Skilled nursing facility · CMS certification number 395350
LOCUST GROVE RETIREMENT VILLAGE
MIFFLIN, Pennsylvania · Medicare and Medicaid
Certified beds, as filed in Care Compare: 104
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2025 to 31 May 2025 — a reporting period of 150 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 24 June 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,546,182 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,616,932 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,929,250 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,950,307 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,021,057 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $112,367 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$908,690 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$908,690 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 15,704 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 429 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 7,986 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,649 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 10,064 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 9 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 9 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 22 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 887.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 251.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450571, read from the public cost report file SNF10FY2025.zip.
Fiscal year 2024, ended 31 December 2024
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,701,644 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,567,958 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,133,686 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,427,960 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,294,274 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $151,181 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,143,093 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,143,093 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,200 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 599.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 220.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1435361, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 May 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,555,197 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,359,371 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,195,826 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,643,704 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,447,878 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $153,732 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,294,146 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,294,146 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,291 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 175 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 775.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 167.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1422578, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 October 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,154,285 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,765,199 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,389,086 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,847,878 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,458,792 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $302,269 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,156,523 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,156,523 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,770 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 766.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 230.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397205, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 March 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,594,648 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,732,268 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,862,380 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,132,055 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$269,675 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $956,770 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $687,095 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $687,095 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,269 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 249 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 366.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345295, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 11 November 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,172,452 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,582,670 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,589,782 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,912,224 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $677,558 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $421,115 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,098,673 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,098,673 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,819 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 312 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 420.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1336328, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 April 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,015,273 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,066,016 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,949,257 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,929,056 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $20,201 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$32,738 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$12,537 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$12,537 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,867 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 292 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 403.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282093, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,466,065 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,662,476 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,803,589 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,201,179 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$397,590 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $48,270 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$349,320 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$349,320 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,246 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 244 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 689.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1261452, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 November 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,915,133 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,198,151 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,716,982 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,162,915 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$445,933 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,356 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$407,577 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$407,577 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,848 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 858.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1245986, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,328,747 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,874,271 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,454,476 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,351,939 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$897,463 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $67,130 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$830,333 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$830,333 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,469 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 214 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 638.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188444, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 February 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,427,665 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,796,456 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,631,209 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,120,435 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$489,226 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,592 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$483,634 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$483,634 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,752 | 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 | 46.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 426.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 155.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1152850, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 December 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,547,903 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,674,833 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,873,070 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,249,589 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$376,519 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,421 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$365,098 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$365,098 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,947 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 242 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 450.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1115579, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 November 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,208,126 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,558,031 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,650,095 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,851,593 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,201,498 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,023,909 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$177,589 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$177,589 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,527 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 239 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 433.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081007, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,195,876 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,191,295 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,004,581 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,829,737 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$825,156 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $921,272 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $96,116 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $89,950 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 159 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,684 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 249 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 478.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1057963, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled with audit, processed by CMS on 23 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,315,043 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,213,986 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,101,057 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,410,334 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $690,723 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,401 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $706,124 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $706,124 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,492 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 209 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 651.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 169.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1041393, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 June 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,869,436 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,571,448 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $297,988 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,756 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$6,300 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $318,044 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,061 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 215 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 632 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 163.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 430751, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 February 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,239,336 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,823,005 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$583,669 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,262 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$7,654 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$566,753 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,267 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 758.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 190.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 394035, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 2 February 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,374,470 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,322,669 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$948,199 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,849 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$940,350 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,993 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 184 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 781.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 363453, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 April 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,034,949 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,715,146 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$680,197 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,963 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$673,234 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,120 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 254 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 786.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 126.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 337216, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 April 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,533,334 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,695,596 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$162,262 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,271 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$152,991 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,260 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 226 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 613.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 125.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 307329, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 May 2005 to 31 December 2005 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 13 November 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,504,530 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,549,343 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$44,813 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,255 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$23,558 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,742 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 86 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 608.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 217.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266180, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 17 March 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,821,275 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,929,836 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$108,561 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $52,383 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$56,181 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,405 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 164 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 629.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 245305, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 December 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,811,321 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,975,966 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$164,645 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $71,993 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$92,652 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,152 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 154 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 447.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 182.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 203742, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 March 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,409,346 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,683,262 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$273,916 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $51,133 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$222,783 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,184 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 73 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 965.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 386.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 170053, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 May 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,876,630 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,622,298 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$745,668 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $42,706 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $156 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$703,118 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,135 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 555.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 211.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 143525, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 11 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,554,512 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,919,634 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$365,122 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,979 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$323,143 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,498 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 83 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 945 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 331.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 113778, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 7 August 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,271,367 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,661,404 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$390,037 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $100,615 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$289,422 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,947 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 883.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 358.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 54301, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 September 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,080,798 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,399,973 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$319,175 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $63,494 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$255,681 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,081 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 75.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 540.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 54299, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 August 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,026,432 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,056,169 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$29,737 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $42,925 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $13,188 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,953 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 218.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 873.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 54297, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 31 August 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,034,965 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,091,094 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$56,129 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,751 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$17,378 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,794 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 43 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 166.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 646.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 54296, 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 |
|---|---|---|---|---|
| MIFFLIN PARENTCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/01/2025 |
| JUNIATA HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/01/2025 |
| PAOP HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/01/2025 |
| MIFFLIN RE OWNER, LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 05/01/2025 |
| CLARK, ALYSSA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| CRIAG, MICHELE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| HOBACK, TIFFANY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| JONES, TEQUILLA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| MIFFLIN RE OWNER, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2025 |
| ROSCOE, BRANDON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| SIMPSON, LOUANN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| SNF MGR LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/11/2025 |
| CLARK, ALYSSA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2025 |
| HOBACK, TIFFANY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2025 |
| CLARK, ALYSSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| CRIAG, MICHELE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| HOBACK, TIFFANY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| JONES, TEQUILLA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| ROSCOE, BRANDON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| SIMPSON, LOUANN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2025 |
| SNF MGR LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/01/2025 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of 69 COTTAGE ROAD OPCO LLC (enrollment ID O20251002003019).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| MIFFLIN PARENTCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JUNIATA HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| NU C II IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| NU C IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PAOP HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SNF CARE CENTERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ZENITH HOLDCO II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ZENITH HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| MIFFLIN RE OWNER, LLC | Organization | 5% OR GREATER SECURITY INTEREST | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2025 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| ALYSSA L CLARK | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2025 | 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. |
| BRANDON M ROSCOE | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2025 | 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. |
| LOUANN SIMPSON | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2025 | 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. |
| MICHELE CRIAG | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2025 | 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. |
| MIFFLIN RE OWNER, 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. | 5/1/2025 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| SNF MGR 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. | 4/11/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TEQUILLA JONES | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2025 | 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. |
| TIFFANY HOBACK | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2025 | 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. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/11/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 4/22/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 4/11/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 4/22/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALYSSA L CLARK | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2025 | 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. |
| TIFFANY HOBACK | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2025 | 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. |
| ALYSSA L CLARK | 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. | 5/1/2025 | 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. |
| BRANDON M ROSCOE | 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. | 5/1/2025 | 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. |
| LOUANN SIMPSON | 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. | 5/1/2025 | 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. |
| MICHELE CRIAG | 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. | 5/1/2025 | 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. |
| SNF MGR 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. | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TEQUILLA JONES | 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. | 5/1/2025 | 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. |
| TIFFANY HOBACK | 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. | 5/1/2025 | 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. |
Changes in ownership
- 1 July 2026: LAVIE HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LV OPERATIONS I LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LV OPERATIONS II LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LV CHC HOLDINGS I LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CONSULATE MANAGEMENT COMPANY III LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: FC INVESTORS XXI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LAVIE CARE CENTERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHLEY WINKLE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHLEY WINKLE no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHLEY WINKLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LV INVESTMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NU C IRREVOCABLE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PAOP HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TEQUILLA JONES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TEQUILLA JONES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BRANDON M ROSCOE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BRANDON M ROSCOE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ZENITH HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TIFFANY HOBACK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TIFFANY HOBACK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TIFFANY HOBACK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JUNIATA HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MIFFLIN RE OWNER, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MIFFLIN RE OWNER, LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ZENITH HOLDCO II LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MICHELE CRIAG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MICHELE CRIAG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SNF MGR LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SNF MGR LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ALYSSA L CLARK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ALYSSA L CLARK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ALYSSA L CLARK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SNF CARE CENTERS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MIFFLIN PARENTCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NU C II IRREVOCABLE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LOUANN SIMPSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LOUANN SIMPSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2025: TIMOTHY H LEHNER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: TIMOTHY H LEHNER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: BRANDON M ROSCOE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: LOUANN SIMPSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: BRANDON M ROSCOE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: LOUANN SIMPSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: LOUANN SIMPSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ASHLEY WINKLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ASHLEY WINKLE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ASHLEY WINKLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 August 2024: BRANDON M ROSCOE appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- 1 July 2024: JERON WALKER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: JERON WALKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: TIMOTHY H LEHNER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: TIMOTHY H LEHNER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 May 2024: MCP LAVIE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: ALG LAVIE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: COLUMBIA PACIFIC OPPORTUNITY FUND, L.P. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: SAY LA VIE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: LAVIE MORNING, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 November 2023: CHRISTOPHER N HANSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: LOUANN SIMPSON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 2 October 2023: ROBERT DRUCKENMILLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- 2 October 2023: CHRISTOPHER N HANSON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- 1 August 2023: WENDY WOLYNIEC no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: ROBERT DRUCKENMILLER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 17 July 2023: WENDY ERWAY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: ANN QUINNAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: ANN QUINNAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: WENDY WOLYNIEC appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 1 January 2023: PAUL T KOVACS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: WENDY ERWAY appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 30 November 2022: JENNIFER GETGEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: PAUL T KOVACS appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
Recent changes on this record
- 1 July 2026: LAVIE HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LV OPERATIONS I LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LV OPERATIONS II LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LV CHC HOLDINGS I LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CONSULATE MANAGEMENT COMPANY III LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: FC INVESTORS XXI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LAVIE CARE CENTERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHLEY WINKLE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHLEY WINKLE no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHLEY WINKLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LV INVESTMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NU C IRREVOCABLE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: PAOP HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TEQUILLA JONES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TEQUILLA JONES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BRANDON M ROSCOE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BRANDON M ROSCOE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ZENITH HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TIFFANY HOBACK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TIFFANY HOBACK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TIFFANY HOBACK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JUNIATA HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MIFFLIN RE OWNER, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MIFFLIN RE OWNER, LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ZENITH HOLDCO II LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MICHELE CRIAG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MICHELE CRIAG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SNF MGR LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SNF MGR LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ALYSSA L CLARK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ALYSSA L CLARK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ALYSSA L CLARK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SNF CARE CENTERS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MIFFLIN PARENTCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NU C II IRREVOCABLE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LOUANN SIMPSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LOUANN SIMPSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: enrollment_id changed from O20061227000327 to O20251002003019. Skilled_Nursing_Facility_Enrollments_:_2026-07-01.csv
- 24 June 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 27 June 2025 | 27 June 2025 | 8 | 2 |
| 2 | 3 May 2024 | 3 May 2024 | 19 | 6 |
| 3 | 4 August 2023 | 4 August 2023 | 12 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
39 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 27 June 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 22 August 2025 |
| 27 June 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | 22 August 2025 |
| 27 June 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 22 August 2025 |
| 27 June 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | 22 August 2025 |
| 27 June 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 22 August 2025 |
| 27 June 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | E | No | Deficient, Provider has date of correction | 22 August 2025 |
| 27 June 2025 | Health | F 0742 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | No | Deficient, Provider has date of correction | 22 August 2025 |
| 27 June 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 | 22 August 2025 |
| 9 October 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 15 November 2024 |
| 18 June 2024 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | D | Yes | Deficient, Provider has date of correction | 5 July 2024 |
| 3 May 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 14 June 2024 |
| 3 May 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. | D | No | Deficient, Provider has date of correction | 14 June 2024 |
| 3 May 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. | G | Yes | Past Non-Compliance | 28 March 2024 |
| 3 May 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | 14 June 2024 |
| 3 May 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | 14 June 2024 |
| 3 May 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Yes | Deficient, Provider has date of correction | 14 June 2024 |
| 3 May 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 14 June 2024 |
| 3 May 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 14 June 2024 |
| 3 May 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | 14 June 2024 |
| 3 May 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 14 June 2024 |
| 3 May 2024 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | 14 June 2024 |
| 3 May 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | 14 June 2024 |
| 3 May 2024 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Yes | Deficient, Provider has date of correction | 14 June 2024 |
| 3 May 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 | No | Deficient, Provider has date of correction | 14 June 2024 |
| 3 May 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 14 June 2024 |
| 3 May 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 14 June 2024 |
| 3 May 2024 | 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 | 14 June 2024 |
| 3 May 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 14 June 2024 |
| 4 August 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. | D | No | Deficient, Provider has date of correction | 29 August 2023 |
| 4 August 2023 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | 29 August 2023 |
| 4 August 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 29 August 2023 |
| 4 August 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 29 August 2023 |
| 4 August 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 29 August 2023 |
| 4 August 2023 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | E | No | Deficient, Provider has date of correction | 29 August 2023 |
| 4 August 2023 | Health | F 0729 | Nursing and Physician Services Deficiencies | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | No | Deficient, Provider has date of correction | 29 August 2023 |
| 4 August 2023 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | E | No | Deficient, Provider has date of correction | 29 August 2023 |
| 4 August 2023 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | No | Deficient, Provider has date of correction | 29 August 2023 |
| 4 August 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 29 August 2023 |
| 4 August 2023 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 29 August 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 |
|---|---|---|---|---|---|
| 3 May 2024 | Fine | $12,831 | 14202 |
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 - Corporation |
| Legal Business Name | 69 COTTAGE ROAD OPCO LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1976-05-12 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Juniata |
| Telephone Number | 7174368921 |
| Chain Name | AVARDIS HEALTH |
| Chain ID | 843 |
| 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 | 104 |
| Average Number of Residents per Day | 66.3 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| 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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