Velarion Records

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Skilled nursing facility · CMS certification number 495362

ASHLAND NURSING AND REHABILITATION

ASHLAND, Virginia · Medicare and Medicaid

Certified beds, as filed in Care Compare: 190

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 January 2025 to 31 May 2025 — a reporting period of 150 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 March 2026.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$10,005,594CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,618,499CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,387,095CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,034,682CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$352,413CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$900,256CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,252,669CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,252,669 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components28,690CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days381CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days16,777CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days7,227CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components24,385CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges7CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges64CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges93CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components164CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.43CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days262.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days148.69CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448769, read from the public cost report file SNF10FY2025.zip.

Fiscal year 2024, ended 31 December 2024

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 June 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$20,581,383CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,203,182CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,378,201CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,157,885CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$779,684CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$395,981CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$383,703CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$383,703 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components52,161CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components313CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.8CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days314.1CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days166.65CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1450629, 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 12 June 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$21,584,959CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,624,018CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,960,941CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,094,230CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$866,711CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$366,546CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,233,257CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,233,257 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components56,951CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components385CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days268.55CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days147.92CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1428995, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$17,666,624CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,541,042CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,125,582CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,173,228CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,047,646CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$278,827CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$768,819CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$768,819 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components48,352CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components291CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days304.31CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days166.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1371827, 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 8 May 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$18,317,479CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,774,760CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,542,719CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,158,283CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$615,564CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$541,610CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$73,954CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$73,954 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components51,355CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components290CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55.29CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days314.26CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days177.09CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1346913, 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 23 November 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$18,316,393CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,123,949CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,192,444CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,004,974CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$812,530CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$374,095CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$438,435CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$438,435 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components55,645CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components276CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days89.56CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days291.19CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days201.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305217, 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 24 March 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$18,536,644CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,658,325CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,878,319CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,016,090CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$137,771CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$5,579CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$143,350CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$143,350 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components60,809CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components337CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.56CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days330.19CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days180.44CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1281653, 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 12 February 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$18,469,703CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,022,117CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,447,586CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,960,744CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$486,842CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$6,118CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$480,724CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $480,724 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components61,845CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components360CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days39.62CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days171.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1250856, 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 20 September 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$17,926,651CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,846,351CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,080,300CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,682,605CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$397,695CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$9,619CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$388,076CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $388,076 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components62,580CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components349CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.75CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days322.87CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days179.31CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1243706, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 December 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$17,305,882CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,221,573CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,084,309CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,308,235CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$223,926CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$5,027CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$228,953CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$228,953 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components62,733CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components359CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.7CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days167.89CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days174.74CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1215920, 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 21 November 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$18,403,085CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,892,690CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,510,395CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,572,525CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$937,870CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,771CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$939,641CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $939,641 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components66,834CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components458CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.22CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days152.88CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days145.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1178746, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

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

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$17,306,526CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,602,280CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,704,246CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,146,725CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$442,479CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,829CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$432,650CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$432,650 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components65,827CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components780CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days306.46CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days84.39CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1146688, 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 8 May 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$17,769,702CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,579,953CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,189,749CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,354,997CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$165,248CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,286CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$159,962CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$159,962 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components65,695CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components507CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days269.37CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days129.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1090109, 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 15 May 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$17,914,201CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,133,470CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,780,731CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,352,705CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$428,026CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,261CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$431,287CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $431,287 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components66,322CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components481CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days379.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days137.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1059931, 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 19 April 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$16,710,698CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,740,972CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,969,726CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,440,609CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$470,883CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,778CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$468,105CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$468,105 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components64,393CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components495CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.89CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days266.07CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days130.09CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1027747, 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 17 April 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$12,421,136CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$12,099,651CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$321,485CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,918CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$13,973CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $341,376 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components65,191CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components372CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.49CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days441.28CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days175.24CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 427462, 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, reopened, processed by CMS on 10 November 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$12,404,826CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,915,487CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$489,339CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$15,958CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$21,121CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $526,418 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components65,451CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components293CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days44.58CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days572.98CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days223.38CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 420159, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

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

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$12,748,139CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,996,359CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$751,780CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$20,948CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $772,728 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components66,696CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components304CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53.27CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days488.03CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days219.39CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 371865, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 May 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$11,737,561CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$12,006,649CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$269,088CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$23,325CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$245,763 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components66,061CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components328CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days49.55CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days413.46CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days201.41CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 338909, 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 22 August 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$11,600,222CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,024,573CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$575,649CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$84,708CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $660,357 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components65,571CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components482CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days47.43CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days298.82CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days136.04CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 292510, 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 24 January 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$10,856,714CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,648,479CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$208,235CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$47,549CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $255,784 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components66,696CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components485CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days55.04CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days319.96CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days137.52CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 270958, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 22 May 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$9,680,288CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,501,073CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$179,215CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$46,889CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $226,104 (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.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components66,765CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components426CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days56.02CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days359.43CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days156.73CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 249897, 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 20 May 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$9,444,421CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,257,963CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$186,458CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$32,823CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $219,281 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components66,258CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components415CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days56.37CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days338.22CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days159.66CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 217647, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 8 July 2002 to 31 December 2002 — a reporting period of 176 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 27 April 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$7,633,566CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,430,822CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$797,256CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$42,571CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$754,685 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components190CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components64,525CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components286CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.66CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days323.15CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days225.61CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 174348, read from the public cost report file SNFFY2002.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
ASHLAND PARENTCO LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 05/01/2025
NTS HOLDCO LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 05/01/2025
VAOP HOLDCO LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 05/01/2025
OHI ASSETS (VA) ASHLAND, LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 05/01/2025
GHANNAM, WASEEMADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2026
HOBACK, TIFFANYADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2025
JONES, TEQUILLAADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2025
MCCAIN, SHALANDREAADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2025
MORGAN, DANIELADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2025
OHI ASSETS (VA) ASHLAND, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/01/2025
PALMER, DEVONADP OF THE SNFIndividualNOT APPLICABLEsince 03/04/2026
SNF MGR LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/16/2025
HOBACK, TIFFANYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/01/2025
MORGAN, DANIELMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/01/2025
GHANNAM, WASEEMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2026
HOBACK, TIFFANYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
JONES, TEQUILLAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
MCCAIN, SHALANDREAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
MORGAN, DANIELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
PALMER, DEVONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/04/2026
SNF MGR LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 05/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of 906 THOMPSON STREET OPCO LLC (enrollment ID O20250812003206).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
ASHLAND PARENTCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1005/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
NTS HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1005/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
NU C II IRREVOCABLE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST505/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
NU C IRREVOCABLE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST505/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
SNF CARE CENTERS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1005/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
VAOP HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1005/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
ZENITH HOLDCO II LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1005/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
ZENITH HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1005/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
OHI ASSETS (VA) ASHLAND, LLCOrganization5% OR GREATER SECURITY INTEREST1005/1/2025
Private equity company: No
Real estate investment trust: Yes
Holding company: No
DANIEL MORGANIndividualADP OF THE SNFCMS 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.5/1/2025
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.
DEVON PALMERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/4/2026
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.
OHI ASSETS (VA) ASHLAND, LLCOrganizationADP OF THE SNFCMS 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.5/1/2025
Private equity company: No
Real estate investment trust: Yes
Holding company: No
SHALANDREA JORDAN MCCAINIndividualADP OF THE SNFCMS 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.5/1/2025
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.
SNF MGR LLCOrganizationADP OF THE SNFCMS 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.4/16/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
TEQUILLA JONESIndividualADP OF THE SNFCMS 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.5/1/2025
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.
TIFFANY HOBACKIndividualADP OF THE SNFCMS 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.5/1/2025
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.
WASEEM GHANNAMIndividualADP OF THE SNFCMS 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.4/1/2026
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.
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.OrganizationADP OF THE SNFCMS 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.4/16/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
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.OrganizationADP OF THE SNFCMS 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.4/26/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
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.OrganizationADP OF THE SNFCMS 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.4/21/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
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.OrganizationADP OF THE SNFCMS 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.4/16/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
DANIEL MORGANIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.5/1/2025
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.
TIFFANY HOBACKIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.5/1/2025
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.
DANIEL MORGANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.5/1/2025
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.
DEVON PALMERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/4/2026
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.
SHALANDREA JORDAN MCCAINIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.5/1/2025
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.
SNF MGR LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS 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.5/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
TEQUILLA JONESIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.5/1/2025
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.
TIFFANY HOBACKIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.5/1/2025
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.
WASEEM GHANNAMIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.4/1/2026
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
19 February 20249 February 20241183
27 June 20227 June 2022136
36 February 20206 February 2020435

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

Deficiencies cited

174 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
2 July 2026HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction16 July 2026
2 July 2026HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesPast Non-Compliance10 June 2026
2 July 2026HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correction16 July 2026
18 March 2026HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DYesDeficient, Provider has date of correction29 April 2026
18 March 2026HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction16 July 2026
18 March 2026HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EYesDeficient, Provider has date of correction29 April 2026
18 March 2026HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JYesDeficient, Provider has date of correction29 April 2026
18 March 2026HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DYesDeficient, Provider has date of correction29 April 2026
18 March 2026HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correction16 July 2026
18 March 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesDeficient, Provider has date of correction2 July 2026
18 March 2026HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CYesDeficient, Provider has date of correction2 July 2026
18 March 2026HealthF 0838Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FYesDeficient, Provider has date of correction2 July 2026
18 March 2026HealthF 0941Administration DeficienciesDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.DYesDeficient, Provider has date of correction2 July 2026
18 March 2026HealthF 0942Resident Rights DeficienciesEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.DYesDeficient, Provider has date of correction2 July 2026
18 March 2026HealthF 0944Administration DeficienciesConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.DYesDeficient, Provider has date of correction2 July 2026
18 March 2026HealthF 0949Administration DeficienciesProvide behavior health training consistent with the requirements and as determined by a facility assessment.DYesDeficient, Provider has date of correction2 July 2026
21 August 2025HealthF 0553Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0557Resident Rights DeficienciesHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.FYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.EYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.EYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.EYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.EYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0680Quality of Life and Care DeficienciesEnsure the activities program is directed by a qualified professional.FYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0687Quality of Life and Care DeficienciesProvide appropriate foot care.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0745Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0802Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.EYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0809Nutrition and Dietary DeficienciesEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0838Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0840Administration DeficienciesEmploy or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.FYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0849Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0868Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyFYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0941Administration DeficienciesDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0942Resident Rights DeficienciesEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0943Freedom from Abuse, Neglect, and Exploitation DeficienciesGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0944Administration DeficienciesConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0945Infection Control DeficienciesInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0946Administration DeficienciesProvide training in compliance and ethics.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DYesDeficient, Provider has date of correction17 November 2025
21 August 2025HealthF 0949Administration DeficienciesProvide behavior health training consistent with the requirements and as determined by a facility assessment.DYesDeficient, Provider has date of correction17 November 2025
11 April 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DYesDeficient, Provider has date of correction7 May 2024
11 April 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.EYesDeficient, Provider has date of correction7 May 2024
11 April 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EYesDeficient, Provider has date of correction7 May 2024
11 April 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DYesDeficient, Provider has date of correction7 May 2024
11 April 2024HealthF 0700Quality of Life and Care DeficienciesTry 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.DYesDeficient, Provider has date of correction7 May 2024
11 April 2024HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.DYesDeficient, Provider has date of correction7 May 2024
11 April 2024HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.DYesDeficient, Provider has date of correction7 May 2024
11 April 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correction7 May 2024
9 February 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0559Resident Rights DeficienciesHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.ENoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0622Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.ENoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0625Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.ENoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EYesDeficient, Provider has date of correction7 May 2024
9 February 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.EYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0675Quality of Life and Care DeficienciesHonor each resident's preferences, choices, values and beliefs.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0676Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.EYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.EYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0680Quality of Life and Care DeficienciesEnsure the activities program is directed by a qualified professional.FNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction7 May 2024
9 February 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.EYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0687Quality of Life and Care DeficienciesProvide appropriate foot care.DYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DYesDeficient, Provider has date of correction7 May 2024
9 February 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correction7 May 2024
9 February 2024HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.ENoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0699Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0700Quality of Life and Care DeficienciesTry 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.DNoDeficient, Provider has date of correction7 May 2024
9 February 2024HealthF 0712Nursing and Physician Services DeficienciesEnsure that the resident and his/her doctor meet face-to-face at all required visits.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.ENoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.ENoDeficient, Provider has date of correction7 May 2024
9 February 2024HealthF 0740Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.DYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0745Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.DYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0776Administration DeficienciesProvide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0791Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.EYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0809Nutrition and Dietary DeficienciesEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0810Nutrition and Dietary DeficienciesProvide special eating equipment and utensils for residents who need them and appropriate assistance.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correction7 May 2024
9 February 2024HealthF 0843Administration DeficienciesHave an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.ENoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0887Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0909Environmental DeficienciesRegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.DYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0940Administration DeficienciesDevelop, implement, and/or maintain an effective training program for all new and existing staff members.ENoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0941Administration DeficienciesDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.DYesDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0942Resident Rights DeficienciesEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0943Freedom from Abuse, Neglect, and Exploitation DeficienciesGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.ENoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0944Administration DeficienciesConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0946Administration DeficienciesProvide training in compliance and ethics.DNoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.ENoDeficient, Provider has date of correction11 April 2024
9 February 2024HealthF 0949Administration DeficienciesProvide behavior health training consistent with the requirements and as determined by a facility assessment.DNoDeficient, Provider has date of correction11 April 2024
20 November 2023HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction19 December 2023
20 November 2023HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DYesDeficient, Provider has date of correction19 December 2023
20 November 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction19 December 2023
7 September 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correction17 October 2023
7 September 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correction17 October 2023
7 September 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EYesDeficient, Provider has date of correction17 October 2023
7 September 2023HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DYesDeficient, Provider has date of correction17 October 2023
7 September 2023HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EYesDeficient, Provider has date of correction17 October 2023
7 September 2023HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EYesDeficient, Provider has date of correction17 October 2023
7 September 2023HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.EYesDeficient, Provider has date of correction17 October 2023
7 September 2023HealthF 0800Nutrition and Dietary DeficienciesProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EYesDeficient, Provider has date of correction17 October 2023
7 September 2023HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DYesDeficient, Provider has date of correction17 October 2023
7 September 2023HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.EYesDeficient, Provider has date of correction17 October 2023
7 September 2023HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DYesDeficient, Provider has date of correction17 October 2023
7 September 2023HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correction17 October 2023
7 September 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction17 October 2023
7 June 2022HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction12 July 2022
7 June 2022HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.ENoDeficient, Provider has date of correction12 July 2022
7 June 2022HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction12 July 2022
7 June 2022HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction12 July 2022
7 June 2022HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction12 July 2022
7 June 2022HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction12 July 2022
7 June 2022HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction12 July 2022
7 June 2022HealthF 0745Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.DNoDeficient, Provider has date of correction12 July 2022
7 June 2022HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction12 July 2022
7 June 2022HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correction12 July 2022
7 June 2022HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DNoDeficient, Provider has date of correction12 July 2022
7 June 2022HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction12 July 2022
7 June 2022HealthF 0840Administration DeficienciesEmploy or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.DNoDeficient, Provider has date of correction12 July 2022
6 February 2020HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DNoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.ENoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0622Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DNoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DNoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.ENoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.ENoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.ENoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.ENoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0836Administration DeficienciesEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DNoPast Non-Compliance18 April 2019
6 February 2020HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction10 March 2020
6 February 2020HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.DNoDeficient, Provider has date of correction10 March 2020

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
18 March 2026Fine$36,491138857
18 March 2026Payment Denial18 June 202628

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business Name906 THOMPSON STREET OPCO LLC
Date First Approved to Provide Medicare and Medicaid Services2002-07-08
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishHanover
Telephone Number8047983291
Chain NameAVARDIS HEALTH
Chain ID843
Special Focus StatusSFF Candidate
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds190
Average Number of Residents per Day157.4
Overall Rating1
Health Inspection Rating1
QM Rating2
Long-Stay QM Rating2
Short-Stay QM Rating2
Processing Date2026-08-01

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

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