Velarion Records

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Skilled nursing facility · CMS certification number 495337

AUGUST HEALTHCARE AT LEEWOOD

ANNANDALE, Virginia · Medicare and Medicaid

Certified beds, as filed in Care Compare: 157

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 April 2023 to 31 March 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 January 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$16,205,529CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$687,111CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,518,418CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,721,609CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,796,809CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$251,497CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,048,306CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,048,306 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components132CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components48,312CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days4,617CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days28,304CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days6,501CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components39,422CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges122CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges85CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges91CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components298CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days332.99CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days132.29CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1446891, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2023, ended 31 March 2023

Cost report for 1 April 2022 to 31 March 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 January 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$15,687,645CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,108,880CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,578,765CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,733,571CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,845,194CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$233,091CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,078,285CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,078,285 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,203CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components430CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.73CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days468CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days93.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1401880, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended 31 March 2022

Cost report for 1 April 2021 to 31 March 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 March 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$15,814,151CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,859,644CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,954,507CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,826,088CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,128,419CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$120,865CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,007,554CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,007,552 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components43,019CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components178CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,544CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days241.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344388, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2021, ended 31 March 2021

Cost report for 24 November 2020 to 31 March 2021 — a reporting period of 127 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 10 February 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$7,187,067CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,830,170CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,356,897CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,820,745CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$536,152CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$75,029CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$611,181CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $611,181 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,844CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components245CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days49.52CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days56.51CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1342245, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 23 November 2020

Cost report for 1 January 2020 to 23 November 2020 — a reporting period of 327 days, on form CMS-2540-10, settled, processed by CMS on 8 February 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$14,420,022CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,814,220CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,605,802CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,088,815CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$516,987CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,201,067CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,718,054CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,718,052 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,908CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components265CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.54CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days23.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days139.28CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1310114, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 April 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$18,301,491CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,414,913CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,886,578CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,132,903CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$753,675CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$26,701CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$780,376CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $780,375 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components50,516CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components363CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.97CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days49.57CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days139.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1282961, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 February 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$17,129,318CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,160,805CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,968,513CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,677,035CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$291,478CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$68,451CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$359,929CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $359,929 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components50,622CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components345CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.99CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days74.18CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days146.73CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1251641, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$17,166,901CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,001,000CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,165,901CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,703,261CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$462,640CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,718CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$469,358CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $469,364 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components51,356CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components405CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.39CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days562.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days126.8CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1242659, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$15,836,205CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,086,879CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,749,326CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,199,968CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$549,358CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$21,795CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$571,153CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $571,153 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components55,523CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components371CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.58CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days639.32CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days149.66CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209455, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$16,361,561CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,231,627CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,129,934CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,961,141CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,168,793CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$24,741CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,193,534CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,193,534 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components54,003CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components414CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days410.91CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days130.44CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1151366, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 November 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$16,985,649CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,809,872CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,175,777CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,883,743CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,292,034CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$2,521CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,289,513CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,289,513 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components56,132CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components310CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days414.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days181.07CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1146684, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 May 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$16,051,272CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,695,726CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,355,546CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,822,927CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$532,619CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$10,460CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$543,079CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $543,079 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components53,154CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components333CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.44CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days387CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days159.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1089886, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$16,354,375CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,134,277CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,220,098CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,587,738CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$632,360CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$29,393CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$661,753CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $661,753 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components51,164CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components443CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days287.69CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days115.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1057979, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 March 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$15,333,808CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,025,145CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,308,663CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,601,954CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$706,709CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$12,695CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$719,404CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $716,627 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components52,666CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components329CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.93CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days390.05CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days160.08CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1025611, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 18 May 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$11,209,507CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,117,512CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$91,995CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$15,123CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $107,118 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components53,376CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components211CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days36.68CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,394.2CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days252.97CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 429232, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 December 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$11,777,090CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,587,744CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$189,346CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$14,940CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $204,286 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components56,301CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components360CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.28CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days247.08CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days156.39CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 391722, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 1 June 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$11,178,381CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,887,293CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$291,088CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$13,645CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $304,733 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components56,201CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components417CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.49CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days281.78CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days134.77CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 371863, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 April 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$11,006,977CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,144,153CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$137,176CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$8,019CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$129,157 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components58,094CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components319CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.75CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days464.05CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days182.11CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 337958, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 March 2006 to 31 December 2006 — a reporting period of 305 days, on form CMS-2540-96, settled, processed by CMS on 22 August 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$7,944,506CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,208,002CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$1,263,496CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$27,291CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,236,205 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,163CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components413CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.57CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days275.75CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days109.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 292509, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 28 February 2005

Cost report for 1 March 2004 to 28 February 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 June 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$9,732,778CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,912,064CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$179,286CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$88,347CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$146CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$91,085 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components52,153CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components452CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days51.44CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days406.41CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days115.38CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 252634, read from the public cost report file SNFFY2004.zip.

Fiscal year 2004, ended 29 February 2004

Cost report for 1 March 2003 to 29 February 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 9 September 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$9,492,919CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,769,664CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$276,745CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$103,457CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$173,288 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components53,010CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components377CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days48.6CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days439.42CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days140.61CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 232693, read from the public cost report file SNFFY2003.zip.

Fiscal year 2003, ended 28 February 2003

Cost report for 1 March 2002 to 28 February 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 April 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$8,855,595CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,396,423CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$1,540,828CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$105,791CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$1,435,038 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components52,835CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components247CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.72CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days368.51CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days213.91CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 215568, read from the public cost report file SNFFY2002.zip.

Fiscal year 2002, ended 28 February 2002

Cost report for 1 March 2001 to 28 February 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 November 2003.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$7,492,075CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,720,158CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$1,228,083CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$105,550CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,122,533 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components172CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components53,560CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components266CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.02CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days414.43CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days201.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 162845, read from the public cost report file SNFFY2001.zip.

Fiscal year 2001, ended 28 February 2001

Cost report for 1 March 2000 to 28 February 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 September 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$7,095,829CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,753,715CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$2,657,886CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$76,479CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$2,581,408 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components176CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components52,534CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components162CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.02CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days592CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days324.28CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 159638, read from the public cost report file SNFFY2000.zip.

Fiscal year 2000, ended 29 February 2000

Cost report for 1 April 1999 to 29 February 2000 — a reporting period of 334 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$6,564,521CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,204,019CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$639,498CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$81,752CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$557,746 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components176CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components51,249CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components157CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.09CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days461.83CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days326.43CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 124502, read from the public cost report file SNFFY1999.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
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.Ownership Data Not AvailableCMS 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.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.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.

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ANNANDALE VA OPCO LLC (enrollment ID O20210331002113).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
HC FAMILY TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST501/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
ZANZIPER FAMILY TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST501/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
BATYA GORELICKIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
INA BELVIYIndividualW-2 MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
117 March 202217 March 2022220
28 November 20188 November 201899
330 August 201730 August 201753

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

Deficiencies cited

36 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
30 April 2026HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.JYesDeficient, Provider has date of correction10 June 2026
30 April 2026HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction10 June 2026
30 April 2026HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction10 June 2026
17 March 2022HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DNoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0622Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.ENoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.ENoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0625Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.ENoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.ENoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.ENoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DNoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.FNoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.ENoDeficient, Provider has date of correction20 April 2022
17 March 2022HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction20 April 2022
8 November 2018HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DNoDeficient, Provider has date of correction30 November 2018
8 November 2018HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correction30 November 2018
8 November 2018HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction12 November 2018
8 November 2018HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction8 November 2018
8 November 2018HealthF 0744Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.ENoDeficient, Provider has date of correction12 November 2018
8 November 2018HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction8 November 2018
8 November 2018HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction21 November 2018
8 November 2018HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correction8 November 2018
8 November 2018HealthF 0808Nutrition and Dietary DeficienciesEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DNoDeficient, Provider has date of correction8 November 2018
30 August 2017HealthF 0240Resident Rights DeficienciesProvide care for each resident in a way that maintains or improves their quality of life.DNoDeficient, Provider has date of correction6 October 2017
30 August 2017HealthF 0279Resident Assessment and Care Planning DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction6 October 2017
30 August 2017HealthF 0309Quality of Life and Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident .DNoDeficient, Provider has date of correction6 October 2017
30 August 2017HealthF 0328Quality of Life and Care DeficienciesProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.DNoDeficient, Provider has date of correction6 October 2017
30 August 2017HealthF 0518Administration DeficienciesTrain all employees on what to do in an emergency, and carry out unannounced staff drills.DNoDeficient, Provider has date of correction6 October 2017

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
30 April 2026Fine$25,488140293

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameLegal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid Services1999-04-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishFairfax
Telephone Number7032569770
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds157
Average Number of Residents per Day141.4
Overall Rating2
Health Inspection Rating1
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating5
Processing Date2026-08-01

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

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