343666, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 30 May 2021
Cost report for 1 June 2020 to 30 May 2021 — a reporting period of 363 days, on form CMS-2540-10, settled, processed by CMS on 28 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,361,372 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $221,949 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,139,423 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,975,404 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,835,981 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,327,413 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,508,568 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,511,541 (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 | 179 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,792 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 223 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 207.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 142.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360330, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 31 May 2020
Cost report for 1 June 2019 to 31 May 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 3 May 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,481,303 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $478,129 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,003,174 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,766,188 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,763,014 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $716,116 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,046,898 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,080,217 (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 | 179 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,090 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 294 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 171.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1315232, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 31 May 2019
Cost report for 1 June 2018 to 31 May 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 July 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,435,097 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $745,084 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,690,013 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,669,531 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,979,518 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,538 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,967,980 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,006,781 (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 | 179 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,259 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 481 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 136.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1260727, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 31 May 2018
Cost report for 1 June 2017 to 31 May 2018 — 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 | $12,762,781 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,239,956 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,522,825 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,606,774 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,083,949 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,574 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,073,375 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,110,855 (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 | 179 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,817 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 490 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 133.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254013, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 31 May 2017
Cost report for 1 June 2016 to 31 May 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 June 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,768,992 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $948,932 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,820,060 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,624,819 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,804,759 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,263 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,791,496 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,842,629 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 179 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,900 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 477 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 153.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1194018, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 31 May 2016
Cost report for 1 June 2015 to 31 May 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 October 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,365,605 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,386,021 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,979,584 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,126,825 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,147,241 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,993 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,134,248 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,183,391 (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 | 179 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,918 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 520 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 169.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1176966, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 31 May 2015
Cost report for 1 June 2014 to 31 May 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,568,922 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,234,216 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,334,706 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,220,120 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $114,586 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,442 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $129,028 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $95,413 (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 | 179 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,941 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 502 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 162.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143613, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 31 May 2014
Cost report for 1 June 2013 to 31 May 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 September 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,563,801 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,258,753 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,305,048 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,275,592 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $29,456 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,276 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $53,732 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $17,039 (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 | 179 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,461 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 545 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 154.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 107.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1109777, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 31 May 2013
Cost report for 1 June 2012 to 31 May 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 | $17,465,987 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,395,569 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,070,418 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,267,249 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$196,831 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,106 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$164,725 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$207,080 (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 | 179 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,735 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 547 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 164.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 107.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1072175, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 31 May 2012
Cost report for 1 June 2011 to 31 May 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 November 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,857,007 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,277,371 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,579,636 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,669,806 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $909,830 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,054 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $943,884 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $908,746 (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 | 179 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 60,645 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 569 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 152.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1049142, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 31 May 2011
Cost report for 1 June 2010 to 31 May 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,039,935 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,680,582 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,359,353 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,314 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $25,136 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,362,531 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,755 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 304 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 785.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 193.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433246, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 31 May 2010
Cost report for 1 June 2009 to 31 May 2010 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 23 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,858,120 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,523,400 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,334,720 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,566 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $27,046 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,337,240 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,271 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 581 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 215.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 98.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423785, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 31 May 2009
Cost report for 1 June 2008 to 31 May 2009 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 16 September 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,911,746 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,400,157 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,511,589 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,138 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $27,677 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,512,050 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,571 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 458 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 327.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 125.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 387787, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 31 May 2008
Cost report for 21 December 2007 to 31 May 2008 — a reporting period of 162 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 13 May 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,202,147 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,804,871 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $397,276 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,219 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,801 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $399,694 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,160 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 239 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 213.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 105.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 339047, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 20 December 2007
Cost report for 1 June 2007 to 20 December 2007 — a reporting period of 202 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 10 March 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,595,078 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,728,419 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$133,341 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,846 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $20,771 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$141,266 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,676 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 253 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 223.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 117.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 334925, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 May 2006
Cost report for 1 June 2005 to 31 May 2006 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 26 July 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,880,410 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,682,021 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $198,389 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,827 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $27,829 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $217,387 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,470 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 445 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 287.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 129.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 290007, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 31 May 2005
Cost report for 1 June 2004 to 31 May 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 May 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,338,522 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,128,476 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $210,046 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $37,096 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $20,964 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $226,178 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,839 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 445 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 309.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 123.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 250446, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 31 May 2004
Cost report for 1 June 2003 to 31 May 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 9 September 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,086,760 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,034,490 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,052,270 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,286 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $29,057 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,059,499 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,319 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 432 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 338.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 137.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 232739, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 31 May 2003
Cost report for 1 June 2002 to 31 May 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 | $9,953,568 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,203,168 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,750,400 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $81,298 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $24,797 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,806,901 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,922 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 447 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 290.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 134.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195359, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 31 May 2002
Cost report for 1 June 2001 to 31 May 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 September 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,246,727 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,629,962 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,616,765 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $103,813 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$1,457 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,722,035 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,955 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 443 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 287.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 137.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159512, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 31 May 2001
Cost report for 1 June 2000 to 31 May 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,862,657 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,730,795 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,131,862 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $116,971 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $35,862 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $2,212,971 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,010 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 470 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 260.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 127.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 141193, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 31 May 2000
Cost report for 1 June 1999 to 31 May 2000 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 9 March 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,600,651 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,453,075 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,147,576 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $84,855 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $826,708 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $405,723 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,359 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 470 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 278.01 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 128.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 395223, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 31 May 1999
Cost report for 1 June 1998 to 31 May 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 21 July 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,827,610 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,494,193 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,333,417 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $90,951 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $209,207 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,215,161 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,069 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 230 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 779.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 265.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 412158, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended 31 May 1998
Cost report for 1 November 1997 to 31 May 1998 — a reporting period of 211 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on 13 September 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,482,858 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,724,961 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $757,897 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $322,350 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,080,247 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,002 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 284 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 126.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 387622, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 October 1997
Cost report for 1 November 1996 to 31 October 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 16 December 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,556,210 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,955,065 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $601,145 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $349,938 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $951,083 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,629 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 483 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 127.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 361129, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 October 1996
Cost report for 1 November 1995 to 31 October 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 11 September 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,810,873 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,733,727 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$922,854 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $233,318 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$689,536 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,275 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 525 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 116.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 27381, 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 |
|---|---|---|---|---|
| KIMBALL, BRUCE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| LIFSICS, CHANNIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| MILLER-SCHAEFFER, CAROL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| PA 6 INVESTORS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/02/2026 |
| POLSTEIN, MORDECHAI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| POTTSVILLE REALTY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/01/2025 |
| STESEL, MAXIM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| ZARKH, GLEB | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| KIMBALL, BRUCE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2025 |
| MILLER-SCHAEFFER, CAROL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2025 |
| POLSTEIN, MORDECHAI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2025 |
| POTTSVILLE REALTY LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/01/2025 |
| STESEL, MAXIM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2025 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of POTTSVILLE SNF OPERATIONS, LLC (enrollment ID O20251030002522).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| BRUCE KIMBALL | 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. | 2/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CAROL ANN MILLER-SCHAEFFER | 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. | 2/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CHANNIE B LIFSICS | 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. | 2/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GLEB ZARKH | 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. | 2/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MAXIM STESEL | 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. | 2/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MORDECHAI POLSTEIN | 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. | 2/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PA 6 INVESTORS, 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. | 3/2/2026 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| POTTSVILLE REALTY 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. | 2/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRUCE KIMBALL | 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. | 2/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CAROL ANN MILLER-SCHAEFFER | 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. | 2/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MAXIM STESEL | 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. | 2/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MORDECHAI POLSTEIN | 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. | 2/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| POTTSVILLE REALTY 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. | 2/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 April 2026: JACOB J ZAHLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JACOB J ZAHLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: LZ PA HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: PA 6 INVESTORS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: GLEB ZARKH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: CHANNIE B LIFSICS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BRUCE KIMBALL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BRUCE KIMBALL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: CAROL ANN MILLER-SCHAEFFER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: CAROL ANN MILLER-SCHAEFFER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MAXIM STESEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MAXIM STESEL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: POTTSVILLE REALTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: POTTSVILLE REALTY LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MORDECHAI POLSTEIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MORDECHAI POLSTEIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 November 2024: RK SNF CONSULTING CORP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: FDZ CONSULTING LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: ROCHEL DAVID no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: MELINDA BOHAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: DEENA HERSH no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: CHAIM ZAHLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: ROBERT T KOLMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: LEAH FRIEDMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: JACOB J ZAHLER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 December 2023: AIJ CONSULTING INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- 1 December 2023: MATHEW K VARGHESE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
Recent changes on this record
- 7 May 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
- 1 April 2026: JACOB J ZAHLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JACOB J ZAHLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: LZ PA HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: PA 6 INVESTORS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: GLEB ZARKH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: CHANNIE B LIFSICS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BRUCE KIMBALL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BRUCE KIMBALL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: CAROL ANN MILLER-SCHAEFFER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: CAROL ANN MILLER-SCHAEFFER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MAXIM STESEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MAXIM STESEL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: POTTSVILLE REALTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: POTTSVILLE REALTY LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MORDECHAI POLSTEIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MORDECHAI POLSTEIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: enrollment_id changed from O20211213002197 to O20251030002522. Skilled_Nursing_Facility_Enrollments_:_2026-04-01.csv
- 20 February 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 30 December 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 9 April 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 1 November 2024: RK SNF CONSULTING CORP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: FDZ CONSULTING LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: ROCHEL DAVID no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: MELINDA BOHAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: DEENA HERSH no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: CHAIM ZAHLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: ROBERT T KOLMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: LEAH FRIEDMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 November 2024: JACOB J ZAHLER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- 1 December 2023: AIJ CONSULTING INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- 1 December 2023: MATHEW K VARGHESE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
- 28 July 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 2 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 3 May 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 20 July 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 15 April 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 19 June 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 17 October 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 30 September 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 5 June 2026 | 5 June 2026 | 7 | 0 |
| 2 | 8 August 2025 | 8 August 2025 | 12 | 4 |
| 3 | 1 November 2024 | 1 November 2024 | 29 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
48 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 5 June 2026 | Health | F 0559 | Resident Rights Deficiencies | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | No | Deficient, Provider has plan of correction | 29 July 2026 |
| 5 June 2026 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has plan of correction | 29 July 2026 |
| 5 June 2026 | 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 plan of correction | 29 July 2026 |
| 5 June 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has plan of correction | 29 July 2026 |
| 5 June 2026 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | Yes | Deficient, Provider has plan of correction | 29 July 2026 |
| 5 June 2026 | Health | F 0943 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | No | Deficient, Provider has plan of correction | 29 July 2026 |
| 11 December 2025 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Yes | Deficient, Provider has date of correction | 4 February 2026 |
| 8 August 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Past Non-Compliance | 11 July 2025 |
| 8 August 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B | No | Deficient, Provider has date of correction | 30 September 2025 |
| 8 August 2025 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 30 September 2025 |
| 8 August 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 | Yes | Deficient, Provider has date of correction | 30 September 2025 |
| 8 August 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 30 September 2025 |
| 8 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 | 30 September 2025 |
| 8 August 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | 30 September 2025 |
| 3 April 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Yes | Deficient, Provider has date of correction | 15 April 2025 |
| 13 February 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Yes | Deficient, Provider has date of correction | 3 April 2025 |
| 13 February 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | 3 April 2025 |
| 13 February 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 | 3 April 2025 |
| 13 February 2025 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Yes | Deficient, Provider has date of correction | 3 April 2025 |
| 1 November 2024 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B | No | Deficient, Provider has date of correction | 17 December 2024 |
| 1 November 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | No | Deficient, Provider has date of correction | 17 December 2024 |
| 1 November 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 17 December 2024 |
| 1 November 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | No | Deficient, Provider has date of correction | 17 December 2024 |
| 1 November 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | 17 December 2024 |
| 1 November 2024 | 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 | 17 December 2024 |
| 1 November 2024 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | E | No | Deficient, Provider has date of correction | 17 December 2024 |
| 1 November 2024 | Health | F 0809 | Nutrition and Dietary Deficiencies | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | No | Deficient, Provider has date of correction | 17 December 2024 |
| 1 November 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 | 17 December 2024 |
| 1 November 2024 | Health | F 0926 | Environmental Deficiencies | Have policies on smoking. | E | No | Deficient, Provider has date of correction | 17 December 2024 |
| 15 February 2024 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Yes | Deficient, Provider has date of correction | 26 March 2024 |
| 15 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 | 26 March 2024 |
| 15 February 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Yes | Deficient, Provider has date of correction | 29 April 2024 |
| 15 February 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | 26 March 2024 |
| 15 February 2024 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Yes | Deficient, Provider has date of correction | 26 March 2024 |
| 15 February 2024 | Health | F 0745 | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Yes | Deficient, Provider has date of correction | 26 March 2024 |
| 18 January 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 26 March 2024 |
| 18 January 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | Yes | Deficient, Provider has date of correction | 29 April 2024 |
| 18 January 2024 | 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. | G | Yes | Deficient, Provider has date of correction | 26 March 2024 |
| 18 January 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | Yes | Deficient, Provider has date of correction | 26 March 2024 |
| 18 January 2024 | Health | F 0711 | Nursing and Physician Services Deficiencies | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Yes | Deficient, Provider has date of correction | 26 March 2024 |
| 18 January 2024 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Yes | Deficient, Provider has date of correction | 26 March 2024 |
| 18 January 2024 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Yes | Deficient, Provider has date of correction | 29 April 2024 |
| 18 January 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | Yes | Deficient, Provider has date of correction | 26 March 2024 |
| 17 November 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Yes | Deficient, Provider has date of correction | 18 January 2024 |
| 17 November 2023 | Health | F 0626 | Resident Rights Deficiencies | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Yes | Deficient, Provider has date of correction | 18 January 2024 |
| 17 November 2023 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Yes | Deficient, Provider has date of correction | 26 March 2024 |
| 16 August 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Yes | Deficient, Provider has date of correction | 19 September 2023 |
| 16 August 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Yes | Deficient, Provider has date of correction | 19 September 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 13 February 2025 | Fine | $42,484 | 14216 | ||
| 17 November 2023 | Fine | $12,048 | 13655 | ||
| 17 November 2023 | Payment Denial | 17 February 2024 | 72 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | POTTSVILLE SNF OPERATIONS, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1978-04-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Schuylkill |
| Telephone Number | 5706229582 |
| 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 | 160 |
| Average Number of Residents per Day | 113.6 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 3 |
| 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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On 7 May 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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