Skilled nursing facility · CMS certification number 445448
SIGNATURE HEALTHCARE OF CLARKSVILLE
CLARKSVILLE, Tennessee · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 May 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,981,961 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,323,943 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,658,018 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,117,309 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,459,291 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $120,183 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,339,108 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,339,108 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,920 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,216 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 13,248 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,780 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 30,244 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 191 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 64 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 464 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 719 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 207 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 42.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1424601, 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 19 July 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,594,571 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,456,288 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,138,283 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,616,798 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$478,515 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $326,328 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$152,187 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$152,187 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,635 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 831 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 241.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 40.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1389553, 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 22 May 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,928,363 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,378,759 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,549,604 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,465,319 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$915,715 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $307,471 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$608,244 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$608,244 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,051 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 598 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 166.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1378839, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 May 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,654,134 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,456,683 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,197,451 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,417,289 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$219,838 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $754,649 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $534,811 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $534,811 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,993 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 434 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 224.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1316694, 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 11 May 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,530,378 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,550,165 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,980,213 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,669,683 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $310,530 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $341,100 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $651,630 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $651,630 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,144 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 388 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 345.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1315828, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 August 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,182,625 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,817,552 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,365,073 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,857,998 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $507,075 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $773 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $507,848 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $507,848 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,115 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 448 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 228.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1264028, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 May 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,263,862 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,391,427 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,872,435 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,626,960 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $245,475 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,686 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $251,161 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $251,161 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,292 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 410 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 305.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1225255, 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 26 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,529,158 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,995,413 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,533,745 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,533,113 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $632 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,837 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,469 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,469 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,471 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 322 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 282.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1203185, 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 23 May 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,203,149 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,372,158 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,830,991 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,897,842 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$66,851 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,722 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$65,129 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$65,129 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,243 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 335 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 293.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1157860, 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 25 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,020,411 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,898,694 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,121,717 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,374,050 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$252,333 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,007 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$251,326 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$251,326 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,037 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 392 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 315.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1136402, 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 3 August 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,508,405 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,024,733 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,483,672 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,915,044 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $568,628 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $869 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $569,497 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $569,497 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,644 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 385 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 387.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1106540, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,742,979 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,676,783 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,066,196 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,304,857 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $761,339 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,786 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $765,125 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $765,125 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,193 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 373 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 292.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1072128, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 November 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,911,674 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,625,439 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,286,235 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,995,872 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $290,363 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$1,678 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $288,685 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $288,685 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,804 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 394 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 352.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1080390, 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 23 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,377,158 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $416,887 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,960,271 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,531,154 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,429,117 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,651 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,430,768 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,430,768 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,795 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 322 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 418.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 123.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047299, 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 24 October 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,933,182 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,190,650 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $742,532 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,941 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $744,473 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,466 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 186 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 605.66 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 212.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 419395, 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 4 March 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,142,098 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,306,440 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $835,658 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,601 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $837,259 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,482 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 286 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 429.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 141.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 394998, 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 21 October 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,604,634 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,358,341 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,246,293 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,148 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,250,441 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,905 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 339 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 258.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 120.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 358077, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 30 September 2007
Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 May 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,778,521 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,837,776 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $940,745 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,349 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $943,094 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,152 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 296 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 549.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 128.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 338753, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 30 September 2006
Cost report for 1 December 2005 to 30 September 2006 — a reporting period of 303 days, on form CMS-2540-96, settled, processed by CMS on 16 March 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,904,628 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,659,054 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $245,574 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,179 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $246,753 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,020 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 196 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 309.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 148.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 275077, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 30 November 2005
Cost report for 1 January 2005 to 30 November 2005 — a reporting period of 333 days, on form CMS-2540-96, settled, processed by CMS on 18 July 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,715,572 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,296,631 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$581,059 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,188 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$540,871 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,775 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 185 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 147.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 196.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 198.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 258856, 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 24 June 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,247,962 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,306,596 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$58,634 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $195,289 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $136,655 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,906 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 185 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 216.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 221.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 221.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 225334, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 October 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,544,778 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,416,960 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $127,818 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $200,184 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $328,002 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,186 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 156 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 849.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 264.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 197854, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 April 2002 to 31 December 2002 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 27 April 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,803,427 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,010,435 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$207,008 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $58,131 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$148,877 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,010 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 64 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 86.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,263.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 500.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 174450, read from the public cost report file SNFFY2002.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 |
|---|---|---|---|---|
| LP RE I HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 11/01/2007 |
| JJLA LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 11/01/2007 |
| LPSNF LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 11/01/2007 |
| SHC LP HOLDINGS II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/01/2012 |
| SPRING HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/01/2018 |
| STEIER III, ELMER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 11/01/2007 |
| WHEATEN LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 11/01/2007 |
| HARRISON, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2007 |
| CRIDER, BENJAMIN | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/16/2024 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LP CLARKSVILLE LLC (enrollment ID O20071019000537).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| LP RE I HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 11/1/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| ELMER JOSEPH STEIER III | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20 | 11/1/2007 | 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. |
| IRA SMEDRA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12 | 11/1/2007 | 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. |
| JJLA LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20 | 11/1/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| LPSNF LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 74 | 11/1/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHC LP HOLDINGS II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 7/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| SPRING HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| WHEATEN LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5 | 11/1/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN H HARRISON | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2007 | 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. |
| SIGNATURE HEALTHCARE LLC | Organization | OTHER | 0 | 11/1/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| BENJAMIN CRIDER | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/16/2024 | 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: BENJAMIN CRIDER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BENJAMIN CRIDER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2024: BRYAN WANN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: BENJAMIN CRIDER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 15 September 2023: BROOKE BIGGERSTAFF no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: BRYAN WANN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 March 2023: BRANDI COX no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: BRANDI COX no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: BROOKE BIGGERSTAFF appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- 1 July 2026: BENJAMIN CRIDER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BENJAMIN CRIDER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 22 May 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 19 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 22 May 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 1 April 2024: BRYAN WANN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: BENJAMIN CRIDER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 15 September 2023: BROOKE BIGGERSTAFF no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: BRYAN WANN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 March 2023: BRANDI COX no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: BRANDI COX no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: BROOKE BIGGERSTAFF appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 23 May 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 11 May 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 18 August 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 23 May 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 26 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 23 May 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 25 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 3 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 18 November 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 23 July 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 23 August 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 24 October 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 4 March 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 21 October 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 8 May 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 26 March 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2008.zip
- 12 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2008.zip
- 16 March 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 18 July 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 24 June 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 25 October 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 27 April 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 28 May 2025 | 28 May 2025 | 6 | 5 |
| 2 | 6 September 2019 | 6 September 2019 | 1 | 1 |
| 3 | 9 October 2018 | 9 October 2018 | 0 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
7 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 28 May 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 19 June 2025 |
| 28 May 2025 | Health | F 0569 | Resident Rights Deficiencies | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | No | Deficient, Provider has date of correction | 19 June 2025 |
| 28 May 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 | No | Deficient, Provider has date of correction | 19 June 2025 |
| 28 May 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | No | Deficient, Provider has date of correction | 19 June 2025 |
| 28 May 2025 | 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 | 19 June 2025 |
| 28 May 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 19 June 2025 |
| 6 September 2019 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 2 October 2019 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 28 May 2025 | Fine | $63,105 | 33662 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | LP CLARKSVILLE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2002-04-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Montgomery |
| Telephone Number | 9313582900 |
| Chain Name | SIGNATURE HEALTHCARE |
| Chain ID | 474 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 92.1 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| 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 SIGNATURE HEALTHCARE OF CLARKSVILLE: 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: BENJAMIN CRIDER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for SIGNATURE HEALTHCARE OF CLARKSVILLE
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 445448.