Skilled nursing facility · CMS certification number 445170
Antioch TN Opco, LLC
ANTIOCH, Tennessee · Medicare and Medicaid
Certified beds, as filed in Care Compare: 110
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,228,090 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,913,957 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,314,133 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,465,571 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,151,438 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,905,229 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,246,209 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,246,209 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 40,260 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 551 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 24,812 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,721 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 29,084 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 21 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 132 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 127 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 280 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 103.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1437998, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 October 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,040,570 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $608,385 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,432,185 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,804,299 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,372,114 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $559,772 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,812,342 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,812,342 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,116 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 193 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 124.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1396736, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 September 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,466,192 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,242,791 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,223,401 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,155,771 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,932,370 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $349,008 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,583,362 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,583,362 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,046 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 261 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 99.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364205, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,625,524 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,498,681 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,126,843 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,436,586 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,309,743 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,656,406 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$653,337 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$653,337 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,775 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 255 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 108.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334535, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 30 March 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,127,442 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $73,303 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,054,139 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,686,063 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$631,924 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,316,111 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $684,187 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $684,187 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,253 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 411.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313256, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,022,894 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $474,695 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,548,199 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,134,927 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$586,728 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,788 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$584,940 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$584,940 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,283 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 306 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 102.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275922, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,288,023 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $394,532 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,893,491 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,454,436 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$560,945 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,218 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$558,727 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$558,727 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,680 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 273 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 119.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1242170, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,120,764 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$98,521 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,219,285 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,936,226 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $283,059 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $869 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $283,928 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $283,928 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,816 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 219 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 149.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1203716, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,587,049 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $422,001 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,165,048 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,825,618 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $339,430 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $810 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $340,240 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $340,240 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,642 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 263 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 131.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1173769, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,475,964 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $303,127 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,172,837 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,650,131 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $522,706 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,810 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $525,516 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $525,516 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,715 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 358 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 94.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143478, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 August 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,134,360 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $823,340 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,311,020 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,767,919 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $543,101 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $543,101 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $543,101 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,944 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 351 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 99.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1107774, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, reopened, processed by CMS on 19 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,607,120 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $220,652 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,386,468 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,811,549 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $574,919 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $574,919 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $574,919 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,754 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 277 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 114.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169952, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,247,459 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $351,972 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,895,487 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,382,161 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$486,674 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$486,674 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$486,674 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,790 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 216 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 133.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1076980, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,141,457 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $256,554 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,884,903 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,775,904 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $108,999 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $108,999 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $108,999 (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 | 110 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,441 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 234 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 147.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047596, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 August 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,762,067 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,617,179 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $144,888 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,635 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $177,523 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,347 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 254 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 296.01 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 139.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431345, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 May 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,160,655 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,666,441 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,505,786 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,183 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,458,603 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,337 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 234 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 146.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 151.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 399091, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 7 May 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,324,841 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,232,543 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $92,298 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $76,990 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $169,288 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,725 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 324 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 102.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 107.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 369060, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 December 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,923,091 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,939,105 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$16,014 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $73,483 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $57,469 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,045 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 334 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 323.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 92.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 330873, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 May 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,449,171 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,635,161 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$185,990 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $61,266 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$124,724 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,493 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 433 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 130.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 70.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 309809, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 July 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,737,467 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,137,184 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$399,717 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,833 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$386,884 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,815 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 257 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 260.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 108.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 288437, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 26 August 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,913,431 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,876,390 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $37,041 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,297 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $43,338 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,300 | 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 | 22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 138.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 231763, 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, reopened, processed by CMS on 11 April 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,544,554 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,621,890 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$77,336 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $449 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$76,887 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,251 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 196 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 536.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 154.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 247054, 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 8 August 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,938,995 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,251,085 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$312,090 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,371 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$310,719 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,966 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 85 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 737.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 329.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 230176, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 June 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,254,811 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,475,501 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$220,690 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,782 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$210,908 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,865 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 137 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 555.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 225.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 147165, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 31 October 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,614,138 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,321,138 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $293,000 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,342 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $310,342 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,875 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 157 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 380.16 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 196.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 94414, 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 24 September 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,192,730 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,406,352 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $786,378 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,785 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $803,163 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,653 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 113 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 552.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 333.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 94412, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 July 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,516,125 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,147,375 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $368,750 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,320 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $384,070 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,577 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 170 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 830.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 94410, 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 4 August 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,232,284 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,004,525 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $227,759 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,496 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $230,255 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,010 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,420.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 314.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 189547, 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 | $5,125,122 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,696,816 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $428,306 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,496 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $430,802 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,049 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 336.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 184.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 94408, 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 |
|---|---|---|---|---|
| KENIGSBERG, MAX | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2025 |
| REHMAN, FAIZA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2025 |
| SANTOS, ARMANDO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2025 |
| KENIGSBERG, MAX | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/01/2025 |
| ANTIOCH TN HOLDCO LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 07/01/2025 |
| KENIGSBERG, MAX | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 07/01/2025 |
| KENIGSBERG, MAX | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2025 |
| REHMAN, FAIZA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2025 |
| SANTOS, ARMANDO | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2025 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ANTIOCH TN OPCO, LLC (enrollment ID O20260102002954).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| ANTIOCH TN HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| MAX KENIGSBERG | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 7/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ARMANDO REX SANTOS | 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. | 7/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| FAIZA REHMAN | 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. | 7/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MAX KENIGSBERG | 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. | 7/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MAX KENIGSBERG | Individual | CORPORATE OFFICER | 0 | 7/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ANTIOCH TN HOLDCO LLC | Organization | DIRECT OWNERSHIP INTEREST | 100 | 7/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| MAX KENIGSBERG | Individual | INDIRECT OWNERSHIP INTEREST | 100 | 7/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ARMANDO REX SANTOS | 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. | 7/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| FAIZA REHMAN | 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. | 7/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MAX KENIGSBERG | 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. | 7/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: CELIA D VALDOMAR no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DEBORAH GLENWRIGHT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: EBENEZER HOME INC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOSEPHINE V BRYDON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ARMANDO REX SANTOS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ARMANDO REX SANTOS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ARMANDO REX SANTOS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ARMANDO REX SANTOS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: FAIZA REHMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: FAIZA REHMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MAX KENIGSBERG appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MAX KENIGSBERG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MAX KENIGSBERG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MAX KENIGSBERG appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MAX KENIGSBERG 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: ANTIOCH TN HOLDCO LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANTIOCH TN HOLDCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- 1 July 2026: CELIA D VALDOMAR no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DEBORAH GLENWRIGHT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: EBENEZER HOME INC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOSEPHINE V BRYDON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ARMANDO REX SANTOS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ARMANDO REX SANTOS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ARMANDO REX SANTOS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ARMANDO REX SANTOS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: FAIZA REHMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: FAIZA REHMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MAX KENIGSBERG appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MAX KENIGSBERG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MAX KENIGSBERG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MAX KENIGSBERG appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MAX KENIGSBERG 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: ANTIOCH TN HOLDCO LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANTIOCH TN HOLDCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: enrollment_id changed from O20140514001736 to O20260102002954. Skilled_Nursing_Facility_Enrollments_:_2026-07-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 16 October 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 9 September 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 28 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 30 March 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 11 December 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 23 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 30 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 18 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 19 July 2017: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 30 September 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 13 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 26 August 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 30 August 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 13 August 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 10 May 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 7 May 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 23 December 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 23 May 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 25 July 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 11 April 2006: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 26 August 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 2 August 2023 | 2 August 2023 | 17 | 19 |
| 2 | 2 May 2019 | 2 May 2019 | 2 | 11 |
| 3 | 18 April 2018 | 18 April 2018 | 9 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
28 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 9 October 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Yes | Deficient, Provider has date of correction | 18 November 2025 |
| 9 October 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | J | Yes | Deficient, Provider has date of correction | 18 November 2025 |
| 9 October 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | 18 November 2025 |
| 2 August 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 23 August 2023 |
| 2 August 2023 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 23 August 2023 |
| 2 August 2023 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | 23 August 2023 |
| 2 August 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | 23 August 2023 |
| 2 August 2023 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Yes | Deficient, Provider has date of correction | 23 August 2023 |
| 2 August 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | 23 August 2023 |
| 2 August 2023 | 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. | E | Yes | Deficient, Provider has date of correction | 23 August 2023 |
| 2 August 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | 23 August 2023 |
| 2 August 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | 23 August 2023 |
| 2 August 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Yes | Deficient, Provider has date of correction | 23 August 2023 |
| 2 August 2023 | Health | F 0851 | Administration Deficiencies | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | Yes | Deficient, Provider has date of correction | 23 August 2023 |
| 2 August 2023 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | J | Yes | Deficient, Provider has date of correction | 23 August 2023 |
| 2 August 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | Yes | Deficient, Provider has date of correction | 23 August 2023 |
| 2 August 2023 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Yes | Deficient, Provider has date of correction | 23 August 2023 |
| 2 May 2019 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | No | Deficient, Provider has date of correction | 23 May 2019 |
| 2 May 2019 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | 22 May 2019 |
| 18 April 2018 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 4 May 2018 |
| 18 April 2018 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | No | Deficient, Provider has date of correction | 4 May 2018 |
| 18 April 2018 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | No | Deficient, Provider has date of correction | 4 May 2018 |
| 18 April 2018 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 4 May 2018 |
| 18 April 2018 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | G | No | Deficient, Provider has date of correction | 4 May 2018 |
| 18 April 2018 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | 4 May 2018 |
| 18 April 2018 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | G | No | Deficient, Provider has date of correction | 4 May 2018 |
| 18 April 2018 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 4 May 2018 |
| 18 April 2018 | Health | F 0800 | Nutrition and Dietary Deficiencies | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | No | Deficient, Provider has date of correction | 4 May 2018 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 9 October 2025 | Fine | $125,418 | 135555 | ||
| 10 October 2023 | Fine | $7,342 | 33356 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | ANTIOCH TN OPCO, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1985-01-16 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Davidson |
| Telephone Number | 6157317130 |
| Special Focus Status | SFF Candidate |
| 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 | 110 |
| Average Number of Residents per Day | 86.1 |
| Overall Rating | 2 |
| Health Inspection Rating | 1 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 1 July 2026: CELIA D VALDOMAR no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Antioch TN Opco, LLC
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 Tennessee 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 445170.