Skilled nursing facility · CMS certification number 495366
LAKE PRINCE WOODS, INC
SUFFOLK, Virginia · Medicare
Certified beds, as filed in Care Compare: 40
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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 March 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,650,048 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $345,392 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,304,656 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,361,872 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,057,216 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,112,262 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $55,046 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $55,046 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 14,640 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,338 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 6,323 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 9,661 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 83 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 74 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 157 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 61.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405677, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 30 September 2023
Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 February 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,683,845 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $248,795 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,435,050 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,428,487 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$993,437 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,634,691 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $641,254 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $641,254 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,711 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 68.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1374024, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 30 September 2022
Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,940,457 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $180,781 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,759,676 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,527,942 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,768,266 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,452,876 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$315,390 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$315,390 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,026 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 15.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 62.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341652, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 30 September 2021
Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 February 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,063,814 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $135,988 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,927,826 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,236,806 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,308,980 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,204,941 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,104,039 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,104,039 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,842 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 113.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310613, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 30 September 2020
Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 March 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,259,169 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $309,260 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,949,909 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,288,516 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,338,607 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,972,839 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $634,232 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $634,232 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,274 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 61.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280767, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 30 September 2019
Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 February 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,043,436 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $622,110 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,421,326 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,819,272 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,397,946 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $989,566 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$408,380 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$408,380 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,017 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 202 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 44.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251355, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 30 September 2018
Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 February 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,399,223 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $556,682 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,842,541 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,877,634 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,035,093 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,057,154 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $22,061 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $22,061 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,799 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 67.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218949, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 30 September 2017
Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 February 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,289,477 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $521,043 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,768,434 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,912,687 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,144,253 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,140,131 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,122 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,122 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,514 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 157 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 66.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1184071, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 30 September 2016
Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 9 February 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,949,146 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $496,858 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,452,288 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,142,090 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,689,802 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $861,956 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$827,846 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$827,846 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,551 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 73.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1152628, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 September 2015
Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 February 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,855,027 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $558,569 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,296,458 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,964,670 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,668,212 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $903,024 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$765,188 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$765,188 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,097 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 153 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 72.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119304, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 30 September 2014
Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 March 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,551,362 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $595,370 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,955,992 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,915,785 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,959,793 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,084,109 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$875,684 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$875,684 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,072 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 157 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 70.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1086578, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 30 September 2013
Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 March 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,306,684 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $377,258 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,929,426 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,076,810 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,147,384 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $796,220 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$351,164 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$351,164 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,199 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 111 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 100.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056368, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 30 September 2012
Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 March 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,398,787 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $388,739 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,010,048 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,918,343 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$908,295 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $662,027 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$246,268 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$246,268 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,979 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 143 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 83.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1026049, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 30 September 2011
Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 March 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,577,887 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,192,163 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,614,276 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $667,172 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$947,104 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,494 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 129 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 89.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 425316, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended 30 September 2010
Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 February 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,717,070 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,266,356 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,549,286 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $672,160 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$877,126 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,783 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 157 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 75.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 394660, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 30 September 2009
Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 April 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,884,184 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,289,051 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,404,867 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $405,699 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$999,168 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,759 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 72.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 368492, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 30 September 2008
Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 April 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,312,715 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,635,727 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,323,012 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $634,970 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$688,042 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,542 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 87.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 336684, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 30 September 2007
Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 March 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,499,020 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,205,747 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,706,727 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $410,956 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,295,771 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,896 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 134.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 304395, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 30 September 2006
Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 March 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,031,369 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,503,171 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,471,802 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $372,193 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,099,609 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,621 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 98.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 276057, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 30 September 2005
Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 October 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,978,803 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,402,768 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,423,965 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $532,050 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$891,915 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,193 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 195 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 67.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264166, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 30 September 2004
Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 22 June 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,535,651 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,031,667 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$2,496,016 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $542,302 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,953,714 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,116 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 157 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 89.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 224619, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 30 September 2003
Cost report for 14 January 2003 to 30 September 2003 — a reporting period of 259 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 11 May 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,189,807 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,704,426 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$2,514,619 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $358,006 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$2,156,613 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 7,053 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 86 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 82.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 176024, read from the public cost report file SNFFY2003.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| EVERYAGE | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 09/13/2019 |
| ABERNETHY, JULIUS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| ALCORN, GREGORY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2021 |
| BOLICK, LAWRENCE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2020 |
| BRANCH, ANTHONY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2017 |
| CLAPP, KENNETH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| ERDMAN, CHARLES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| EVERYAGE | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/15/2025 |
| GILLIAM, JEFFREY J | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2020 |
| GRAY, PAUL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2023 |
| HAJIMOMENIAN, AMIR | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/11/2018 |
| HORTON, MICHELLE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| HOWELL, PARKER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2013 |
| JONES, TAMMY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2023 |
| MADDOX, LAMONT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| MARCH, MILLS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2018 |
| SMITH, SHANE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| SPIVEY, BRANDI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/15/2025 |
| STONE, SUSAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| STREET, JODY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2023 |
| SULLIVAN, DIANA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| SYRIA, LEE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2012 |
| THIE, RONALD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2015 |
| TOBIN, CORY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2020 |
| WILEY, MARGARET | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2018 |
| WOOD, KATHY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2024 |
| ABERNETHY, JULIUS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2022 |
| ALCORN, GREGORY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2021 |
| BOLICK, LAWRENCE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2020 |
| BRANCH, ANTHONY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2017 |
| CLAPP, KENNETH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2025 |
| ERDMAN, CHARLES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| GILLIAM, JEFFREY J | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2020 |
| GRAY, PAUL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2023 |
| HORTON, MICHELLE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2022 |
| HOWELL, PARKER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2013 |
| MADDOX, LAMONT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| MARCH, MILLS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2018 |
| SMITH, SHANE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2022 |
| STONE, SUSAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2025 |
| STREET, JODY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2023 |
| SULLIVAN, DIANA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| THIE, RONALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2015 |
| TOBIN, CORY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2020 |
| WILEY, MARGARET | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2018 |
| WOOD, KATHY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| JONES, TAMMY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2023 |
| REIMANN, AIMEE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/01/2013 |
| SYRIA, LEE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2012 |
| EVERYAGE | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/13/2019 |
| SYRIA, LEE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2012 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LAKE PRINCE CENTER, INC. (enrollment ID O20020913000002).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| EVERYAGE | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 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. | 9/13/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| EVERYAGE | Organization | 5% OR GREATER SECURITY INTEREST | 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. | 9/13/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMIR HAJIMOMENIAN | Individual | ADP OF THE SNF | 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. | 4/11/2018 | 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. |
| ANTHONY BRANCH | Individual | ADP OF THE SNF | 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. | 10/1/2017 | 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. |
| BRANDI SPIVEY | Individual | ADP OF THE SNF | 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. | 12/15/2025 | 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. |
| CHARLES W ERDMAN | Individual | ADP OF THE SNF | 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. | 10/1/2024 | 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. |
| CORY SCOTT TOBIN | Individual | ADP OF THE SNF | 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. | 10/1/2020 | 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. |
| DIANA R SULLIVAN | Individual | ADP OF THE SNF | 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. | 10/1/2024 | 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. |
| EVERYAGE | Organization | ADP OF THE SNF | 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. | 12/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| GREGORY ALCORN | Individual | ADP OF THE SNF | 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. | 10/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JEFFREY J GILLIAM | Individual | ADP OF THE SNF | 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. | 10/1/2020 | 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. |
| JODY STREET | Individual | ADP OF THE SNF | 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. | 10/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JULIUS W ABERNETHY | Individual | ADP OF THE SNF | 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. | 10/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KATHY WOOD | Individual | ADP OF THE SNF | 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. | 10/1/2024 | 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. |
| KENNETH WAYNE CLAPP | Individual | ADP OF THE SNF | 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. | 10/1/2025 | 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. |
| LAMONT D MADDOX | Individual | ADP OF THE SNF | 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. | 10/1/2024 | 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. |
| LAWRENCE RAY BOLICK | Individual | ADP OF THE SNF | 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. | 10/1/2020 | 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. |
| LEE B SYRIA | Individual | ADP OF THE SNF | 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. | 10/1/2012 | 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. |
| MARGARET N WILEY | Individual | ADP OF THE SNF | 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. | 10/1/2018 | 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. |
| MICHELLE HORTON | Individual | ADP OF THE SNF | 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. | 10/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MILLS HUNTER MARCH | Individual | ADP OF THE SNF | 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. | 10/1/2018 | 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. |
| PARKER DAUGHTRY HOWELL | Individual | ADP OF THE SNF | 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. | 10/1/2013 | 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. |
| PAUL ALLEN GRAY | Individual | ADP OF THE SNF | 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. | 10/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RONALD BRADLEY THIE | Individual | ADP OF THE SNF | 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. | 10/1/2015 | 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. |
| SHANE SMITH | Individual | ADP OF THE SNF | 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. | 10/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SUSAN STONE | Individual | ADP OF THE SNF | 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. | 10/1/2025 | 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. |
| TAMMY JONES | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ANTHONY BRANCH | Individual | CORPORATE DIRECTOR | 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. | 10/1/2017 | 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. |
| CHARLES W ERDMAN | Individual | CORPORATE DIRECTOR | 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. | 10/1/2024 | 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. |
| CORY SCOTT TOBIN | Individual | CORPORATE DIRECTOR | 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. | 10/1/2020 | 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. |
| DIANA R SULLIVAN | Individual | CORPORATE DIRECTOR | 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. | 10/1/2024 | 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. |
| GREGORY ALCORN | Individual | CORPORATE DIRECTOR | 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. | 10/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JEFFREY J GILLIAM | Individual | CORPORATE DIRECTOR | 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. | 10/1/2020 | 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. |
| JODY STREET | Individual | CORPORATE DIRECTOR | 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. | 10/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JULIUS W ABERNETHY | Individual | CORPORATE DIRECTOR | 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. | 10/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KATHY WOOD | Individual | CORPORATE DIRECTOR | 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. | 10/1/2024 | 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. |
| KENNETH WAYNE CLAPP | Individual | CORPORATE DIRECTOR | 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. | 10/1/2025 | 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. |
| LAMONT D MADDOX | Individual | CORPORATE DIRECTOR | 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. | 10/1/2024 | 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. |
| LAWRENCE RAY BOLICK | Individual | CORPORATE DIRECTOR | 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. | 10/1/2020 | 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. |
| MARGARET N WILEY | Individual | CORPORATE DIRECTOR | 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. | 10/1/2018 | 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. |
| MICHELLE HORTON | Individual | CORPORATE DIRECTOR | 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. | 10/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MILLS HUNTER MARCH | Individual | CORPORATE DIRECTOR | 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. | 10/1/2018 | 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. |
| PARKER DAUGHTRY HOWELL | Individual | CORPORATE DIRECTOR | 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. | 10/1/2013 | 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. |
| PAUL ALLEN GRAY | Individual | CORPORATE DIRECTOR | 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. | 10/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RONALD BRADLEY THIE | Individual | CORPORATE DIRECTOR | 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. | 10/1/2015 | 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. |
| SHANE SMITH | Individual | CORPORATE DIRECTOR | 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. | 10/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SUSAN STONE | Individual | CORPORATE DIRECTOR | 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. | 10/1/2025 | 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. |
| AIMEE N REIMANN | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2013 | 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. |
| LEE B SYRIA | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/1/2012 | 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. |
| TAMMY JONES | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| EVERYAGE | Organization | OPERATIONAL/MANAGERIAL CONTROL | 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. | 9/13/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| LEE B SYRIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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. | 10/1/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: GREGORY ALCORN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GREGORY ALCORN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANTHONY BRANCH no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANTHONY BRANCH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LAMONT D MADDOX no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LAMONT D MADDOX no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TAMMY JONES no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TAMMY JONES no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFFREY J GILLIAM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFFREY J GILLIAM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GREGORY ALCORN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GREGORY ALCORN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANTHONY BRANCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANTHONY BRANCH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LAMONT D MADDOX appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LAMONT D MADDOX appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TAMMY JONES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TAMMY JONES appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFFREY J GILLIAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFFREY J GILLIAM appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2026: JUDITH O RAYMOND no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JUDITH O RAYMOND no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: AMIR HAJIMOMENIAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CORY SCOTT TOBIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LEE B SYRIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LEE B SYRIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MILLS HUNTER MARCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CHARLES W ERDMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: EVERYAGE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: EVERYAGE appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: EVERYAGE appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: RONALD BRADLEY THIE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JODY STREET appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JULIUS W ABERNETHY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SHANE SMITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LAWRENCE RAY BOLICK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: BRANDI SPIVEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SUSAN STONE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SUSAN STONE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: PARKER DAUGHTRY HOWELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MARGARET N WILEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: DIANA R SULLIVAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: PAUL ALLEN GRAY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: KENNETH WAYNE CLAPP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: KENNETH WAYNE CLAPP appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: KATHY WOOD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MICHELLE HORTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: GREGORY ALCORN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: ANTHONY BRANCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LAMONT D MADDOX appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: TAMMY JONES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JEFFREY J GILLIAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 November 2025: SARAH ABERNETHY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SARAH ABERNETHY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JUDITH O RAYMOND no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: LINDA MORRIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: TERRI FISHER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: AMIR HAJIMOMENIAN no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KATHY WOOD appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JUDITH O RAYMOND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JUDITH O RAYMOND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CHARLES W ERDMAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: AMIR HAJIMOMENIAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: AMIR HAJIMOMENIAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DIANA R SULLIVAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: LAMONT D MADDOX appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 May 2024: AMIR HAJIMOMENIAN appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 March 2024: RAMONA HUFFMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: RANDALL LEE ORWIG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: WALTER F HOFFMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: NAOMI YOUNG EAST no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: LEE B SYRIA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: LEE B SYRIA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: GARY W SHULL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: GARY W SHULL no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: EDWARD BEARD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: STEPHEN TIMOTHY PATERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: STEPHEN TIMOTHY PATERSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: RAYMOND EUGENE HAMILTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: BRENDA CLINE ECKARD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: KATHY WOOD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: JAMES WOFFORD BUCHANAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: JAMES RAY DEAL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: KELSEY DANIEL MCCLEAVE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: SARAH ABERNETHY appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: SARAH ABERNETHY appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: JUDITH O RAYMOND appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: LEE B SYRIA appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: TERRI FISHER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: AIMEE N REIMANN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: JODY STREET appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: JULIUS W ABERNETHY appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: SHANE SMITH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: LAWRENCE RAY BOLICK appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: PAUL ALLEN GRAY appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: MICHELLE HORTON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: TAMMY JONES appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: JEFFREY J GILLIAM appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
Recent changes on this record
- 1 July 2026: GREGORY ALCORN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GREGORY ALCORN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANTHONY BRANCH no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANTHONY BRANCH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LAMONT D MADDOX no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LAMONT D MADDOX no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TAMMY JONES no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TAMMY JONES no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFFREY J GILLIAM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFFREY J GILLIAM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GREGORY ALCORN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GREGORY ALCORN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANTHONY BRANCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANTHONY BRANCH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LAMONT D MADDOX appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LAMONT D MADDOX appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TAMMY JONES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TAMMY JONES appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFFREY J GILLIAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFFREY J GILLIAM appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2026: JUDITH O RAYMOND no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JUDITH O RAYMOND no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: AMIR HAJIMOMENIAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CORY SCOTT TOBIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LEE B SYRIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LEE B SYRIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MILLS HUNTER MARCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CHARLES W ERDMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: EVERYAGE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: EVERYAGE appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: EVERYAGE appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: RONALD BRADLEY THIE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JODY STREET appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JULIUS W ABERNETHY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SHANE SMITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: LAWRENCE RAY BOLICK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: BRANDI SPIVEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SUSAN STONE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SUSAN STONE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: PARKER DAUGHTRY HOWELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 26 November 2025 | 26 November 2025 | 3 | 0 |
| 2 | 3 February 2022 | 3 February 2022 | 2 | 2 |
| 3 | 29 August 2019 | 29 August 2019 | 1 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
6 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 26 November 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 18 December 2025 |
| 26 November 2025 | Health | F 0847 | Administration Deficiencies | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | No | Deficient, Provider has date of correction | 18 December 2025 |
| 26 November 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 18 December 2025 |
| 3 February 2022 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 16 February 2022 |
| 3 February 2022 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | 16 February 2022 |
| 29 August 2019 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 30 August 2019 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | LAKE PRINCE CENTER, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 2003-01-14 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Suffolk City |
| Telephone Number | 7579235500 |
| Chain Name | EVERYAGE SENIOR LIVING |
| Chain ID | 675 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 40 |
| Average Number of Residents per Day | 29.6 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on LAKE PRINCE WOODS, INC: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: GREGORY ALCORN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for LAKE PRINCE WOODS, INC
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Virginia at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 495366.