Skilled nursing facility · CMS certification number 495142
EVERGREEN HEALTH AND REHABILITATION CENTER
WINCHESTER, Virginia · 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, as submitted, processed by CMS on 3 December 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,746,124 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,549,805 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,196,319 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,620,230 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,576,089 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $605,708 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,181,797 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,181,798 (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 | 4,243 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 43,239 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,766 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 59,248 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 135 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 309 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 84 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 528 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 139.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1443474, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 30 June 2024
Cost report for 1 October 2023 to 30 June 2024 — a reporting period of 273 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 15 December 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,142,399 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,539,744 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,602,655 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,410,382 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$807,727 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $425,620 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$382,107 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$382,109 (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 | 41,316 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 394 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 312.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1444637, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 30 September 2023
Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 January 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,493,740 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,975,661 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,518,079 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,434,240 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$916,161 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $186,244 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$729,917 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$729,917 (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 | 46,429 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 345 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 287.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401878, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 30 September 2022
Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 October 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,491,039 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,223,297 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,267,742 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,903,898 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,363,844 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,976 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,372,820 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,372,820 (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 | 43,158 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 456 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 147.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366442, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 30 June 2021
Cost report for 1 January 2021 to 30 June 2021 — a reporting period of 180 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 7 June 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,470,491 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,256,728 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,213,763 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,660,657 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$446,894 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $941,582 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $494,688 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $494,688 (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 | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,863 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 71 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 852.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 265.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1350145, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 November 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,770,485 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,777,385 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,993,100 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,503,328 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $489,772 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,256,386 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,746,158 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,746,156 (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 | 46,344 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 270 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 298.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 171.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304647, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 May 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,743,610 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,192,754 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,550,856 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,107,667 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $443,189 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,740 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $470,929 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $470,927 (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 | 48,620 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 365 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 349.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 133.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1284144, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 March 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,008,216 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,044,496 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,963,720 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,084,704 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$120,984 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $33,015 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$87,969 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$87,969 (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 | 47,213 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 299 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 31.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251861, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 June 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,445,453 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,763,667 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,681,786 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,407,507 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $274,279 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,059 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $308,338 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $308,338 (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 | 52,897 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 464 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 354.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 114 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1232656, 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 14 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,367,873 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,758,865 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,609,008 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,621,198 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,190 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,999 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $9,809 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $9,809 (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 | 51,511 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 462 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 375.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1215907, 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 28 June 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,697,773 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,951,639 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,746,134 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,590,438 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,155,696 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,700 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,185,396 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,185,394 (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 | 54,591 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 307 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 602.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 177.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1166917, 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 27 June 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,952,998 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,181,619 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,771,379 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,731,208 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,040,171 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,891 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,093,062 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,093,061 (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 | 55,193 | 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 | 39.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 484.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 200.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1132522, 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 29 January 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,250,490 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,473,559 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,776,931 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,351,985 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $424,946 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $59,431 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $484,377 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $484,375 (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 | 53,084 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 268 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 368.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 198.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085166, 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 20 February 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,012,710 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,954,251 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,058,459 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,583,326 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $475,133 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,996 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $477,129 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $477,129 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 176 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,047 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 285 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 379.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 175.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055842, 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 10 May 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,063,429 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,840,329 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,223,100 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,159,118 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $63,982 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,871 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $83,853 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $83,853 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,973 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 233 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 378.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 197.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1028936, 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 9 December 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,099,899 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,982,541 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $117,358 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $120,178 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $237,536 (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 | 169 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,253 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 243 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 377.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 186.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 421354, 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 11 February 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,459,628 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,095,077 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $364,551 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,050 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $377,601 (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 | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,333 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 299 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 228.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 154.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 393885, 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 25 January 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,421,454 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,247,898 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $173,556 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,257 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $197,813 (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 | 47,509 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 303 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 294.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 156.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362802, 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 18 December 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,671,250 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,867,384 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$196,134 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,094 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$185,040 (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 | 46,169 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 245 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 570.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 188.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 330622, 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 24 October 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,995,918 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,920,455 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $75,463 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,620 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $90,083 (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 | 49,571 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 245 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 658.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 202.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 295071, 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 4 May 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,932,409 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,284,149 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$351,740 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,541 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$336,199 (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 | 46,957 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 224 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,213.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 209.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 278044, 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 22 December 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,687,601 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,256,075 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $431,526 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,227 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $441,753 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 176 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,277 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 241 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 712.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 196.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 239880, 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 8 June 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,687,075 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,487,491 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $199,584 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,143 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $223,726 (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 | 45,061 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 203 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 680.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 221.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 220359, 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 10 May 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,966,318 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,316,086 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$349,768 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,415 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$306,353 (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 | 44,628 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 138 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,573.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 323.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 175793, 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 25 August 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,348,588 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,110,519 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $238,069 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,558 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $90 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $274,537 (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 | 45,958 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 226 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 909 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 203.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 157760, 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 12 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,602,434 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,965,478 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$363,044 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,455 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$336,589 (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 | 45,492 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 198 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,205.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 229.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 121892, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 August 1999 to 31 December 1999 — a reporting period of 152 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 2 October 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | −$24,787 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,009,496 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$2,034,283 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,974 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $656 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$2,028,965 (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 | 21,356 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 68 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 729 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 314.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 73363, 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, as submitted, processed by CMS on 15 February 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,725,973 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,587,296 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$861,323 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $186,464 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$674,859 (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 | 51,380 | 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 | 53.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 193.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 7106, 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 16 December 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,949,969 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,932,702 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$982,733 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $502,136 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$480,597 (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 | 57,042 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 216 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 88.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 264.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 7105, 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 |
|---|---|---|---|---|
| EVERGREEN SNF OPERATIONS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 07/01/2021 |
| COPPER VA TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/01/2021 |
| EVERGREEN NOBLE PARENTCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/01/2021 |
| GOLD VA TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/01/2021 |
| HVH EVERGREEN OPERATIONS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/01/2021 |
| MEISNER, ROBERT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 07/01/2021 |
| SILVER VA TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/01/2021 |
| IDELS, SHIMON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2023 |
| RINGSTAFF, RAMONA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 07/01/2021 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of EVERGREEN SNF OPERATIONS LLC (enrollment ID O20210812002636).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| EVERGREEN SNF OPERATIONS HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| COPPER VA TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10 | 7/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| EVERGREEN NOBLE PARENTCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 7/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| GOLD VA TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17.5 | 7/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| HVH EVERGREEN OPERATIONS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 7/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| LION 26 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23.75 | 7/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROBERT MEISNER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5 | 7/1/2021 | 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. |
| SABRINA 1818 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23.75 | 7/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| SAESSY IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22.59 | 7/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| SILVER VA TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17.5 | 7/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| TATIRIQ IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22.59 | 7/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHIMON IDELS | 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. | 1/1/2023 | 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. |
| RAMONA J RINGSTAFF | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: SILVER VA TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAMONA J RINGSTAFF no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SILVER VA TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAMONA J RINGSTAFF appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 15 March 2023: ERIK BUCKLEY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: SHIMON IDELS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- 1 July 2026: SILVER VA TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAMONA J RINGSTAFF no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SILVER VA TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RAMONA J RINGSTAFF appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 15 December 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 3 December 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 7 January 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 11 October 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 7 June 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 15 March 2023: ERIK BUCKLEY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: SHIMON IDELS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 17 February 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 16 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 19 May 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 4 March 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 26 June 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 14 December 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 28 June 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 27 June 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 29 January 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 20 February 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 10 May 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 9 December 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 11 February 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 25 January 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 18 December 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 24 October 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 4 May 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 22 December 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 8 June 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 10 May 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- 25 August 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- 12 February 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- 2 October 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- 18 February 2000: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- 15 February 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- 16 December 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 10 January 2024 | 10 January 2024 | 28 | 1 |
| 2 | 14 April 2022 | 14 April 2022 | 17 | 0 |
| 3 | 25 April 2019 | 25 April 2019 | 16 | 10 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
61 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 6 May 2026 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | 1 June 2026 |
| 6 May 2026 | 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 | Yes | Deficient, Provider has date of correction | 1 June 2026 |
| 6 May 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | 1 June 2026 |
| 6 May 2026 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | 1 June 2026 |
| 6 May 2026 | Health | F 0745 | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Yes | Deficient, Provider has date of correction | 1 June 2026 |
| 6 May 2026 | 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 | 1 June 2026 |
| 10 January 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 19 February 2024 |
| 10 January 2024 | 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 | 19 February 2024 |
| 10 January 2024 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | 19 February 2024 |
| 10 January 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | No | Deficient, Provider has date of correction | 19 February 2024 |
| 10 January 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | 19 February 2024 |
| 10 January 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 19 February 2024 |
| 10 January 2024 | 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 | 19 February 2024 |
| 10 January 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 19 February 2024 |
| 10 January 2024 | Health | F 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | D | No | Deficient, Provider has date of correction | 19 February 2024 |
| 10 January 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | 19 February 2024 |
| 10 January 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 19 February 2024 |
| 10 January 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | No | Deficient, Provider has date of correction | 19 February 2024 |
| 10 January 2024 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | D | No | Deficient, Provider has date of correction | 19 February 2024 |
| 10 January 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | 19 February 2024 |
| 10 January 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 | 19 February 2024 |
| 10 January 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 19 February 2024 |
| 10 January 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 | 19 February 2024 |
| 10 January 2024 | Health | F 0840 | Administration Deficiencies | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | E | No | Deficient, Provider has date of correction | 19 February 2024 |
| 10 January 2024 | 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 | 19 February 2024 |
| 10 January 2024 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | F | No | Deficient, Provider has date of correction | 19 February 2024 |
| 10 January 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 19 February 2024 |
| 10 January 2024 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | No | Deficient, Provider has date of correction | 19 February 2024 |
| 14 April 2022 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | No | Deficient, Provider has date of correction | 16 May 2022 |
| 14 April 2022 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | 16 May 2022 |
| 14 April 2022 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | E | No | Deficient, Provider has date of correction | 16 May 2022 |
| 14 April 2022 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | No | Deficient, Provider has date of correction | 16 May 2022 |
| 14 April 2022 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | No | Deficient, Provider has date of correction | 16 May 2022 |
| 14 April 2022 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 16 May 2022 |
| 14 April 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 | 16 May 2022 |
| 14 April 2022 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | No | Deficient, Provider has date of correction | 16 May 2022 |
| 14 April 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. | D | No | Deficient, Provider has date of correction | 16 May 2022 |
| 14 April 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 | 16 May 2022 |
| 14 April 2022 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | 16 May 2022 |
| 14 April 2022 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | E | No | Deficient, Provider has date of correction | 16 May 2022 |
| 14 April 2022 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | 16 May 2022 |
| 14 April 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 16 May 2022 |
| 14 April 2022 | 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 | 16 May 2022 |
| 14 April 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 16 May 2022 |
| 14 April 2022 | Health | F 0947 | Nursing and Physician Services Deficiencies | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | No | Deficient, Provider has date of correction | 16 May 2022 |
| 25 April 2019 | 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 | 28 May 2019 |
| 25 April 2019 | 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 | 28 May 2019 |
| 25 April 2019 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | No | Deficient, Provider has date of correction | 28 May 2019 |
| 25 April 2019 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | 28 May 2019 |
| 25 April 2019 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 28 May 2019 |
| 25 April 2019 | 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 | 21 June 2019 |
| 25 April 2019 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 28 May 2019 |
| 25 April 2019 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | 21 June 2019 |
| 25 April 2019 | 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 | 28 May 2019 |
| 25 April 2019 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | E | No | Deficient, Provider has date of correction | 28 May 2019 |
| 25 April 2019 | 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 | 28 May 2019 |
| 25 April 2019 | 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 | 28 May 2019 |
| 25 April 2019 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | 28 May 2019 |
| 25 April 2019 | 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. | E | No | Deficient, Provider has date of correction | 28 May 2019 |
| 25 April 2019 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | 28 May 2019 |
| 25 April 2019 | 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 | 21 June 2019 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | EVERGREEN SNF OPERATIONS LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1984-07-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Winchester City |
| Telephone Number | 5406677010 |
| Chain Name | HILL VALLEY HEALTHCARE |
| Chain ID | 270 |
| 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 | 172.3 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 4 |
| 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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