Skilled nursing facility · CMS certification number 395428
NORTHERN DAUPHIN NURSING AND REHABILITATION CENTER
MILLERSBURG, Pennsylvania · Medicare and Medicaid
Certified beds, as filed in Care Compare: 194
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,189,171 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,259,345 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,929,826 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,536,308 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$606,482 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $386,900 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$219,582 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$219,582 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 71,004 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 739 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 48,614 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,828 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 54,181 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 17 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 67 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 76 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 725.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 338.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1435372, 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 8 December 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,463,023 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,271,792 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,191,231 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,955,260 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,764,029 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $329,000 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,435,029 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,435,029 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,058 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 131 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 930.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 359.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1443996, 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 22 October 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,381,435 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,904,516 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,476,919 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,961,665 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,484,746 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $528,925 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,955,821 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,955,821 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,715 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 123 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 807.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 396.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397746, 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 24 October 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,931,307 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,019,539 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,911,768 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,879,347 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,967,579 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $794,059 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,173,520 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,173,520 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,106 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 155 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 841.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 342.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1367061, 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 2 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,655,037 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,404,863 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,250,174 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,649,763 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,399,589 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,789 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,387,800 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,387,800 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,186 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 642.99 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 359.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341646, 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 13 January 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,573,443 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,226,612 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,346,831 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,182,501 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $164,330 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,196 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $177,526 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $177,526 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 60,698 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 384 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 255.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 158.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1308769, 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 9 September 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,659,214 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,901,214 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,758,000 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,431,475 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $326,525 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,480 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $330,005 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $330,005 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,146 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 236 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 598.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 242.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1266287, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 17 September 2017
Cost report for 1 January 2017 to 17 September 2017 — a reporting period of 259 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 5 March 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,539,762 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,240,524 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,299,238 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,860,693 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,561,455 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,871 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,557,584 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,557,584 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,614 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 154 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 625.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 224.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1220558, 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 19 January 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,483,717 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,374,690 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,109,027 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,024,055 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,915,028 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $89,256 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,825,772 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,825,772 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,632 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 212 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 714.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 267.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182547, 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 17 January 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,963,112 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,321,739 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,641,373 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,868,326 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $773,047 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,395 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $781,442 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $781,442 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 66,306 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 318 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 751.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 208.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151169, 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 16 November 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,715,044 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,656,249 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,058,795 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,414,604 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,644,191 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,733 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,662,924 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,662,924 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 64,901 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 304 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 812.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 213.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1146421, 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 28 May 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,450,105 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,343,348 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,106,757 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,738,120 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$631,363 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,850,815 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,219,452 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,219,452 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 67,040 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 329 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 745.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 203.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1091794, 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 5 March 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,835,463 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,844,040 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,991,423 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,582,692 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$591,269 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,028,653 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,437,384 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,437,384 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 67,358 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 290 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 858.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 232.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056387, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 November 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,380,186 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,469,783 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,910,403 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,314,138 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,596,265 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,074 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,621,339 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,621,339 (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 | 194 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 68,416 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 262 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 868.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 261.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1051007, 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 2 May 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $17,652,302 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,952,792 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $699,510 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,977 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$15,117 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $722,604 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,014 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 344 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 669.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428561, 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, reopened, processed by CMS on 8 November 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,985,492 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,859,350 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $126,142 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,903 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$17,914 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $176,959 (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 | 194 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 67,718 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 81.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 745.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 273.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433625, 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 26 January 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,695,780 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,285,129 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $410,651 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,700 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $427,351 (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 | 194 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 65,820 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 246 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 752.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 267.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362928, 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 with audit, processed by CMS on 14 April 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,438,605 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,444,798 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $993,807 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,610 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,016,417 (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 | 194 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 67,342 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 265 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 740.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 254.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 336917, 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 | $14,495,346 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,784,603 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $710,743 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,847 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $737,590 (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 | 194 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 69,247 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 293 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 761.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 236.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306150, 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 11 January 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,514,720 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,043,318 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $471,402 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,668 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $510,070 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,252 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 210 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 739.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 220.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 269970, 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 with audit, processed by CMS on 17 February 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,895,192 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,728,593 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,166,599 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $399,372 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,565,971 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,903 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 212 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,033.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 325.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243115, 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 23 December 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,549,882 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,338,131 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $211,751 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $149,690 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $361,441 (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 | 194 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,978 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 291 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 591.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 237.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 203313, 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 5 March 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,420,310 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,177,106 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $243,204 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $155,658 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $398,862 (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 | 194 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,231 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 143 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 988.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 477.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 170351, 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 3 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,305,569 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,674,871 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$369,302 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $101,321 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,952 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$277,933 (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 | 194 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,054 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 345 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 377.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 134149, 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 | $9,865,681 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,490,810 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $374,871 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $115,322 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $490,193 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 70,260 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 333 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 413.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 210.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 113782, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 27 March 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,884,803 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,937,705 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$52,902 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $235,358 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $182,456 (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 | 203 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,375 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 212.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,091.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 751.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 54691, 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 8 November 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,707,655 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,413,161 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $294,494 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $153,619 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $448,113 (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 | 203 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,803 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 82 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 261.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 875.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 54689, 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 30 September 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,613,396 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,907,848 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $705,548 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $185,581 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $891,129 (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 | 203 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,127 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 133.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 704.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 54687, 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 14 October 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,585,094 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,468,457 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $116,637 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $170,528 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $287,165 (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 | 203 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 72,351 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 65 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 175.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 1,113.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 54686, 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 |
|---|---|---|---|---|
| PREMIER MEMBERS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 09/18/2017 |
| EL BUCKEYE EAST LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 25% | since 09/18/2017 |
| GAMZEH, KATHLEEN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 25% | since 09/18/2017 |
| GLATZER, AKIVA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 25% | since 09/18/2017 |
| 990 MEDICAL ROAD PROPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/18/2017 |
| CLINICAL CONSULTING SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/11/2025 |
| DALBERTO, PAMELA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/07/2025 |
| ETTLINGER, ROBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/11/2025 |
| SUMMATION FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/11/2025 |
| CLINICAL CONSULTING SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2019 |
| DALBERTO, PAMELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/13/2024 |
| ETTLINGER, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/18/2017 |
| PRIORITY CARE GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2019 |
| SUMMATION FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2019 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PREMIER AT SUSQUEHANNA FOR NURSING AND REHABILITATION LLC (enrollment ID O20171019002486).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PREMIER MEMBERS | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/18/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| AKIVA TZVI GLATZER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25 | 9/18/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DANIEL SCHAFFER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25 | 9/18/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| EL BUCKEYE EAST LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25 | 9/18/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| KATHLEEN GAMZEH | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25 | 9/18/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| 990 MEDICAL ROAD PROPCO LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/18/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLINICAL CONSULTING SERVICES LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/11/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| PAMELA DALBERTO | 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. | 4/7/2025 | 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. |
| ROBERT A ETTLINGER | 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. | 6/11/2025 | 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. |
| SUMMATION FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/11/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLINICAL CONSULTING SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| PAMELA DALBERTO | 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. | 4/13/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PRIORITY CARE GROUP 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. | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROBERT A ETTLINGER | 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. | 9/18/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SUMMATION FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: AKIVA TZVI GLATZER 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: AKIVA TZVI GLATZER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 August 2025: DANIEL SCHAFFER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PREMIER CARE CENTERS LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: EL BUCKEYE EAST LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: DANIEL L DAUB no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: KATHLEEN GAMZEH no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: EPHRAM M LAHASKY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: EPHRAM M LAHASKY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: AKIVA TZVI GLATZER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: DANIEL SCHAFFER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: CLINICAL CONSULTING SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: CLINICAL CONSULTING SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PAMELA DALBERTO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PAMELA DALBERTO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: EL BUCKEYE EAST LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: KATHLEEN GAMZEH appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: 990 MEDICAL ROAD PROPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SUMMATION FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SUMMATION FINANCIAL SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: ROBERT A ETTLINGER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: ROBERT A ETTLINGER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PRIORITY CARE GROUP LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PREMIER MEMBERS appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: AKIVA TZVI GLATZER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Recent changes on this record
- 1 July 2026: AKIVA TZVI GLATZER 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: AKIVA TZVI GLATZER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 8 December 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 August 2025: DANIEL SCHAFFER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PREMIER CARE CENTERS LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: EL BUCKEYE EAST LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: DANIEL L DAUB no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: KATHLEEN GAMZEH no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: EPHRAM M LAHASKY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: EPHRAM M LAHASKY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: AKIVA TZVI GLATZER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: DANIEL SCHAFFER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: CLINICAL CONSULTING SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: CLINICAL CONSULTING SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PAMELA DALBERTO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PAMELA DALBERTO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: EL BUCKEYE EAST LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: KATHLEEN GAMZEH appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: 990 MEDICAL ROAD PROPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SUMMATION FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SUMMATION FINANCIAL SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: ROBERT A ETTLINGER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: ROBERT A ETTLINGER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PRIORITY CARE GROUP LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PREMIER MEMBERS appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: AKIVA TZVI GLATZER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 22 October 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 24 October 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 2 February 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 13 January 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 9 September 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 5 March 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 19 January 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 17 January 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 16 November 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 28 May 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 5 March 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 22 November 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 12 June 2025 | 12 June 2025 | 9 | 0 |
| 2 | 11 July 2024 | 11 July 2024 | 18 | 0 |
| 3 | 14 September 2023 | 14 September 2023 | 14 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
41 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 23 December 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | 20 January 2026 |
| 22 October 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Past Non-Compliance | 20 October 2025 |
| 12 June 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | 23 July 2025 |
| 12 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 | Yes | Deficient, Provider has date of correction | 23 July 2025 |
| 12 June 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | E | No | Deficient, Provider has date of correction | 23 July 2025 |
| 12 June 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | 23 July 2025 |
| 12 June 2025 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | E | No | Deficient, Provider has date of correction | 23 July 2025 |
| 12 June 2025 | 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. | D | No | Deficient, Provider has date of correction | 23 July 2025 |
| 12 June 2025 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | No | Deficient, Provider has date of correction | 23 July 2025 |
| 6 May 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 27 May 2025 |
| 10 December 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 14 January 2025 |
| 10 December 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. | D | Yes | Deficient, Provider has date of correction | 14 January 2025 |
| 10 December 2024 | Health | F 0770 | Administration Deficiencies | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Yes | Deficient, Provider has date of correction | 14 January 2025 |
| 30 October 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | 18 November 2024 |
| 11 July 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 13 August 2024 |
| 11 July 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | No | Deficient, Provider has date of correction | 13 August 2024 |
| 11 July 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | No | Deficient, Provider has date of correction | 13 August 2024 |
| 11 July 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | Yes | Deficient, Provider has date of correction | 13 August 2024 |
| 11 July 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 | 13 August 2024 |
| 11 July 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | No | Deficient, Provider has date of correction | 13 August 2024 |
| 11 July 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 | 13 August 2024 |
| 11 July 2024 | 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. | E | No | Deficient, Provider has date of correction | 13 August 2024 |
| 11 July 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 | 13 August 2024 |
| 11 July 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 13 August 2024 |
| 11 July 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 13 August 2024 |
| 11 July 2024 | Health | F 0836 | Administration Deficiencies | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | F | Yes | Deficient, Provider has date of correction | 13 August 2024 |
| 11 July 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 13 August 2024 |
| 19 April 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 | 8 May 2024 |
| 5 October 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | 17 October 2023 |
| 5 October 2023 | Health | F 0836 | Administration Deficiencies | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | 17 October 2023 |
| 14 September 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | 19 October 2023 |
| 14 September 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 | 19 October 2023 |
| 14 September 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 19 October 2023 |
| 14 September 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 19 October 2023 |
| 14 September 2023 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | No | Deficient, Provider has date of correction | 19 October 2023 |
| 14 September 2023 | 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 | 19 October 2023 |
| 14 September 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | 19 October 2023 |
| 14 September 2023 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | 19 October 2023 |
| 14 September 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 8 November 2023 |
| 14 September 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 19 October 2023 |
| 14 September 2023 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | Yes | Deficient, Provider has date of correction | 19 October 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 |
|---|---|---|---|---|---|
| 14 September 2023 | Fine | $11,921 | 13331 |
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 | PREMIER AT SUSQUEHANNA FOR NURSING AND REHABILITATION LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1979-07-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Dauphin |
| Telephone Number | 7176924751 |
| 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 | 194 |
| Average Number of Residents per Day | 166.3 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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One email a day naming what moved on NORTHERN DAUPHIN NURSING AND REHABILITATION CENTER: the field, the value before, the value after, and the date of the file that first showed it.
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On 1 July 2026: AKIVA TZVI GLATZER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for NORTHERN DAUPHIN NURSING AND REHABILITATION CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Pennsylvania at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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