Skilled nursing facility · CMS certification number 495339
HOLLY MANOR REHAB AND NURSING
FARMVILLE, Virginia · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 3 December 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,364,644 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,823,001 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,541,643 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,962,675 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,578,968 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,484 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,586,452 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,586,452 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,800 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 7,831 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 22,423 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,232 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 38,486 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 216 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 239 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 88 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 543 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 93.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1443480, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 30 June 2024
Cost report for 1 January 2024 to 30 June 2024 — a reporting period of 181 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 8 June 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,264,606 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,402,866 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,861,740 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,102,790 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$241,050 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,669 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$234,381 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$234,384 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,595 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 326 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 72.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 60.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450267, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,577,057 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,497,628 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,079,429 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,080,014 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $999,415 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $51,175 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,050,590 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,050,587 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,297 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 763 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 56.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 50.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1435691, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 May 2022 to 31 December 2022 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 13 March 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,922,934 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,896,385 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,026,549 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,203,495 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$176,946 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,684 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$142,262 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$142,262 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,502 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 316 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 328.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1374911, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,289,912 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,701,113 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,588,799 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,919,034 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$330,235 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $174,709 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$155,526 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $508,933 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,306 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 479 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 8.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343082, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 November 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,114,626 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,087,758 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,026,868 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,047,012 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$20,144 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,237,545 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,217,401 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,387,776 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,402 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 423 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 19.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305427, 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 26 April 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,249,198 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,156,166 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,093,032 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,731,126 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $361,906 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$156,286 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $205,620 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $276,625 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,501 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 556 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 27.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282912, 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 24 February 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,827,493 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,001,081 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,826,412 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,109,998 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $716,414 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $125,014 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $841,428 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $755,936 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,626 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 520 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 45.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251393, 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 18 October 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,841,449 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,682,153 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,159,296 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,275,118 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,884,178 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $112,815 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,996,993 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,428,222 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,615 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 541 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 281.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1244700, 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 7 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,537,425 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,830,336 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,707,089 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,810,701 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $896,388 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $96,078 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $992,466 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $723,330 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,865 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 560 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 295.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1215197, 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 10 November 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,434,749 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,563,296 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,871,453 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,245,634 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $625,819 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $89,530 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $715,349 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $608,530 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,636 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 495 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 415.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1178262, 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 25 October 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,714,659 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,487,986 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,226,673 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,925,273 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $301,400 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $87,132 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $388,532 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $178,777 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,619 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 467 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 459.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1145423, 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 13 May 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,339,516 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,017,584 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,321,932 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,063,316 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $258,616 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $93,284 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $351,900 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $242,183 (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 | 152 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,939 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 563 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 314.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1090406, 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 7 May 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,182,860 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,156,769 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,026,091 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,140,045 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$113,954 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $361,864 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $247,910 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $221,538 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,176 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 629 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 331.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1059477, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 May 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,232,033 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,810,549 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,421,484 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,383,707 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $37,777 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $91,714 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $129,491 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $223,416 (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 | 153 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,039 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 608 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 357.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1028951, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 April 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,506,325 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,941,972 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $564,353 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,854,153 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,623,123 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $795,383 (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 | 46,804 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 362 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 775.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 129.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428208, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,421,675 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,102,031 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $319,644 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,549,559 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,384,903 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $484,300 (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 | 46,512 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 326 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 716.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 142.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 391724, 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 23 April 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,884,181 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,728,021 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $156,160 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,400,994 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,954,019 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $603,135 (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 | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,793 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 395 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 563.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 105.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 367876, 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, reopened, processed by CMS on 4 August 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,002,933 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,975,272 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $27,661 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,600,892 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,059,929 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $568,624 (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 | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,095 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 384 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 381.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 114.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 353610, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 July 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,534,469 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,611,228 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$76,759 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,667,312 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,094,628 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $495,925 (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 | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,596 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 365 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,642 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 122.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 290017, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 August 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,384,100 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,986,842 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$602,742 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,193,467 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,630,304 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$39,579 (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 | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,088 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 277 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 837.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 148.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261916, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 February 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,584,854 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,945,993 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$361,139 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,431,875 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,769,054 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $301,682 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,280 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 192 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,905 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 209.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243680, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 September 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,794,872 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,532,507 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $262,365 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,820,232 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,637,493 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $445,104 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,975 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 221 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 602.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 180.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 232291, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 January 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,340,146 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,025,699 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $314,447 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,708,042 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,497,647 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $524,842 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,743 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 220 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 176.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 167389, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 August 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,696,171 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,595,662 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $100,509 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,706,912 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,348,029 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $459,392 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,084 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 233 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 159.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 158152, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 15 March 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,372,621 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,251,626 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $120,995 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,538,004 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,274,205 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $384,794 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,671 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 143 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 270.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 73488, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 June 1999 to 31 December 1999 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 26 September 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,811,936 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,816,829 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$4,893 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,413,714 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,096,925 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $311,896 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,412 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 83 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 486.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 73487, 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.
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 |
|---|---|---|---|---|
| HOLLY MANOR SNF OPERATIONS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/01/2022 |
| FARMVILLE OPERATIONS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/01/2022 |
| IDELS, SHIMON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2021 |
| PRESTON, ZACH | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 05/01/2022 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HOLLY MANOR SNF OPERATIONS LLC (enrollment ID O20220721003803).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| HOLLY MANOR SNF OPERATIONS HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| DELILAH 2626 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5 | 5/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| FARMVILLE OPERATIONS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| LION 26 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47.5 | 5/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| SABRINA 1818 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47.5 | 5/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| SAESSY IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45.2 | 5/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| TATIRIQ IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45.2 | 5/1/2022 | 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. | 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. |
| ZACH PRESTON | 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. | 5/1/2022 | 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
- 1 January 2023: UMA DAS MUNSHI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: SHIMON IDELS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 30 November 2022: BRENDA W BARIL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: BRENDA W BARIL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: WILLIAM MCGUIRE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: LORINDA SAUER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: ROBERT SHOWALTER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: ROBERT SHOWALTER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: LEROY O PFEIFFER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: HENRY BOOTH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: HENRY BOOTH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: ROBERT M MASON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: HUNTER R WATSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: GREGORY COLE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: GREGORY COLE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: GREGORY COLE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: LION 26 HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: TATIRIQ IRREVOCABLE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: DELILAH 2626 HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: FARMVILLE OPERATIONS HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: HOLLY MANOR SNF OPERATIONS HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: UMA DAS MUNSHI appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: ZACH PRESTON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: SAESSY IRREVOCABLE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: SABRINA 1818 HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
Recent changes on this record
- 8 June 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 3 December 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 28 August 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 13 March 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 1 February 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 23 February 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 1 January 2023: UMA DAS MUNSHI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: SHIMON IDELS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 30 November 2022: BRENDA W BARIL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: BRENDA W BARIL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: WILLIAM MCGUIRE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: LORINDA SAUER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: ROBERT SHOWALTER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: ROBERT SHOWALTER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: LEROY O PFEIFFER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: HENRY BOOTH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: HENRY BOOTH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: ROBERT M MASON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: HUNTER R WATSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: GREGORY COLE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: GREGORY COLE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: GREGORY COLE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: LION 26 HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: TATIRIQ IRREVOCABLE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: DELILAH 2626 HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: FARMVILLE OPERATIONS HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: HOLLY MANOR SNF OPERATIONS HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: UMA DAS MUNSHI appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: ZACH PRESTON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: SAESSY IRREVOCABLE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: SABRINA 1818 HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 24 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 26 April 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 24 February 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 18 October 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 7 December 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 10 November 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 25 October 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 13 May 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 7 May 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 30 August 2024 | 30 August 2024 | 31 | 0 |
| 2 | 17 November 2022 | 17 November 2022 | 47 | 1 |
| 3 | 30 June 2021 | 30 June 2021 | 17 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
95 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 5 June 2025 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Yes | Deficient, Provider has date of correction | 26 August 2025 |
| 5 June 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 | 26 August 2025 |
| 5 June 2025 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Yes | Deficient, Provider has date of correction | 26 August 2025 |
| 5 June 2025 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Yes | Deficient, Provider has date of correction | 26 August 2025 |
| 5 June 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 | Yes | Deficient, Provider has date of correction | 26 August 2025 |
| 5 June 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 | Yes | Deficient, Provider has date of correction | 26 August 2025 |
| 5 June 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 | 26 August 2025 |
| 5 June 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 | Yes | Deficient, Provider has date of correction | 26 August 2025 |
| 5 June 2025 | 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 | 26 August 2025 |
| 5 June 2025 | 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 | 26 August 2025 |
| 5 June 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | E | Yes | Deficient, Provider has date of correction | 26 August 2025 |
| 5 June 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 | Yes | Deficient, Provider has date of correction | 26 August 2025 |
| 5 June 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Yes | Deficient, Provider has date of correction | 26 August 2025 |
| 5 June 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | Yes | Deficient, Provider has date of correction | 26 August 2025 |
| 5 June 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | Yes | Deficient, Provider has date of correction | 26 August 2025 |
| 5 June 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | 26 August 2025 |
| 5 June 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 | 26 August 2025 |
| 30 August 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. | E | No | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | No | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Yes | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Yes | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | 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 | 30 October 2024 |
| 30 August 2024 | 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 | 30 October 2024 |
| 30 August 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Yes | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | Yes | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | E | No | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | No | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Yes | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | 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 | Yes | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Yes | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | 30 October 2024 |
| 30 August 2024 | Health | F 0947 | Nursing and Physician Services Deficiencies | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | No | Deficient, Provider has date of correction | 30 October 2024 |
| 7 May 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 | 21 June 2024 |
| 7 May 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 21 June 2024 |
| 7 May 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | 21 June 2024 |
| 7 May 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 | 21 June 2024 |
| 7 May 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 | 21 June 2024 |
| 7 May 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 21 June 2024 |
| 12 September 2023 | 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 | Yes | Deficient, Provider has date of correction | 13 October 2023 |
| 12 September 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | 13 October 2023 |
| 12 September 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 13 October 2023 |
| 12 September 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | 13 October 2023 |
| 17 November 2022 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | 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 | 25 December 2022 |
| 17 November 2022 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Past Non-Compliance | 11 November 2022 |
| 17 November 2022 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | 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 | 25 December 2022 |
| 17 November 2022 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | E | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | 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 | 25 December 2022 |
| 17 November 2022 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 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 | 25 December 2022 |
| 17 November 2022 | Health | F 0839 | Administration Deficiencies | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | F | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 15 December 2022 |
| 17 November 2022 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | C | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0888 | Infection Control Deficiencies | Ensure staff are vaccinated for COVID-19 | C | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0940 | Administration Deficiencies | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | No | Deficient, Provider has date of correction | 25 December 2022 |
| 17 November 2022 | Health | F 0943 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | No | Deficient, Provider has date of correction | 25 December 2022 |
| 30 June 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 | 1 August 2021 |
| 30 June 2021 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 1 August 2021 |
| 30 June 2021 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 1 August 2021 |
| 30 June 2021 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | E | No | Deficient, Provider has date of correction | 1 August 2021 |
| 30 June 2021 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | B | No | Deficient, Provider has date of correction | 1 August 2021 |
| 30 June 2021 | 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 | 1 August 2021 |
| 30 June 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. | D | No | Deficient, Provider has date of correction | 1 August 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 | HOLLY MANOR SNF OPERATIONS LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1999-06-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Prince Edward |
| Telephone Number | 4343926106 |
| 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 | 120 |
| Average Number of Residents per Day | 111.9 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on HOLLY MANOR REHAB AND NURSING: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 8 June 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for HOLLY MANOR REHAB AND NURSING
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.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 495339.