Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 445491

THE MCKENDREE POST ACUTE & REHABILITATION

HERMITAGE, Tennessee · Medicare and Medicaid

Certified beds, as filed in Care Compare: 180

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 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 November 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$25,047,966CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,634,730CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$23,413,236CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$29,233,863CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$5,820,627CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$636,593CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$5,184,034CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$5,184,034 (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%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components65,700CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days4,700CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days28,911CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days21,788CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components55,399CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges88CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges15CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges166CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components269CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days53.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,927.4CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days205.94CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1398924, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended 30 June 2022

Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 July 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$25,570,599CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,071,326CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$23,499,273CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$28,632,602CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$5,133,329CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,398,217CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,735,112CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,735,112 (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%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components52,625CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components337CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,319.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days156.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1358356, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2021, ended 30 June 2021

Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$25,648,804CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,335,624CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$24,313,180CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$27,202,342CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,889,162CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,476,674CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,412,488CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,412,488 (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%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components50,330CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components445CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.45CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days780.82CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days113.1CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1335548, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended 30 June 2020

Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 8 December 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$27,062,218CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,398,900CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$24,663,318CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$26,989,180CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,325,862CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,333,019CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$992,843CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$992,843 (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%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components55,171CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components479CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.24CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days975.81CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days115.18CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1306590, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended 30 June 2019

Cost report for 1 January 2019 to 30 June 2019 — a reporting period of 180 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 15 January 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$9,315,773CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,464,364CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,851,409CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,976,827CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$874,582CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$65,467CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$940,049CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $940,049 (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%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,160CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components285CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.05CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days444.3CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days102.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1278199, 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 2 December 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$16,367,955CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,269,409CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,098,546CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,557,717CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,459,171CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$10,066,915CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$8,607,744CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $8,607,744 (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%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components52,147CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components549CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days240.72CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days94.99CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1274709, 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 20 December 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$14,976,166CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,512,631CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,463,535CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,575,567CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$112,032CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$41,244CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$70,788CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$70,788 (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%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components50,154CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components479CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days548.52CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days104.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1248479, 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 20 December 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$14,643,163CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,656,164CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,986,999CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,404,995CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$582,004CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$24,305CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$606,309CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $606,309 (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%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components50,432CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components516CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days900.31CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days97.74CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1216695, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 December 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$14,040,296CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,447,336CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,592,960CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,000,806CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$592,154CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$21,928CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$614,082CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $614,082 (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%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components50,285CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components473CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.49CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days511.66CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days106.31CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1179459, 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 26 October 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$14,033,567CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,847,781CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,185,786CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,246,667CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$60,881CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$19,568CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$41,313CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$41,313 (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%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components49,984CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components478CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.98CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,050.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days104.57CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1145462, 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 19 December 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$14,672,666CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,152,206CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,520,460CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,727,326CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$793,134CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$21,005CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$814,139CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $814,139 (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%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components50,928CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components467CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days787.04CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days109.05CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1115834, 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 29 August 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$14,085,317CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,033,431CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,051,886CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,016,756CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,035,130CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$10,018CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,045,148CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,045,148 (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%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components50,484CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components495CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days399.08CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days101.99CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1077455, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 October 2011 to 31 December 2011 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 24 July 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$4,752,598CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$529,934CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,222,664CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,458,201CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$235,537CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$46,175CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$189,362CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$189,362 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,043CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components141CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.58CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days694.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days85.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1043382, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2010, ended 30 June 2010

Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 August 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$9,829,185CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,943,929CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$885,256CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$14,691CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $899,947 (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.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components40,596CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components698CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.98CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days208.93CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days58.16CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 416753, read from the public cost report file SNFFY2009.zip.

Fiscal year 2009, ended 30 June 2009

Cost report for 13 January 2009 to 30 June 2009 — a reporting period of 168 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 9 September 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$3,744,486CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,821,692CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,077,206CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$19,957CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,057,249 (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.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components15,910CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components223CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days21.47CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days71.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 387264, read from the public cost report file SNFFY2009.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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
TN 2 SNF OPERATIONS HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 06/17/2024
GARAFOLA, JOSEPHADP OF THE SNFIndividualNOT APPLICABLEsince 06/17/2024
IDELS, SHIMONADP OF THE SNFIndividualNOT APPLICABLEsince 06/17/2024
TN 2 SNF OPERATIONS HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/27/2026
IDELS, SHIMONCORPORATE OFFICERIndividualNOT APPLICABLEsince 06/17/2024
GARAFOLA, JOSEPHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/17/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MCKENDREE SNF OPERATIONS LLC (enrollment ID O20240925001289).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
TN 2 SNF OPERATIONS HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/17/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
LION 26 HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST48.756/17/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
SABRINA 1818 HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST48.756/17/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
SAESSY IRREVOCABLE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST46.366/17/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
TATIRIQ IRREVOCABLE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST46.366/17/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
JOSEPH GARAFOLAIndividualADP OF THE SNFCMS 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.6/17/2024
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.
SHIMON IDELSIndividualADP OF THE SNFCMS 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.6/17/2024
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.
TN 2 SNF OPERATIONS HOLDINGS LLCOrganizationADP OF THE SNFCMS 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.5/27/2026
Private equity company: No
Real estate investment trust: No
Holding company: Yes
SHIMON IDELSIndividualCORPORATE OFFICER06/17/2024
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.
JOSEPH GARAFOLAIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.6/17/2024
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

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
13 October 20233 October 2023276
219 June 201919 June 201969
36 June 20186 June 201846

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

37 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
20 November 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction3 December 2025
3 October 2023HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction1 November 2023
3 October 2023HealthF 0569Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.FYesDeficient, Provider has date of correction22 January 2024
3 October 2023HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction3 November 2023
3 October 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JYesDeficient, Provider has date of correction3 November 2023
3 October 2023HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.DYesDeficient, Provider has date of correction3 November 2023
3 October 2023HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction3 November 2023
3 October 2023HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction3 November 2023
3 October 2023HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DYesDeficient, Provider has date of correction3 November 2023
3 October 2023HealthF 0625Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DYesDeficient, Provider has date of correction3 November 2023
3 October 2023HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DYesDeficient, Provider has date of correction3 November 2023
3 October 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correction3 November 2023
3 October 2023HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DYesDeficient, Provider has date of correction3 November 2023
3 October 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correction14 November 2023
3 October 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DYesDeficient, Provider has date of correction14 November 2023
3 October 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction3 November 2023
3 October 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction14 November 2023
3 October 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesDeficient, Provider has date of correction3 November 2023
3 October 2023HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DYesDeficient, Provider has date of correction3 November 2023
3 October 2023HealthF 0699Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.DYesDeficient, Provider has date of correction2 November 2023
3 October 2023HealthF 0700Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.KYesDeficient, Provider has date of correction3 November 2023
3 October 2023HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.GNoDeficient, Provider has date of correction1 November 2023
3 October 2023HealthF 0742Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DYesDeficient, Provider has date of correction3 November 2023
3 October 2023HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DYesDeficient, Provider has date of correction2 November 2023
3 October 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FYesDeficient, Provider has date of correction3 November 2023
3 October 2023HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.FYesDeficient, Provider has date of correction7 November 2023
3 October 2023HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DYesDeficient, Provider has date of correction7 November 2023
19 June 2019HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DNoDeficient, Provider has date of correction23 July 2019
19 June 2019HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction2 August 2019
19 June 2019HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction2 August 2019
19 June 2019HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction2 August 2019
19 June 2019HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction2 August 2019
19 June 2019HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.FNoDeficient, Provider has date of correction2 August 2019
6 June 2018HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DNoDeficient, Provider has date of correction20 July 2018
6 June 2018HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DNoDeficient, Provider has date of correction20 July 2018
6 June 2018HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction20 July 2018
6 June 2018HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction20 July 2018

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
3 October 2023Fine$252,24233393
3 October 2023Payment Denial9 November 202374

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameMCKENDREE SNF OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid Services2009-01-13
Provider Resides in HospitalN
Continuing Care Retirement CommunityY
UrbanY
County/ParishDavidson
Telephone Number6158718200
Chain NameHILL VALLEY HEALTHCARE
Chain ID270
Special Focus StatusSFF Candidate
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds180
Average Number of Residents per Day173.3
Overall Rating1
Health Inspection Rating1
QM Rating3
Long-Stay QM Rating4
Short-Stay QM Rating2
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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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: SHIMON IDELS appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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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.

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