Skilled nursing facility · CMS certification number 495217
FAIR OAKS HEALTH & REHABILITATION
FAIRFAX, Virginia · Medicare and Medicaid
Certified beds, as filed in Care Compare: 155
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 February 2024 to 31 January 2025 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,393,620 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,511,908 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,881,712 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,054,063 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,827,649 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $979,443 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,807,092 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,807,092 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 56,730 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,801 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 39,046 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,620 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 51,467 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 70 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 159 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 332 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 561 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1435677, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 31 January 2024
Cost report for 1 February 2023 to 31 January 2024 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,077,524 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,435,062 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,642,462 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,448,393 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,194,069 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $747,056 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,941,125 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,941,125 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,512 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 604 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 89.03 | 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 1396047, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 31 January 2023
Cost report for 1 June 2022 to 31 January 2023 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 13 February 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,941,544 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,208,947 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,732,597 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,488,532 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $244,065 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $149,763 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $393,828 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $393,828 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,079 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 555 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 174.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403664, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 31 May 2022
Cost report for 1 June 2021 to 31 May 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 April 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,849,800 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,686,448 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,163,352 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,343,181 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,179,829 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $139,339 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,040,490 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,040,490 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,837 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 780 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 183.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1346153, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 31 May 2021
Cost report for 1 June 2020 to 31 May 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 March 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,712,902 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,075,750 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,637,152 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,470,008 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$832,856 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $417,417 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$415,439 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$415,439 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,791 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 694 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 193.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 61.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344183, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 31 May 2020
Cost report for 1 June 2019 to 31 May 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 September 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,153,917 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,844,068 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,309,849 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,872,929 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $436,920 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $736,217 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,173,137 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,173,137 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,267 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,027 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 129.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1300540, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 31 May 2019
Cost report for 1 June 2018 to 31 May 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 March 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,612,530 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,640,989 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,971,541 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,559,476 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $412,065 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,302 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $414,367 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $414,367 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,789 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 983 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 198.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 44.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1252874, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 31 May 2018
Cost report for 1 June 2017 to 31 May 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,536,121 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,651,418 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,884,703 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,981,904 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,097,201 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,893 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,095,308 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,095,308 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,613 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,021 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 186.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 42.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217777, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 31 May 2017
Cost report for 1 June 2016 to 31 May 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,431,566 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,425,720 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,005,846 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,052,662 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$46,816 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$64 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$46,880 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$46,880 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,982 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,047 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 172.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 43.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1201344, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 31 May 2016
Cost report for 1 June 2015 to 31 May 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 February 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,981,060 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,134,525 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,846,535 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,468,703 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $377,832 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $953 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $378,785 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $378,785 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,952 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,076 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 187.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 43.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1152941, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 31 May 2015
Cost report for 1 June 2014 to 31 May 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 January 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,529,938 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,582,077 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,947,861 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,177,891 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$230,030 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,891 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$228,139 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$228,139 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,383 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 717 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 187.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117440, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 31 May 2014
Cost report for 1 June 2013 to 31 May 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 April 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,934,003 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,044,651 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,889,352 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,804,915 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$915,563 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,986 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$913,577 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$913,577 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,496 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 721 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 167.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088711, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 31 May 2013
Cost report for 1 June 2012 to 31 May 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 September 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,575,642 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,294,200 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,281,442 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,490,880 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$209,438 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $162 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$209,276 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$209,279 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,440 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 897 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 148.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077695, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 31 May 2012
Cost report for 1 June 2011 to 31 May 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 9 May 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,808,227 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,708,719 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,099,508 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,737,766 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $361,742 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,432 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $372,174 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $372,174 (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 | 155 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,069 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 920 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 126.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 55.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1028869, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 31 May 2011
Cost report for 1 June 2010 to 31 May 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,560,016 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,547,696 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,012,320 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,933 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,028,253 (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 | 155 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,649 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 887 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 221.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 55.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433438, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 31 May 2010
Cost report for 1 June 2009 to 31 May 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 September 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,016,436 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,795,368 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,221,068 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,004 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,246,072 (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 | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,091 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 873 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 309.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 55.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417322, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 31 May 2009
Cost report for 1 June 2008 to 31 May 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 June 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,899,236 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,444,510 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,454,726 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $45,138 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,499,864 (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 | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,762 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 885 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 312.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 53.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 377306, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 31 May 2008
Cost report for 21 December 2007 to 31 May 2008 — a reporting period of 162 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on 14 October 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,906,614 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,301,879 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $604,735 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,374 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $634,109 (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 | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,111 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 445 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 312.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 49.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 357804, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 20 December 2007
Cost report for 1 June 2007 to 20 December 2007 — a reporting period of 202 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 24 November 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,985,419 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,801,238 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $184,181 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30,650 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $214,831 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,113 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 578 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 212.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 46.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 328730, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 May 2006
Cost report for 1 June 2005 to 31 May 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 May 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,896,963 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,704,843 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $192,120 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $66,737 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $258,857 (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 | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,742 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 849 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 211.51 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 57.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 278710, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 31 May 2005
Cost report for 1 June 2004 to 31 May 2005 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 22 March 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,509,454 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,332,742 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $176,712 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $70,709 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $247,421 (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 | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,556 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 747 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 334 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 62.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 275689, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 31 May 2004
Cost report for 1 June 2003 to 31 May 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 3 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,250,189 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,447,053 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,803,136 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $61,653 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,864,789 (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 | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,261 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 675 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 517.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 71.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 215688, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 31 May 2003
Cost report for 1 June 2002 to 31 May 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,915,963 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,159,352 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,756,611 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $79,818 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,836,429 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,430 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 640 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 386.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 64.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 191546, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 31 May 2002
Cost report for 1 June 2001 to 31 May 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 October 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,996,959 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,673,454 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,323,505 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $163,514 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$198 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $2,487,217 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,015 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 619 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 316.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 66.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 161859, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 31 May 2001
Cost report for 1 January 2001 to 31 May 2001 — a reporting period of 150 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 3 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,470,644 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,591,321 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $879,323 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $63,281 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $15,388 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $927,216 (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 | 17,166 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 235 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 301.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 73.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 134275, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 June 2000 to 31 December 2000 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 15 March 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,202,984 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,454,248 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $748,736 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $82,272 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $33,295 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $797,713 (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 | 24,464 | 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 | 34.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 489.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 99.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 96059, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 May 1999
Cost report for 1 June 1998 to 31 May 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 October 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,004,489 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,362,194 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,642,295 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $110,429 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,315 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,745,409 (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 | 42,104 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 264 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 159.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 96055, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 May 1997
Cost report for 1 June 1996 to 31 May 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 June 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,118,348 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,648,139 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$529,791 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $294,138 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$235,653 (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 | 42,038 | 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 | 44.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 187.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 96052, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| VA PRO 7 SNF OPERATIONS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 02/01/2023 |
| CRG VA PRO 7 SNF HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 13% | since 02/01/2023 |
| HVH VA PRO 7 SNF OPERATIONS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 53% | since 02/01/2023 |
| PH VA LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 11% | since 02/01/2023 |
| IDELS, SHIMON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2023 |
| CARTER, SHUNTAY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/01/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of FAIR OAKS SNF OPERATIONS LLC (enrollment ID O20230620000443).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| VA PRO 7 SNF OPERATIONS HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| CRG VA PRO 7 SNF HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12.5 | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| HVH VA PRO 7 SNF OPERATIONS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 53.12 | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| LION 26 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25.89 | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| PH VA LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10.93 | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| SABRINA 1818 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25.89 | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| SAESSY IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24.62 | 2/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| TATIRIQ IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24.62 | 2/1/2023 | 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. | 2/1/2023 | 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. |
| SHUNTAY N CARTER | 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. | 2/1/2023 | 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. |
Changes in ownership
- 1 July 2026: SHUNTAY N CARTER 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: SHUNTAY N CARTER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2024: ROBERT SHARON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: PROMEDICA HEALTH SYSTEM, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: DAMIAN RODGERS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: KATHY DELIMBA no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HCR III HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: TIMOTHY ROBERTS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: FAIR OAKS SNF OPERATIONS MANAGER LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HCR MANORCARE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: ANDREA SYPE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HCR II HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HCR IV HEALTHCARE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: KATHRYN H HOOPS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: LUKE PILE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: DEAN SHIPMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HCR HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: MARTIN D ALLEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: MARTIN D ALLEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: VA PRO 7 SNF OPERATIONS HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: LION 26 HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: TATIRIQ IRREVOCABLE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: SHIMON IDELS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: CRG VA PRO 7 SNF HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HVH VA PRO 7 SNF OPERATIONS HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: PH VA LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: SAESSY IRREVOCABLE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: SABRINA 1818 HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: SHUNTAY N CARTER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 14 April 2023: HCR MANOR CARE SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: FAIR OAKS SNF OPERATIONS MANAGER LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Recent changes on this record
- 1 July 2026: SHUNTAY N CARTER 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: SHUNTAY N CARTER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 28 August 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 13 February 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 26 September 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 1 March 2024: ROBERT SHARON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: PROMEDICA HEALTH SYSTEM, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: DAMIAN RODGERS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: KATHY DELIMBA no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HCR III HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: TIMOTHY ROBERTS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: FAIR OAKS SNF OPERATIONS MANAGER LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HCR MANORCARE, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: ANDREA SYPE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HCR II HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HCR IV HEALTHCARE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: KATHRYN H HOOPS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: LUKE PILE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: DEAN SHIPMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HCR HEALTHCARE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: MARTIN D ALLEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: MARTIN D ALLEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: VA PRO 7 SNF OPERATIONS HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: LION 26 HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: TATIRIQ IRREVOCABLE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: SHIMON IDELS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: CRG VA PRO 7 SNF HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: HVH VA PRO 7 SNF OPERATIONS HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: PH VA LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: SAESSY IRREVOCABLE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: SABRINA 1818 HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: SHUNTAY N CARTER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 20 April 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 14 April 2023: HCR MANOR CARE SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: FAIR OAKS SNF OPERATIONS MANAGER LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 10 March 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 17 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 19 March 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 24 January 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 19 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 5 February 2025 | 5 February 2025 | 38 | 7 |
| 2 | 28 September 2022 | 28 September 2022 | 10 | 0 |
| 3 | 8 April 2021 | 8 April 2021 | 17 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
65 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 8 October 2025 | 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 | Yes | Deficient, Provider has date of correction | 3 November 2025 |
| 8 October 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | 3 November 2025 |
| 8 October 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | 3 November 2025 |
| 8 October 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | 3 November 2025 |
| 8 October 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | Yes | Deficient, Provider has date of correction | 3 November 2025 |
| 8 October 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | 3 November 2025 |
| 8 October 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 | Yes | Deficient, Provider has date of correction | 3 November 2025 |
| 8 October 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 3 November 2025 |
| 5 February 2025 | 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. | E | Yes | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | Yes | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | 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 | Yes | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | 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 | 10 March 2025 |
| 5 February 2025 | 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 | 10 March 2025 |
| 5 February 2025 | 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 | 10 March 2025 |
| 5 February 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | 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. | E | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | 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. | E | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | Health | F 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | D | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | 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 | 10 March 2025 |
| 5 February 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 | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | 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 | 10 March 2025 |
| 5 February 2025 | 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 | 10 March 2025 |
| 5 February 2025 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | Health | F 0710 | Nursing and Physician Services Deficiencies | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | Health | F 0712 | Nursing and Physician Services Deficiencies | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | 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 | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | 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 | 10 March 2025 |
| 5 February 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 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. | E | Yes | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | Health | F 0825 | Quality of Life and Care Deficiencies | Provide or get specialized rehabilitative services as required for a resident. | E | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 10 March 2025 |
| 5 February 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | 10 March 2025 |
| 31 July 2024 | 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 | Yes | Deficient, Provider has date of correction | 29 August 2024 |
| 31 July 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 29 August 2024 |
| 31 July 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | 29 August 2024 |
| 28 September 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 | 9 November 2022 |
| 28 September 2022 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | 9 November 2022 |
| 28 September 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 | 9 November 2022 |
| 28 September 2022 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | 9 November 2022 |
| 28 September 2022 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 9 November 2022 |
| 28 September 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 | 9 November 2022 |
| 28 September 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. | E | No | Deficient, Provider has date of correction | 9 November 2022 |
| 28 September 2022 | 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. | D | No | Deficient, Provider has date of correction | 9 November 2022 |
| 28 September 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. | E | No | Deficient, Provider has date of correction | 9 November 2022 |
| 28 September 2022 | Health | F 0849 | Administration Deficiencies | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | No | Deficient, Provider has date of correction | 9 November 2022 |
| 8 April 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 | 18 May 2021 |
| 8 April 2021 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 18 May 2021 |
| 8 April 2021 | 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 | 18 May 2021 |
| 8 April 2021 | 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 | 18 May 2021 |
| 8 April 2021 | 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 | 18 May 2021 |
| 8 April 2021 | Health | F 0659 | Resident Assessment and Care Planning Deficiencies | Provide care by qualified persons according to each resident's written plan of care. | D | No | Deficient, Provider has date of correction | 18 May 2021 |
| 8 April 2021 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 18 May 2021 |
| 8 April 2021 | 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 | 18 May 2021 |
| 8 April 2021 | Health | F 0696 | Quality of Life and Care Deficiencies | Provide appropriate care/assistance for a resident with a prosthesis. | D | No | Deficient, Provider has date of correction | 18 May 2021 |
| 8 April 2021 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 18 May 2021 |
| 8 April 2021 | 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 | 18 May 2021 |
| 8 April 2021 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | 18 May 2021 |
| 8 April 2021 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | No | Deficient, Provider has date of correction | 18 May 2021 |
| 8 April 2021 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 18 May 2021 |
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 | FAIR OAKS SNF OPERATIONS LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1990-09-06 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Fairfax |
| Telephone Number | 7033527172 |
| 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 | 155 |
| Average Number of Residents per Day | 145.6 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 1 July 2026: SHUNTAY N CARTER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for FAIR OAKS HEALTH & REHABILITATION
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 Virginia at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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