Skilled nursing facility · CMS certification number 445319
ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER
WINCHESTER, Tennessee · Medicare and Medicaid
Certified beds, as filed in Care Compare: 80
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 24 June 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,176,861 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,168,986 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,007,875 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,723,076 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$715,201 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $360,285 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$354,916 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$354,916 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 29,280 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,036 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,262 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,207 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 19,505 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 65 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 54 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 180 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 299 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 227.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450576, 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 7 March 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,795,271 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,861,791 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,933,480 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,068,635 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$135,155 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $421,641 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $286,486 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $286,486 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,873 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 266 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 222.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1404889, 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 26 January 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,388,651 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,467,688 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,920,963 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,807,221 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $113,742 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $211,641 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $325,383 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $325,383 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,392 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,104 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 160.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372642, 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, reopened, processed by CMS on 14 February 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,912,283 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,433,811 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,478,472 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,021,805 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $456,667 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $459,658 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $916,325 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $916,325 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,093 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 182 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 320.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373362, 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 16 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,500,905 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,294,042 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,206,863 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,647,078 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$440,215 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,250,302 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $810,087 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $810,087 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,250 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 647.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 235.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331119, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 April 2019 to 31 December 2019 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 20 January 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,393,451 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,394,300 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,999,151 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,881,495 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $117,656 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,270 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $118,926 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $118,926 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,563 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 137 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 374 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309163, 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 17 July 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,181,178 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $439,297 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,741,881 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,754,657 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,776 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,117,383 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,104,607 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,104,607 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,237 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 137 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 837.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1260356, 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 2 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,437,260 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $247,987 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,189,273 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,581,473 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$392,200 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $229,250 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$162,950 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$162,950 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,464 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 181 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 509.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239354, 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 21 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,903,411 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $205,799 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,697,612 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,335,533 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$637,921 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $183,711 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$454,210 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$454,210 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,978 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 386.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1216804, 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 7 June 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,426,423 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $143,614 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,282,809 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,829,731 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$546,922 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $173,006 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$373,916 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$373,916 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,389 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 175 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 188.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1159830, 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 14 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,021,199 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $140,533 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,880,666 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,803,352 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$922,686 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $70,266 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$852,420 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$852,420 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,049 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 285.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148766, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 October 2013 to 31 December 2013 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 November 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,195,326 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $94,686 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,100,640 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,359,285 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$258,645 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $104 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$258,541 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$258,541 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,344 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 145.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1113288, read from the public cost report file SNF10FY2014.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 1 December 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,425,174 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $347,788 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,077,386 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,995,715 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $81,671 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,538 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $97,209 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $97,209 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,716 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 256 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 255.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081190, 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 12 December 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,328,058 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$24,980 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,353,038 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,925,315 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $427,723 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,282 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $440,005 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $440,005 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,588 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 236 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 374.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1052120, 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 15 November 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,062,104 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,957,735 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $104,369 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,836 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $113,205 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,391 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 180 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 460.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 152.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 420270, 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 25 October 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,910,854 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,747,308 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $163,546 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,005 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $169,551 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,336 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 337 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 154.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 81.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 388905, 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 16 March 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,682,172 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,555,184 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $126,988 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,038 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $153,026 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,761 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 177 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 408.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 145.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 365965, 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 9 June 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,818,758 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,393,703 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $425,055 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,410 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $443,465 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,653 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 475.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 218.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 342953, 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 with audit, processed by CMS on 25 November 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,504,532 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,215,150 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $289,382 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,636 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $301,018 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,388 | 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 | 54.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 616.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 328877, 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 29 August 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,767,339 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,057,100 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$289,761 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,175 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$274,586 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,955 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 121 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 71.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 349.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 206.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 262123, 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 31 August 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,774,462 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,740,046 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $34,416 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,662 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $45,078 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,578 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 147 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 291.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 174 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 232133, 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, as submitted, processed by CMS on 29 June 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,591,006 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,314,163 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $276,843 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,578 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $283,421 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,007 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 192 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 140.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 185218, 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 27 April 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,198,586 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,243,407 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$44,821 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,140 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$42,681 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,181 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 109.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 174173, 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 27 April 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,354,053 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,017,128 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $336,925 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,459 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $341,384 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,155 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 208 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 130.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173806, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 3 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,260,978 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,943,193 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $317,785 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,086 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $319,871 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,459 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 244 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 112.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 135889, 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, as submitted, processed by CMS on 20 July 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,921,217 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,328,008 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$406,791 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,330 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$405,461 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,565 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 178 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 525.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 154.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 94580, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 30 June 1998
Cost report for 1 July 1997 to 30 June 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 1 February 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,793,135 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,733,135 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $60,000 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,697 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $62,697 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,686 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 153 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 187.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 94579, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended 30 June 1997
Cost report for 1 July 1996 to 30 June 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 March 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,808,447 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,494,978 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $313,469 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,483 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $317,952 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,431 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 686 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 46.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 41.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 94578, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended 30 June 1996
Cost report for 1 July 1995 to 30 June 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 31 August 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | −$496,088 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,004,533 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,500,621 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,015 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$2,496,606 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,970 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 402.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 226.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 94577, read from the public cost report file SNFFY1995.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| DAVIS, CLINTON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2019 |
| GAMMADA, EPHRAIM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/28/2024 |
| HOLCOMBE, MICHELLE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2019 |
| MALIN, DOUGLAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/28/2024 |
| OCOEE FOUNDATION INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2019 |
| OCOEE WINCHESTER PROPERTY INVESTMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2019 |
| PIONEER CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/14/2025 |
| SHEEHAN, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2019 |
| TWIN RIVERS HEALTH & REHABILITATION LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/14/2025 |
| SHEEHAN, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/07/2024 |
| SHEEHAN, MARGARET | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/15/2022 |
| BRADLEY, DON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/07/2024 |
| BURTON, WILLIAM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/07/2024 |
| KUPCHYNSKY, KATHLEEN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/07/2024 |
| PHILLIPS, DOROTHY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/07/2024 |
| SHEEHAN, JOHN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/07/2024 |
| SHEEHAN, MARGARET | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/15/2022 |
| SMITH, FRANK | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/07/2024 |
| BRADLEY, DON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/07/2024 |
| BURTON, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/07/2024 |
| DAVIS, CLINTON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2019 |
| HOLCOMBE, MICHELLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2019 |
| KUPCHYNSKY, KATHLEEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/07/2024 |
| MALIN, DOUGLAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/28/2024 |
| OCOEE FOUNDATION INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2019 |
| PHILLIPS, DOROTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/07/2024 |
| PIONEER CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2019 |
| SHEEHAN, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/07/2024 |
| SHEEHAN, MARGARET | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2019 |
| SMITH, FRANK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/07/2024 |
| TWIN RIVERS HEALTH & REHABILITATION LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2019 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER, LLC (enrollment ID O20190612001989).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| OCOEE FOUNDATION INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLINTON DAVIS | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DOUGLAS MALIN | 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. | 2/28/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| EPHRAIM B GAMMADA | 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. | 2/28/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN J SHEEHAN | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MICHELLE HOLCOMBE | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| OCOEE FOUNDATION INC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| OCOEE WINCHESTER PROPERTY INVESTMENT LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| PIONEER CONSULTING LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TWIN RIVERS HEALTH & REHABILITATION LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN J SHEEHAN | Individual | CORPORATE OFFICER | 100 | 2/22/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN SHEEHAN | Individual | CORPORATE OFFICER | 100 | 2/7/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARGARET SHEEHAN | Individual | CORPORATE OFFICER | 100 | 12/15/2022 | 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. |
| DON BRADLEY | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 2/7/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DOROTHY C PHILLIPS | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 2/7/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| FRANK ALAN SMITH | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 2/7/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN J SHEEHAN | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN SHEEHAN | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 2/7/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KATHLEEN S KUPCHYNSKY | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 2/7/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARGARET SHEEHAN | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 12/15/2022 | 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. |
| WILLIAM BURTON | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 2/7/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CLINTON DAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 4/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DON BRADLEY | 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. | 2/7/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DOROTHY C PHILLIPS | 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. | 2/7/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DOUGLAS MALIN | 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. | 2/28/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| FRANK ALAN SMITH | 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. | 2/7/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN J SHEEHAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN SHEEHAN | 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. | 2/7/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KATHLEEN S KUPCHYNSKY | 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. | 2/7/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARGARET SHEEHAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MICHELLE HOLCOMBE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| OCOEE FOUNDATION INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| PIONEER CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| TWIN RIVERS HEALTH & REHABILITATION LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILLIAM BURTON | 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. | 2/7/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: JOHN SHEEHAN no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN SHEEHAN 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: JOHN SHEEHAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: EPHRAIM B GAMMADA no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN J SHEEHAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN J SHEEHAN no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN J SHEEHAN 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: JOHN J SHEEHAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN SHEEHAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN SHEEHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN SHEEHAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: EPHRAIM B GAMMADA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN J SHEEHAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN J SHEEHAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN J SHEEHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN J SHEEHAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2025: OCOEE FOUNDATION INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: OCOEE FOUNDATION INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: WILLIAM BURTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: WILLIAM BURTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DOROTHY C PHILLIPS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DOROTHY C PHILLIPS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DON BRADLEY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DON BRADLEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MARGARET SHEEHAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MARGARET SHEEHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MARGARET SHEEHAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: FRANK ALAN SMITH appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: FRANK ALAN SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CLINTON DAVIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: OCOEE WINCHESTER PROPERTY INVESTMENT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MICHELLE HOLCOMBE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MICHELLE HOLCOMBE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PIONEER CONSULTING, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PIONEER CONSULTING, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KATHLEEN S KUPCHYNSKY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KATHLEEN S KUPCHYNSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DOUGLAS MALIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DOUGLAS MALIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: TWIN RIVERS HEALTH & REHABILITATION LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JOHN SHEEHAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JOHN SHEEHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JOHN SHEEHAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: EPHRAIM B GAMMADA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JOHN J SHEEHAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JOHN J SHEEHAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JOHN J SHEEHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
Recent changes on this record
- 1 July 2026: JOHN SHEEHAN no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN SHEEHAN 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: JOHN SHEEHAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: EPHRAIM B GAMMADA no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN J SHEEHAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN J SHEEHAN no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN J SHEEHAN 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: JOHN J SHEEHAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN SHEEHAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN SHEEHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN SHEEHAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: EPHRAIM B GAMMADA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN J SHEEHAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN J SHEEHAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN J SHEEHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN J SHEEHAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 24 June 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 July 2025: OCOEE FOUNDATION INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: OCOEE FOUNDATION INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: WILLIAM BURTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: WILLIAM BURTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DOROTHY C PHILLIPS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DOROTHY C PHILLIPS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DON BRADLEY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DON BRADLEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MARGARET SHEEHAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MARGARET SHEEHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MARGARET SHEEHAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: FRANK ALAN SMITH appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: FRANK ALAN SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CLINTON DAVIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: OCOEE WINCHESTER PROPERTY INVESTMENT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MICHELLE HOLCOMBE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MICHELLE HOLCOMBE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PIONEER CONSULTING, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PIONEER CONSULTING, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KATHLEEN S KUPCHYNSKY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KATHLEEN S KUPCHYNSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DOUGLAS MALIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DOUGLAS MALIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 30 July 2025 | 30 July 2025 | 3 | 17 |
| 2 | 3 April 2024 | 3 April 2024 | 5 | 4 |
| 3 | 14 December 2021 | 14 December 2021 | 1 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
9 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 30 July 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 30 August 2025 |
| 30 July 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 30 August 2025 |
| 30 July 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 30 August 2025 |
| 3 April 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 3 May 2024 |
| 3 April 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 3 May 2024 |
| 3 April 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 3 May 2024 |
| 3 April 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 3 May 2024 |
| 3 April 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has date of correction | 3 May 2024 |
| 14 December 2021 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | 5 January 2022 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Other |
| Legal Business Name | ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1993-10-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Franklin |
| Telephone Number | 9319670200 |
| Chain Name | TWIN RIVERS HEALTH & REHABILITATION |
| Chain ID | 532 |
| 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 | 80 |
| Average Number of Residents per Day | 52.0 |
| Overall Rating | 3 |
| Health Inspection Rating | 4 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: JOHN SHEEHAN no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER
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 445319.