Skilled nursing facility · CMS certification number 395555
PENNSBURG MANOR
PENNSBURG, Pennsylvania · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
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 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 30 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,995,021 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,117,485 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,877,536 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,410,357 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $467,179 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,585 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $476,764 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $476,764 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,800 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 6,994 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 25,284 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 7,718 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 39,996 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 246 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 41 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 253 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 540 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 616.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441742, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 30 June 2024
Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 6 May 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,908,850 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,572,609 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,336,241 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,236,254 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,099,987 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,433 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,107,420 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,107,420 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,181 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 460 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 603.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448991, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 30 June 2023
Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 March 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,118,404 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,701,274 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,417,130 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,566,699 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$149,569 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $253,606 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $104,037 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $104,037 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,619 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 189 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 892.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 225.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1404560, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 30 June 2022
Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 March 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,262,388 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,176,166 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,086,222 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,949,983 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$863,761 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $539,074 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$324,687 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$324,687 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,233 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 301 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 654.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375067, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 30 June 2021
Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 November 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,907,252 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,488,861 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,418,391 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,469,606 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,051,215 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $245,195 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$806,020 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$806,020 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,561 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 199 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 679.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 178.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1336915, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 30 June 2020
Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 13 June 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,742,280 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,194,992 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,547,288 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,220,564 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,326,724 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,699 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,338,423 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,338,423 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,761 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 264 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 631.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 150.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1319364, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 30 June 2019
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 February 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,768,626 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,854,914 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,913,712 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,510,755 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$597,043 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,054 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$575,989 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$575,989 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,037 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 242 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 558.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 169.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280707, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 April 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,279,939 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,703,437 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,576,502 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,061,772 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,485,270 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,958 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,468,312 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,468,312 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,042 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 271 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 463.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254585, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,261,375 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,639,188 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,622,187 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,287,570 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$665,383 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,889 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$643,494 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$643,494 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,572 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 280 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 607.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1223021, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 November 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,621,258 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,518,788 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,102,470 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,073,308 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $29,162 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,455 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $54,617 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $54,617 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,532 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 279 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 514.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1178242, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 October 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,237,036 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,416,359 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,820,677 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,234,601 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $586,076 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,789 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $605,865 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $605,865 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,416 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 294 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 499.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1145001, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,168,369 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,427,873 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,740,496 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,340,993 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $399,503 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,840 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $423,343 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $423,343 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,924 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 240 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 564.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 174.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104956, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 May 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,793,057 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,566,393 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,226,664 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,103,389 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $123,275 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,404 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $152,679 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $152,679 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,834 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 263 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 656.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1060263, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 November 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,626,587 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,512,606 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,113,981 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,119,991 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,010 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,718 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $24,708 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $24,708 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,968 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 289 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 667.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1049552, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 April 2011 to 30 June 2011 — a reporting period of 90 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,255,745 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,115,526 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $140,219 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,134 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $145,353 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,207 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 685.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 126.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433209, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended 30 September 2010
Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 14 September 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,393,130 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,910,919 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $482,211 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,240 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $511,451 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,411 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 250 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 873.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 165.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 432180, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 30 September 2009
Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 January 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,443,164 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,326,860 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,116,304 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,259 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,145,563 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,093 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 226 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 769.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 181.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 393272, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 30 September 2008
Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 19 November 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,207,927 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,437,305 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,770,622 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,491 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,797,113 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,214 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 255 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 794.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 161.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 359385, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 30 September 2007
Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 February 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,891,640 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,941,984 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $949,656 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,030 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $976,686 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,776 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 216 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 627.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 188.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 334253, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 30 September 2006
Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 November 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,530,606 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,737,388 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $793,218 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $48,293 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $841,511 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,023 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 226 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 659.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 181.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 296522, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 30 September 2005
Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 November 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,923,728 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,296,340 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $627,388 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $71,125 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $698,513 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,127 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 208 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 675.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266185, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 30 September 2004
Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 18 October 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,479,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,722,977 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $756,023 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $50,268 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $806,291 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,435 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 177 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 826.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 234.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 234830, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 30 September 2003
Cost report for 1 July 2003 to 30 September 2003 — a reporting period of 91 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 21 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,097,628 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,847,045 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $250,583 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,628 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $262,211 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,634 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 615.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 217.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195206, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 30 September 2002
Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 October 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,491,797 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,689,280 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$197,483 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,073 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$154,410 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,650 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 94.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 787.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 341.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 162622, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 30 September 2001
Cost report for 1 October 2000 to 30 September 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 May 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,228,478 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,164,507 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $63,971 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $33,646 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $97,617 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,411 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 158 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 89.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 771.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 262.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 146273, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 30 September 2000
Cost report for 1 October 1999 to 30 September 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 31 January 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,020,891 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,990,841 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $30,050 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,015 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $62,065 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,109 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 219 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 727.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 187.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 55211, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 30 September 1999
Cost report for 1 October 1998 to 30 September 1999 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 12 March 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,682,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,259,753 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $422,247 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $37,243 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $459,490 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,474 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 153 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 79.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 814.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 264.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 55209, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 30 September 1998
Cost report for 1 January 1998 to 30 September 1998 — a reporting period of 272 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on 13 March 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,375,117 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,426,492 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$51,375 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,215 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$22,160 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,208 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 503.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 253.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 304369, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 July 1997 to 31 December 1997 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 9 June 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,956,318 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,922,027 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $34,291 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,244,593 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,278,884 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,380 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 308.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 55205, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 30 June 1996
Cost report for 1 July 1995 to 30 June 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 28 August 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,943,686 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,579,581 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $364,105 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $103,126 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $467,231 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,004 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 80 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 132.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 525.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 55203, read from the public cost report file SNFFY1995.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 |
|---|---|---|---|---|
| GENESIS OPERATIONS IV LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 02/02/2015 |
| FC-GEN OPERATIONS INVESTMENT LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/01/2011 |
| GEN OPERATIONS I LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/01/2011 |
| GEN OPERATIONS II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/01/2011 |
| GENESIS HEALTHCARE INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| GENESIS HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/01/2011 |
| GENESIS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| GHC HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 04/01/2011 |
| SUN HEALTHCARE GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| WHITMAN, ARNOLD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 12/31/2011 |
| MCBREARTY HINDSON, ASHLEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/14/2025 |
| OMAR, STACY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/14/2025 |
| BERG, MICHAEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2012 |
| MCBREARTY HINDSON, ASHLEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| OMAR, STACY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/30/2001 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of 530 MACOBY STREET OPERATIONS LLC (enrollment ID O20080305000378).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| GENESIS OPERATIONS IV LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 2/2/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| ARNOLD M WHITMAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 21 | 12/31/2011 | 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. |
| FC-GEN OPERATIONS INVESTMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 4/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| GEN OPERATIONS I LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 4/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| GEN OPERATIONS II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 4/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| GENESIS HEALTHCARE INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/2/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| GENESIS HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 4/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| GENESIS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/2/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| GHC HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 4/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| HCCF MANAGEMENT GROUP XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 21 | 12/31/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| STEVEN E FISHMAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11.4 | 12/31/2011 | 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. |
| SUN HEALTHCARE GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/2/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| SUNDANCE REHABILITATION HOLDCO INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 1/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| WELLTOWER OP, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5.7 | 1/2/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| ZAC PROPERTIES XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12 | 12/31/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| ASHLEY MCBREARTY HINDSON | 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. | 3/14/2025 | 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. |
| STACY OMAR | 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. | 3/14/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| MICHAEL T BERG | Individual | CORPORATE OFFICER | 100 | 12/1/2012 | 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. |
| ASHLEY MCBREARTY HINDSON | 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. | 1/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| STACY OMAR | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/30/2001 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 April 2025: WELLTOWER INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MICHAEL T BERG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MICHAEL T BERG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: STEVEN E FISHMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: STEVEN E FISHMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ARNOLD M WHITMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ARNOLD M WHITMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: JOHN MCCONNELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: STEPHEN S YOUNG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MICHAEL S SHERMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: GENESIS HEALTHCARE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: DIANE LOUISE MORRIS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ASHLEY MCBREARTY HINDSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ASHLEY MCBREARTY HINDSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: WELLTOWER OP LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: STACY OMAR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: STACY OMAR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
Recent changes on this record
- 6 May 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 30 October 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 1 April 2025: WELLTOWER INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MICHAEL T BERG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MICHAEL T BERG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: STEVEN E FISHMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: STEVEN E FISHMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ARNOLD M WHITMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ARNOLD M WHITMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: JOHN MCCONNELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: STEPHEN S YOUNG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: MICHAEL S SHERMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: GENESIS HEALTHCARE LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: DIANE LOUISE MORRIS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ASHLEY MCBREARTY HINDSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: ASHLEY MCBREARTY HINDSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: WELLTOWER OP LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: STACY OMAR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2025: STACY OMAR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 4 March 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 18 March 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 29 November 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 13 June 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 28 February 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 24 April 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 18 April 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 10 November 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 19 October 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 25 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 20 May 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 5 November 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- 14 September 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 21 August 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- 27 January 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 19 November 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 26 February 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 13 March 2008: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- 16 November 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 26 March 2026 | 26 March 2026 | 2 | 0 |
| 2 | 6 May 2025 | 6 May 2025 | 4 | 0 |
| 3 | 19 April 2024 | 19 April 2024 | 2 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
8 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 26 March 2026 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 4 May 2026 |
| 26 March 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 4 May 2026 |
| 6 May 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 10 June 2025 |
| 6 May 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 10 June 2025 |
| 6 May 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. | F | No | Deficient, Provider has date of correction | 10 June 2025 |
| 13 January 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 11 February 2025 |
| 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 | No | Deficient, Provider has date of correction | 2 June 2024 |
| 16 October 2023 | 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 | 14 November 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Partnership |
| Legal Business Name | 530 MACOBY STREET OPERATIONS LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1982-11-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Montgomery |
| Telephone Number | 2156798076 |
| Chain Name | GENESIS HEALTHCARE |
| Chain ID | 237 |
| 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 | 120 |
| Average Number of Residents per Day | 105.4 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 6 May 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for PENNSBURG MANOR
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