Skilled nursing facility · CMS certification number 425294
Promedica Skilled Nursing And Reh- Greenville West
Greenville, South Carolina · Medicare and Medicaid
Certified beds, as filed in Care Compare: 88
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 October 2023 to 8 January 2024 — a reporting period of 99 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 19 February 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,722,137 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,709,776 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,012,361 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,269,102 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$256,741 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$2 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$256,743 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$256,743 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 12,500 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 677 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,448 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,263 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 10,388 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 16 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 89 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 496 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1447961, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 30 September 2023
Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 December 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,896,895 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,102,119 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,794,776 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,656,512 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,861,736 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $108,583 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,753,153 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,754,388 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,422 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 615 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 131.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1444747, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 30 September 2022
Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 December 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,886,659 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,962,490 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,924,169 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,900,672 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$976,503 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $112,300 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$864,203 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$867,949 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,383 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 697 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 133 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1369977, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 30 September 2021
Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 1 December 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,019,639 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,006,596 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,013,043 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,849,115 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$836,072 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,131,638 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $295,566 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $292,885 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,370 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 650 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 116.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1337153, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 30 September 2020
Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 February 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,096,095 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,412,841 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,683,254 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,865,679 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$182,425 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $638,600 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $456,175 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $449,387 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,557 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 623 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 147.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1311087, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 30 September 2019
Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,142,526 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,665,185 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,477,341 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,676,271 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $801,070 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,576 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $835,646 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $827,949 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,500 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 752 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 102.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253592, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 30 September 2018
Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,264,746 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,438,833 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,825,913 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,598,148 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$772,235 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,663 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$742,572 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$750,966 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,117 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 742 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 91.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241799, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 30 September 2017
Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,461,933 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,962,074 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,499,859 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,252,719 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$752,860 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,687 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$751,173 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$756,364 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,653 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 697 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 111.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188184, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 30 September 2016
Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,643,493 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,851,667 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,791,826 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,199,394 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$407,568 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,749 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$401,819 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$406,395 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,971 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 680 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 195.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 60.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1155644, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 September 2015
Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,867,914 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,512,647 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,355,267 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,891,863 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $463,404 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,450 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $470,854 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $469,638 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,711 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 573 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 222.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138493, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 30 September 2014
Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 May 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,819,698 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,063,977 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,755,721 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,835,872 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $919,849 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,548 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $926,397 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $922,309 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,235 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 524 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 187.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1091873, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 30 September 2013
Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 October 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,402,462 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,135,342 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,267,120 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,414,480 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$147,360 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,957 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$136,403 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$142,659 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,084 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 542 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 171.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1078837, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 30 September 2012
Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 November 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,331,815 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,148,943 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,182,872 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,705,957 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $476,915 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,745 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $486,660 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $485,017 (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 | 125 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,759 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 465 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 185.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1049903, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 30 September 2011
Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,034,388 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,863,855 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,170,533 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,113 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,682 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,181,964 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,950 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 487 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 209.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 86.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433455, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended 30 September 2010
Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,104,790 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,737,611 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,367,179 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,320 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,387 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,377,112 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,559 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 459 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 262.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 90.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423116, 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 9 September 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,939,985 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,682,016 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,257,969 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,690 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,863 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,269,796 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,930 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 413 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 359.16 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 101.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 387278, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 30 September 2008
Cost report for 21 December 2007 to 30 September 2008 — a reporting period of 284 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 14 October 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,438,495 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,403,712 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,034,783 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,035 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $11,042 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,034,776 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,992 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 357 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 289.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 95.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 357801, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 20 December 2007
Cost report for 1 October 2007 to 20 December 2007 — a reporting period of 80 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 23 March 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,191,678 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,070,639 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $121,039 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,966 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,215 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $122,790 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,488 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 112 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 276.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 84.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 335780, read from the public cost report file SNFFY2008.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 11 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,349,446 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,231,581 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $117,865 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,844 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $17,005 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $121,704 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,944 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 361 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 323.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 116.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302085, 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 4 December 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,702,193 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,602,585 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $99,608 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,820 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $16,224 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $107,204 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,142 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 286 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 497.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 150.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 267595, 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 27 October 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,053,125 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,938,734 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $114,391 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,367 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $12,091 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $127,667 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,204 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 278 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 474.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 155.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 235481, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 30 September 2003
Cost report for 1 October 2002 to 30 September 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 November 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,276,794 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,841,538 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $435,256 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $48,581 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $17,066 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $466,771 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,469 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 236 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 443.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 184.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 198940, 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 29 October 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,702,085 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,709,967 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$7,882 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $65,924 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $27,350 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $30,692 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,910 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 202 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 627.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 217.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 162416, 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 3 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,104,024 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,243,102 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$139,078 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,128 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $22,939 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$101,889 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,975 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 209 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 478.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 210.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 134268, 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 11 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,597,199 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,793,398 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$196,199 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,747 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $20,006 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$155,458 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,216 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 206 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 445.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 209.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 115451, 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, processed by CMS on 13 September 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,228,228 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,943,097 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$714,869 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $57,222 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $62,914 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$720,561 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,330 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 187 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 367.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 221.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 50660, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 30 September 1998
Cost report for 1 October 1997 to 30 September 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 29 July 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,308,098 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,249,968 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $58,130 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,974 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $20,524 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $84,580 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,706 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 167 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 570.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 243.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 155469, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 30 September 1997
Cost report for 1 October 1996 to 30 September 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 June 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,427,645 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,066,974 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $360,671 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,639 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $27,899 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $376,411 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,555 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 162 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 434.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 262.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 50656, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 30 September 1996
Cost report for 1 October 1995 to 30 September 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 13 May 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,132,867 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,870,722 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $262,145 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $49,241 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $18,515 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $292,871 (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 | 125 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,918 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 39 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,715.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,126.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 50654, 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 |
|---|---|---|---|---|
| SC MASTER TENANT, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 09/13/2023 |
| PROVIDENCE GROUP NH, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/09/2024 |
| BRADFORD, KODY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/22/2025 |
| OAKMONT WEST SC OWNER LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2023 |
| THERIOT ROLEY, LAURIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/22/2025 |
| APT, FREDERICK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| JERGENSEN, JOSHUA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| BRADFORD, KODY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/09/2024 |
| DAVIS, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/09/2024 |
| THERIOT ROLEY, LAURIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/09/2024 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of REEDY RIVER COMMUNITY HEALTHCARE LLC (enrollment ID O20240419001541).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| SC MASTER TENANT, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/13/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| JASON H MURRAY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 1/9/2024 | 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. |
| MARK D HANCOCK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 1/9/2024 | 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. |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 1/9/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 1/9/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 1/9/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| KODY BRADFORD | 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. | 8/22/2025 | 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. |
| LAURIE MARIE THERIOT ROLEY | 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. | 8/22/2025 | 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. |
| OAKMONT WEST SC OWNER LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| FREDERICK G APT | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN T MITCHELL | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOSHUA O JERGENSEN | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ANGELA DAVIS | 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. | 1/9/2024 | 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. |
| KODY BRADFORD | 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. | 1/9/2024 | 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. |
| LAURIE MARIE THERIOT ROLEY | 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. | 1/9/2024 | 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. |
Changes in ownership
- 1 July 2026: JOHN T MITCHELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON H MURRAY 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: JOHN T MITCHELL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 October 2025: ROBERT SHARON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: PROMEDICA HEALTH SYSTEM, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: DEREK S LOYD no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: DAMIAN RODGERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HCR III HEALTHCARE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HCR MANORCARE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: ANDREA SYPE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HCR II HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KATHRYN H HOOPS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LUKE PILE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: DEAN SHIPMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HCR HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HCR MANOR CARE SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: THOMAS R KILE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARTIN D ALLEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARTIN D ALLEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARK D HANCOCK appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LAURIE MARIE THERIOT ROLEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LAURIE MARIE THERIOT ROLEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: ANGELA DAVIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: OAKMONT WEST SC OWNER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: PACS GROUP, INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOSHUA O JERGENSEN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: PACS HOLDINGS, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: PROVIDENCE GROUP NH, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KODY BRADFORD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KODY BRADFORD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: FREDERICK G APT appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: SC MASTER TENANT, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOHN T MITCHELL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
Recent changes on this record
- 1 July 2026: JOHN T MITCHELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON H MURRAY 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: JOHN T MITCHELL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 19 February 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 30 January 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 16 December 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 October 2025: ROBERT SHARON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: PROMEDICA HEALTH SYSTEM, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: DEREK S LOYD no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: DAMIAN RODGERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HCR III HEALTHCARE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HCR MANORCARE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: ANDREA SYPE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HCR II HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KATHRYN H HOOPS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LUKE PILE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: DEAN SHIPMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HCR HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HCR MANOR CARE SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: THOMAS R KILE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARTIN D ALLEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARTIN D ALLEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARK D HANCOCK appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LAURIE MARIE THERIOT ROLEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LAURIE MARIE THERIOT ROLEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: ANGELA DAVIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: OAKMONT WEST SC OWNER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: PACS GROUP, INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOSHUA O JERGENSEN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: PACS HOLDINGS, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: PROVIDENCE GROUP NH, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KODY BRADFORD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KODY BRADFORD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: FREDERICK G APT appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: SC MASTER TENANT, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOHN T MITCHELL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: enrollment_id changed from O20080204000336 to O20240419001541. Skilled_Nursing_Facility_Enrollments_:_2025-10-01.csv
- 7 December 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 18 December 2025 | 18 December 2025 | 2 | 0 |
| 2 | 24 October 2024 | 24 October 2024 | 4 | 0 |
| 3 | 14 February 2023 | 14 February 2023 | 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 |
|---|---|---|---|---|---|---|---|---|
| 1 July 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 27 July 2026 |
| 18 December 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 13 January 2026 |
| 24 October 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 15 November 2024 |
| 24 October 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | 15 November 2024 |
| 24 October 2024 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | 15 November 2024 |
| 24 October 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. | F | No | Deficient, Provider has date of correction | 15 November 2024 |
| 14 February 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 21 March 2023 |
| 14 February 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | J | No | Deficient, Provider has date of correction | 21 March 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 - Limited Liability company |
| Legal Business Name | REEDY RIVER COMMUNITY HEALTHCARE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1990-11-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Greenville |
| Telephone Number | 8642462721 |
| Chain Name | PACS GROUP |
| Chain ID | 690 |
| 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 | 88 |
| Average Number of Residents per Day | 117.0 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on Promedica Skilled Nursing And Reh- Greenville West: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: JOHN T MITCHELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Promedica Skilled Nursing And Reh- Greenville West
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 South Carolina 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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