Skilled nursing facility · CMS certification number 465109
Holladay Healthcare Center
Salt Lake City, Utah · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 23 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,226,155 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$112,069 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,338,224 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,996,589 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $341,635 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,802 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $343,437 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $343,437 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 38,325 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,275 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 16,346 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 12,314 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 29,935 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 54 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 35 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 485 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 574 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 467.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441357, 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 16 June 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,858,126 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$794,169 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,652,295 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,162,860 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,489,435 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,809 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,491,244 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,491,011 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,741 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 476 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 539.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1428972, 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 29 February 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,610,027 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$213,957 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,823,984 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,967,877 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $856,107 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,174 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $858,281 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $857,489 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,566 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 564 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 348.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1374108, 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 21 March 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,093,061 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$721,013 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,814,074 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,036,185 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $777,889 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,651 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $779,540 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $779,540 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,227 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 411 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 519.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375408, 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 16 May 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,683,983 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$2,218,566 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,902,549 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,813,569 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,088,980 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,159 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,090,139 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,090,139 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,023 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 410.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1347378, 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 12 March 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,737,218 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,099,312 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,836,530 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,595,222 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,241,308 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,380 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,264,688 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,264,688 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,442 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 387 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 831.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281234, 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 4 March 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,468,442 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$726,476 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,194,918 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,254,899 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $940,019 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,230 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $944,249 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $944,249 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,985 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 434 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 595.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251859, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 October 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,343,963 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$348,603 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,692,566 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,864,966 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $827,600 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$74,756 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $752,844 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $752,844 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,528 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 440 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 197.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1244919, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 November 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,202,412 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$254,134 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,456,546 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,465,537 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $991,009 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $759 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $991,768 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $899,916 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,575 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 484 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 370.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1214246, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 April 2016
Cost report for 1 January 2016 to 30 April 2016 — a reporting period of 120 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 30 December 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,588,618 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $259,527 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,329,091 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,326,873 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,218 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,073 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,291 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,291 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,293 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 472.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 86.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1181745, 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 17 March 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,393,465 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,034,843 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,358,622 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,043,524 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $315,098 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,940 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $317,038 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $317,037 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,911 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 424 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 676 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1154737, 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 19 October 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,435,593 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,149,339 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,286,254 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,783,438 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $502,816 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,206 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $510,022 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $510,022 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,678 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 405 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 607.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144824, 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 21 May 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,287,155 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $988,814 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,298,341 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,484,732 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $813,609 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,411 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $828,020 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $828,019 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,557 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 288 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,052.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1091161, 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 24 December 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,355,424 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,148,411 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,207,013 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,515,697 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $691,316 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $911 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $692,227 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $692,227 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,461 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,436.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 133.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1083566, 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 28 June 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,947,163 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $764,209 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,182,954 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,393,513 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $789,441 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,854 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $792,295 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $792,295 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,972 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 231 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 806.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1040632, 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 18 November 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,613,144 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,229,973 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $383,171 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,348 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $394,519 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,153 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 134 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 851.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 225.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 420400, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 June 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,062,503 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,383,590 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $678,913 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $810 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $679,723 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,913 | 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 | 50.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 353.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 124.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 405273, 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 17 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,277,660 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,987,401 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $290,259 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,135 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $291,394 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,897 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 210 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 446.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 147.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 351353, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 February 2007 to 31 December 2007 — a reporting period of 333 days, on form CMS-2540-96, settled, processed by CMS on 4 August 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,184,349 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,118,742 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $65,607 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,424 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $68,031 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,649 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 172 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 507.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 166.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322659, read from the public cost report file SNFFY2007.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 17 May 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,655,359 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,920,488 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,265,129 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,957 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,247,172 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,157 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 136 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 199.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 278858, 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 19 December 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,583,215 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,874,757 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$291,542 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,338 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$274,204 (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 | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,218 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 182.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 239520, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,567,629 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,602,181 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$34,552 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,789 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$15,763 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,943 | 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 | 43.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 160.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 216459, 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, reopened, processed by CMS on 25 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,998,927 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,076,304 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$77,377 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,441 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$59,936 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,616 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 181 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 141.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 218005, 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 22 January 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,863,473 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,994,744 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$131,271 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,923 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$103,348 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,244 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 210 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 124.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 166885, 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 20 May 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,869,332 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,098,258 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$228,926 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $58,865 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$170,061 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,583 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 257 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 107.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 145671, 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, reopened, processed by CMS on 23 May 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,680,732 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,620,503 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $60,229 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,002 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $83,231 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,756 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 274 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 119.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 249989, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 30 April 1998
Cost report for 1 January 1998 to 30 April 1998 — a reporting period of 119 days, not a full year, on form CMS-2540-96, as submitted, processed by CMS on 1 February 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,733,484 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,628,397 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $105,087 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,130 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $121,217 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,387 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 84 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 147.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 95974, 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, as submitted, processed by CMS on 25 June 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,274,326 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,917,729 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $356,597 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $58,865 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $415,462 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,382 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 266 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 140.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 95973, read from the public cost report file SNFFY1997.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 |
|---|---|---|---|---|
| CARETRUST GP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2016 |
| CARETRUST REIT INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2016 |
| COTTONWOOD HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2016 |
| CTR PARTNERSHIP LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2016 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2016 |
| OLYMPUS HEALTH, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/16/2025 |
| WALLACE, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2016 |
| WORKMAN, DAVID | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/20/2024 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2007 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2011 |
| MOSS, TYLER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2016 |
| OLYMPUS HEALTH, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/01/2016 |
| WALLACE, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2016 |
| WORKMAN, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/20/2024 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BEAVER VALLEY HOSPITAL (enrollment ID O20161115001594).
| 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 | 5/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| CARETRUST GP 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. | 5/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| CARETRUST REIT 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. | 5/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| COTTONWOOD 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. | 5/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| CTR PARTNERSHIP 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. | 5/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID H WORKMAN | 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. | 9/20/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| 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. | 5/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARK WALLACE | 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. | 5/1/2016 | 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. |
| OLYMPUS HEALTH, 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. | 9/16/2025 | 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. | 2/1/2007 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TYLER MOSS | 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. | 5/1/2016 | 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. |
| DAVID H WORKMAN | 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. | 9/20/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK WALLACE | 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. | 5/1/2016 | 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. |
| OLYMPUS HEALTH, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MARK WALLACE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COTTONWOOD HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CHAD KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CARETRUST REIT INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MARK WALLACE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CARETRUST GP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CTR PARTNERSHIP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: OLYMPUS HEALTH, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DAVID H WORKMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DAVID H WORKMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 14 April 2023: CRAIG VAL DAVIDSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: TYLER MOSS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Recent changes on this record
- 1 July 2026: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MARK WALLACE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COTTONWOOD HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CHAD KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CARETRUST REIT INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MARK WALLACE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CARETRUST GP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CTR PARTNERSHIP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: OLYMPUS HEALTH, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DAVID H WORKMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DAVID H WORKMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 23 October 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 16 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 21 March 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 29 February 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 16 May 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 14 April 2023: CRAIG VAL DAVIDSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: TYLER MOSS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 12 March 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 4 March 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 24 October 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 23 November 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 30 December 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 19 May 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 17 March 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 19 October 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 21 May 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 24 December 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 28 June 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 18 November 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 17 June 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 17 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 4 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 27 December 2007: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- 17 May 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 23 May 2006: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- 19 December 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 25 May 2005: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- 10 May 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 24 March 2025 | 24 March 2025 | 11 | 4 |
| 2 | 8 September 2023 | 8 September 2023 | 3 | 1 |
| 3 | 16 December 2021 | 16 December 2021 | 11 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
25 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 24 March 2025 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | 10 May 2025 |
| 24 March 2025 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | E | No | Deficient, Provider has date of correction | 10 May 2025 |
| 24 March 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 10 May 2025 |
| 24 March 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 10 May 2025 |
| 24 March 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 10 May 2025 |
| 24 March 2025 | Health | F 0728 | Nursing and Physician Services Deficiencies | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | Yes | Deficient, Provider has date of correction | 10 May 2025 |
| 24 March 2025 | 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 | 10 May 2025 |
| 24 March 2025 | 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 | 10 May 2025 |
| 24 March 2025 | 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 | 10 May 2025 |
| 24 March 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 10 May 2025 |
| 24 March 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 10 May 2025 |
| 8 September 2023 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 9 October 2023 |
| 8 September 2023 | 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 | Yes | Deficient, Provider has date of correction | 9 October 2023 |
| 8 September 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 | 9 October 2023 |
| 8 September 2023 | 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 | 9 October 2023 |
| 8 September 2023 | 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 | Yes | Deficient, Provider has date of correction | 9 October 2023 |
| 8 September 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 9 October 2023 |
| 8 September 2023 | 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 | Yes | Deficient, Provider has date of correction | 9 October 2023 |
| 16 December 2021 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 7 February 2022 |
| 16 December 2021 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | 7 February 2022 |
| 16 December 2021 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 7 February 2022 |
| 16 December 2021 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 7 February 2022 |
| 16 December 2021 | 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 | 7 February 2022 |
| 16 December 2021 | Health | F 0811 | Nutrition and Dietary Deficiencies | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | D | No | Deficient, Provider has date of correction | 7 February 2022 |
| 16 December 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 7 February 2022 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | BEAVER VALLEY HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1987-02-13 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Salt Lake |
| Telephone Number | 8012777002 |
| 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 | 120 |
| Average Number of Residents per Day | 79.7 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| 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.
Get an email when this record changes
One email a day naming what moved on Holladay Healthcare Center: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
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The citable document for Holladay Healthcare Center
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Utah at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 465109.