Skilled nursing facility · CMS certification number 465003
Heritage Park Healthcare and Rehabilitation
Roy, Utah · Medicare and Medicaid
Certified beds, as filed in Care Compare: 176
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, settled, processed by CMS on 19 December 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,138,335 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,275,953 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,862,382 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,668,723 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $193,659 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,488,981 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,682,640 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,682,640 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 64,240 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,705 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 27,892 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,359 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 40,956 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 68 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 60 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 194 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 322 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 464.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1445020, 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 25 December 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,505,790 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,817,716 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,688,074 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,638,255 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $49,819 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,360,374 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,410,193 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,408,252 (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 | 122 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,844 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 296 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 333.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 137.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401594, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 30 June 2023
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 27 December 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,788,536 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,043,801 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,832,337 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,091,459 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $740,878 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,164,757 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,905,635 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,905,635 (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 | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,330 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 319 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 474.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371294, 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 17 January 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,183,579 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$2,962,845 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,146,424 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,607,737 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,538,687 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,355 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,554,042 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,552,925 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,185 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 315 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 424.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340175, 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 7 February 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,825,375 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$4,904,128 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,729,503 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,831,992 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,897,511 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $51,744 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,949,255 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,949,255 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,088 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 295 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 357.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310019, 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 4 February 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,062,077 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$3,532,876 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,594,953 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,129,120 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,465,833 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $60,718 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,526,551 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,526,551 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,146 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 295 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 365.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279742, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 30 June 2019
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 January 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,685,707 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$2,035,976 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,721,683 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,762,562 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $959,121 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,151 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $973,272 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $973,272 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,747 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 287 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 319.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1250283, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 June 2017 to 30 June 2018 — a reporting period of 394 days, on form CMS-2540-10, settled, processed by CMS on 23 May 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,244,693 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$738,487 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,983,180 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,768,207 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $214,973 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$64,809 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $150,164 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $150,164 (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 | 37,019 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 275 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 369.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1225263, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 31 May 2017
Cost report for 1 January 2017 to 31 May 2017 — a reporting period of 150 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 17 April 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,300,883 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,369,244 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,931,639 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,427,355 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,495,716 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $546,633 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$949,083 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$949,083 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,625 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 280 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 116.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222274, 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 8 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,723,840 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,762,552 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,961,288 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,719,608 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,758,320 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,360,084 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,398,236 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,398,236 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,075 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 356 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 295.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1172396, 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 16 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,008,763 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,649,699 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,359,064 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,204,631 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,845,567 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,483,959 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$361,608 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$361,608 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,935 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 400 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 228.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141467, 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 29 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,952,868 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,607,820 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,345,048 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,013,576 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,668,528 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,476,303 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$192,225 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$192,225 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,349 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 351 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 255.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1105927, 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 1 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,945,035 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,326,294 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,618,741 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,458,888 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$840,147 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,024,747 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $184,600 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $184,600 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,819 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 193 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 711.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 195.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074737, 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 22 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,545,022 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,108,796 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,436,226 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,011,402 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$575,176 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,013,811 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $438,635 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $438,635 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,667 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 185 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 636.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 203.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047179, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 May 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,400,388 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,799,090 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,601,298 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,440,012 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$838,714 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,057,835 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $219,121 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $161,191 (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 | 136 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,435 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 164 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 88.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 540.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 216.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1029968, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 May 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,832,839 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,269,265 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$436,426 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $884,274 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $79,247 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $368,601 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,995 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 186 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 734.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 182.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428985, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 May 2009 to 31 December 2009 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 28 April 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,096,222 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,100,612 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$4,390 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $487,101 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $26,618 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $456,093 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,362 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 344.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 146.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398070, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 18 May 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,714,833 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,974,459 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$259,626 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $710,759 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $25,145 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $425,988 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,222 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 265 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 3,458.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 144.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 369868, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 August 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,201,620 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,667,149 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$465,529 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $588,881 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $33,897 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $89,455 (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 | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,648 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 246 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 427.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 157.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324422, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 July 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,553,293 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,691,691 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$138,398 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $777,221 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $23,992 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $614,831 (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 | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,307 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 220 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 360.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 174.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 289575, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 July 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,620,148 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,375,106 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $245,042 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $476,785 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $67,804 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $654,023 (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 | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,972 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 206 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 299.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 179.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 259412, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 4 August 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,001,385 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,088,300 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$86,915 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $476,085 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $36,439 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $352,731 (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 | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,505 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 5,367.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 229.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 229983, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 15 October 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,803,003 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,920,788 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$117,785 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $373,894 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $50,528 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $205,581 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,746 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 277 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 687.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 150.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 197201, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 September 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,320,879 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,469,398 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$148,519 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $200,747 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $24,795 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $27,433 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,877 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 141 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 615.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 289.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159284, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 March 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,046,526 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,251,640 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$205,114 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $121,099 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $21,390 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$105,405 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,771 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 123 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,296.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 339.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133690, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 8 February 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,962,051 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,052,299 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$90,248 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $147,434 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $133,582 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$76,396 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,685 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 256 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 615.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 178.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 52069, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 July 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,972,285 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,922,879 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $49,406 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $172,618 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $222,024 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,457 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 1,883 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 819.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 641.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 66411, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 March 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,933,765 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,116,764 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$182,999 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $117,239 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$65,760 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,135 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 94 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 524.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 32.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 501.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 66409, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 August 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,900,039 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,098,852 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$198,813 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $158,316 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$40,497 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,723 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 1,059 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 923.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 471.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 66407, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 3 May 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,782,712 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,633,226 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $149,486 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $141,521 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $291,007 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,401 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 181.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 500.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 386.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 66404, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/01/2017 |
| FLETCHER, JEFF | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2017 |
| STANDARD BEARER HEALTHCARE OP, LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/01/2017 |
| STELTER, CASEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/24/2018 |
| THE ENSIGN GROUP INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/01/2017 |
| WEST 5600 HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/01/2017 |
| WEST 5600 HEALTHCARE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/03/2026 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/01/2017 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2011 |
| MOSS, TYLER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/01/2017 |
| FLETCHER, JEFF | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2017 |
| STELTER, CASEY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/24/2018 |
| FLETCHER, JEFF | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2017 |
| STELTER, CASEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/24/2018 |
| WEST 5600 HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/01/2017 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BEAVER VALLEY HOSPITAL (enrollment ID O20171002002045).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| BEAVER VALLEY HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| CASEY LAWRENCE STELTER | 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. | 1/24/2018 | 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. |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| JEFF FLETCHER | 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. | 6/1/2017 | 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. |
| STANDARD BEARER HEALTHCARE OP, LP | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE ENSIGN GROUP INC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| WEST 5600 HEALTH HOLDINGS LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| WEST 5600 HEALTHCARE LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/3/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| 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. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHAD KEETCH | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/1/2011 | 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. |
| SOON BURNAM | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2017 | 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. |
| TYLER MOSS | Individual | CORPORATE OFFICER | 0 | 6/1/2017 | 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. |
| CASEY LAWRENCE STELTER | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/24/2018 | 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. |
| JEFF FLETCHER | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2017 | 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. |
| CASEY LAWRENCE STELTER | 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. | 1/24/2018 | 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. |
| JEFF FLETCHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 6/1/2017 | 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. |
| WEST 5600 HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 6/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 April 2026: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JEFF FLETCHER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JEFF FLETCHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JEFF FLETCHER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: CASEY LAWRENCE STELTER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: CASEY LAWRENCE STELTER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: CASEY LAWRENCE STELTER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: STANDARD BEARER HEALTHCARE OP, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WEST 5600 HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WEST 5600 HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: THE ENSIGN GROUP INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 15 June 2023: CRAIG VAL DAVIDSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: TYLER MOSS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
Recent changes on this record
- 1 April 2026: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JEFF FLETCHER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JEFF FLETCHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JEFF FLETCHER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: CASEY LAWRENCE STELTER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: CASEY LAWRENCE STELTER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: CASEY LAWRENCE STELTER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: STANDARD BEARER HEALTHCARE OP, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WEST 5600 HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WEST 5600 HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: THE ENSIGN GROUP INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 19 December 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 25 December 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 27 December 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 15 June 2023: CRAIG VAL DAVIDSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: TYLER MOSS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 17 January 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 7 February 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 4 February 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 30 January 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 23 May 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 17 April 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 8 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 16 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 29 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 1 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 22 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 22 May 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 15 May 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 28 April 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 18 May 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 19 November 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 19 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 25 July 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 21 July 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 4 August 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 2 July 2024 | 2 July 2024 | 12 | 0 |
| 2 | 15 November 2022 | 15 November 2022 | 8 | 0 |
| 3 | 8 April 2021 | 8 April 2021 | 7 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
27 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 2 July 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | 5 August 2024 |
| 2 July 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | 4 August 2024 |
| 2 July 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | No | Deficient, Provider has date of correction | 4 August 2024 |
| 2 July 2024 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | 4 August 2024 |
| 2 July 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | 4 August 2024 |
| 2 July 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 4 August 2024 |
| 2 July 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 4 August 2024 |
| 2 July 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | 4 August 2024 |
| 2 July 2024 | Health | F 0770 | Administration Deficiencies | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | No | Deficient, Provider has date of correction | 4 August 2024 |
| 2 July 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | 4 August 2024 |
| 2 July 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 4 August 2024 |
| 2 July 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 4 August 2024 |
| 24 October 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | Yes | Deficient, Provider has date of correction | 10 November 2023 |
| 15 November 2022 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | 2 December 2022 |
| 15 November 2022 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 2 December 2022 |
| 15 November 2022 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | 2 December 2022 |
| 15 November 2022 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 2 December 2022 |
| 15 November 2022 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | 2 December 2022 |
| 15 November 2022 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 2 December 2022 |
| 15 November 2022 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | No | Deficient, Provider has date of correction | 2 December 2022 |
| 15 November 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 2 December 2022 |
| 8 April 2021 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | 1 June 2021 |
| 8 April 2021 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | 15 May 2021 |
| 8 April 2021 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | 15 May 2021 |
| 8 April 2021 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 15 May 2021 |
| 8 April 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 15 May 2021 |
| 8 April 2021 | Health | F 0924 | Environmental Deficiencies | Put firmly secured handrails on each side of hallways. | E | No | Deficient, Provider has date of correction | 15 May 2021 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 2 July 2024 | Fine | $36,645 | 117234 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Partnership |
| Legal Business Name | BEAVER VALLEY HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1978-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Weber |
| Telephone Number | 8018259731 |
| Chain Name | THE ENSIGN GROUP |
| Chain ID | 507 |
| 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 | 176 |
| Average Number of Residents per Day | 115.2 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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