Skilled nursing facility · CMS certification number 445473
JEFFERSON COUNTY NURSING HOME
DANDRIDGE, Tennessee · Medicare and Medicaid
Certified beds, as filed in Care Compare: 160
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 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 5 November 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,544,673 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $385,881 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,158,792 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,714,889 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $443,903 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,958,097 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,402,000 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,402,000 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 58,400 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,353 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 32,876 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 15,962 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 51,191 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 45 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 103 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 159 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 307 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 319.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441953, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 30 June 2024
Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 30 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,129,940 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $64,095 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,065,845 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,948,984 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,116,861 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $991,834 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,108,695 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,108,695 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,669 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 326 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,645.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 161.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441747, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 31 March 2023
Cost report for 1 April 2022 to 31 March 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 June 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,804,244 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$43,002 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,847,246 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,583,483 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,736,237 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $510,754 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,225,483 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,225,483 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,271 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 317 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,933 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 164.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1385714, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 31 March 2022
Cost report for 1 April 2021 to 31 March 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 April 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,613,787 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$161,795 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,775,582 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,192,218 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,416,636 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,067,215 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $650,579 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $677,271 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,700 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 242 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 4,355.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 213.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1346461, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 31 March 2021
Cost report for 1 April 2020 to 31 March 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 October 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,626,207 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$317,167 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,943,374 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,568,376 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$625,002 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,776,971 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,151,969 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,146,800 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,153 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 338 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,441.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335187, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 31 March 2020
Cost report for 1 April 2019 to 31 March 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 11 November 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,655,897 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $360,392 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,295,505 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,724,311 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,571,194 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$59,077 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,512,117 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,512,117 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,780 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 299 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,249.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 183.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304316, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 31 March 2019
Cost report for 1 April 2018 to 31 March 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 January 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,159,094 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$314,246 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,473,340 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,824,675 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,648,665 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,811 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,655,476 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,655,476 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,477 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 254 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,398.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 214.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278198, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 31 March 2018
Cost report for 1 April 2017 to 31 March 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 May 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,695,457 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,586,601 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,282,058 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,517,389 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,764,669 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $650,928 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,415,597 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,415,597 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,143 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 292 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,090.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 182 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1256195, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 31 March 2017
Cost report for 1 April 2016 to 31 March 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 March 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,407,838 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$418,525 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,826,363 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,493,293 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $333,070 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $386,773 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $719,843 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $719,843 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,492 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 277 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,492.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 193.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1220650, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 31 March 2016
Cost report for 1 April 2015 to 31 March 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 December 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,198,516 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$22,121 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,220,637 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,383,239 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$162,602 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $474,768 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $312,166 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $312,166 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,246 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 346 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 945.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1181290, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 31 March 2015
Cost report for 1 April 2014 to 31 March 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,841,179 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $165,436 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,675,743 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,961,902 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$286,159 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $158,440 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$127,719 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$127,719 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,500 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 255 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,738.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 213.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141354, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 31 March 2014
Cost report for 1 April 2013 to 31 March 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 August 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,002,876 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $183,869 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,819,007 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,653,741 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $165,266 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$155,285 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $9,981 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $9,981 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,328 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 239 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,230.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 235.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108273, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 31 March 2013
Cost report for 1 April 2012 to 31 March 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,679,456 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $89,270 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,590,186 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,484,989 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $105,197 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$23,206 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $81,991 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $81,991 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,120 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 178 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 81.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,956.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 315.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1059185, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 31 March 2012
Cost report for 1 April 2011 to 31 March 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,507,309 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$106,950 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,614,259 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,910,312 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$296,053 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$124,774 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$420,827 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$420,827 (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 | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,277 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 176 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 962.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 319.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1043729, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 31 March 2011
Cost report for 1 April 2010 to 31 March 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 August 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,035,302 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,204,314 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,169,012 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $164,413 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,004,599 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,413 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 255 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,303.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 209.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431906, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 31 March 2010
Cost report for 1 April 2009 to 31 March 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 August 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,690,539 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,457,320 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$766,781 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $42,470 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$724,311 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,101 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 129 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,308.54 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 372.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 416385, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 31 March 2009
Cost report for 1 April 2008 to 31 March 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 September 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,519,685 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,995,916 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$476,231 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $661,879 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $185,648 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,241 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 777.51 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 379.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417846, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 31 March 2008
Cost report for 1 July 2007 to 31 March 2008 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 22 February 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,788,840 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,080,509 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$291,669 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $145,819 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$145,850 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,496 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 53 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 92.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 688.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364291, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 30 June 2007
Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,134,405 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,423,711 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$289,306 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,359 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$252,947 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,224 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 115 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,739.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 419.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302149, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 December 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,252,517 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,284,664 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$32,147 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,604 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $11,457 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,011 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 268 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 429.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 179.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 298733, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 August 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,177,935 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,600,431 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $577,504 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,017 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $597,521 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,474 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 101.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,522.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 646.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 260397, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 30 June 2004
Cost report for 22 January 2004 to 30 June 2004 — a reporting period of 160 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 18 March 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,011,622 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,984,865 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $26,757 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,741 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $33,498 (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 | 135 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,231 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 20 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 137 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,773.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,061.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 211655, read from the public cost report file SNFFY2004.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 |
|---|---|---|---|---|
| JEFFERSON COUNTY GOVERNMENT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/1969 |
| MYNATT, ROGER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/02/1992 |
| SWANSON, RUAL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2011 |
| MYNATT, ROGER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/02/1992 |
| POTTS, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/23/2018 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of JEFFERSON COUNTY NURSING HOME (enrollment ID O20040120000911).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| JEFFERSON COUNTY GOVERNMENT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/1969 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROGER MYNATT | 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. | 1/2/1992 | 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. |
| RUAL C SWANSON | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK POTTS | 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. | 8/23/2018 | 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. |
| ROGER MYNATT | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/2/1992 | 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 2025: ALAN PALMIERI no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JEFFERSON COUNTY NURSING HOME no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: RUAL C SWANSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: ROGER MYNATT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MARK POTTS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JEFFERSON COUNTY GOVERNMENT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
Recent changes on this record
- 5 November 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 30 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 1 July 2025: ALAN PALMIERI no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JEFFERSON COUNTY NURSING HOME no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: RUAL C SWANSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: ROGER MYNATT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MARK POTTS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JEFFERSON COUNTY GOVERNMENT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 21 June 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 6 December 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 27 April 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 17 October 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 11 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 15 January 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 27 May 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 6 March 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 22 December 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 15 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 19 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 2 May 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 24 July 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 28 August 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 16 September 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- 26 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 22 February 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- 12 February 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- 17 December 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- 3 August 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- 18 March 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 12 December 2025 | 12 December 2025 | 5 | 4 |
| 2 | 17 August 2022 | 17 August 2022 | 3 | 7 |
| 3 | 18 September 2019 | 18 September 2019 | 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 |
|---|---|---|---|---|---|---|---|---|
| 12 December 2025 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 23 January 2026 |
| 12 December 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 | 23 January 2026 |
| 12 December 2025 | 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 | 23 January 2026 |
| 12 December 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 23 January 2026 |
| 12 December 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 23 January 2026 |
| 17 August 2022 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 30 September 2022 |
| 17 August 2022 | 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 | 30 September 2022 |
| 17 August 2022 | Health | F 0888 | Infection Control Deficiencies | Ensure staff are vaccinated for COVID-19 | D | No | Deficient, Provider has date of correction | 30 September 2022 |
| 18 September 2019 | 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 | 25 October 2019 |
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 | Government - County |
| Legal Business Name | JEFFERSON COUNTY NURSING HOME |
| Date First Approved to Provide Medicare and Medicaid Services | 2004-01-22 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Jefferson |
| Telephone Number | 8653973163 |
| 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 | 160 |
| Average Number of Residents per Day | 141.3 |
| Overall Rating | 3 |
| Health Inspection Rating | 4 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| 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 JEFFERSON COUNTY NURSING HOME: 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 5 November 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
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The citable document for JEFFERSON COUNTY NURSING HOME
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 445473.