Skilled nursing facility · CMS certification number 445053
CMS certification number 445053
This certification number is not in CMS’s current Care Compare Provider Information file, processed on 1 August 2026.
For this facility: the citable document with full history — $795 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2004 to 13 May 2004 — a reporting period of 133 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 21 January 2005.
None of these figures is carried on this report.
CMS report record 205106, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 August 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,301,243 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,106,864 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$805,621 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$43,659 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$849,280 (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 | 124 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,955 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 349 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 347.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 88.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 231921, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,413,881 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,738,743 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$324,862 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,108 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$292,754 (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 | 124 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,386 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 217 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 883.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 190.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195804, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 May 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,901,021 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,220,754 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$319,733 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,748 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$295,985 (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 | 124 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,476 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 146 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 691.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 290.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 145372, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 July 2000 to 31 December 2000 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 13 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,070,300 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,790,577 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $279,723 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,957 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $300,680 (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 | 124 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,386 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 57 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,652 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 375.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 128092, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 September 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,648,401 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,719,422 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$71,021 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54,949 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$16,072 (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 | 124 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,598 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 729.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 435.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 61503, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 26 June 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,072,848 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,464,172 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$391,324 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,483 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$362,841 (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 | 124 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,874 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 4,091.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 337.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 61500, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 26 June 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,046,475 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,888,974 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $2,157,501 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,300 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,181,801 (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 | 124 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,760 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 367 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 355.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 111.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 61497, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 7 October 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,815,808 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,167,043 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$351,235 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,581 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$331,654 (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 | 124 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,346 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 468 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 686.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 73.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 61496, 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
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
No change in ownership appears in CMS’s ownership data for this facility.
Recent changes on this record
- 30 August 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 21 January 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 24 September 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- 16 May 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- 13 February 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- 13 February 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- 7 September 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- 26 June 2001: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- 26 June 2001: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- 7 October 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
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On 30 August 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. That is one line of the alert.
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The citable document for CMS certification number 445053
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 the same state 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.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 445053.