Skilled nursing facility · CMS certification number 495372
SOUTH BOSTON HEALTH & REHAB CENTER
SOUTH BOSTON, Virginia · Medicare and Medicaid
Certified beds, as filed in Care Compare: 216
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,880,808 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $886,649 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,994,159 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,608,956 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,614,797 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,633,034 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $18,237 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $18,237 (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 | 216 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 79,056 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 834 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 7,357 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,029 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 9,220 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 30 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 32 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438102, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,681,716 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,154,451 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,527,265 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,343,051 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$815,786 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,136,249 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $320,463 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $320,463 (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 | 216 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,051 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 335 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 143.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1435695, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,059,822 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,088,734 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,971,088 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,829,505 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,141,583 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,165,674 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,307,257 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,307,257 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 216 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,394 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 372 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 97.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 167.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376377, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 November 2020 to 31 December 2021 — a reporting period of 425 days, on form CMS-2540-10, settled, processed by CMS on 22 May 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,478,708 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,171,082 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,307,626 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,373,804 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$66,178 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $982,936 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $916,758 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $916,758 (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 | 216 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 67,235 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 372 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 81.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 180.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1347970, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 October 2020
Cost report for 1 January 2020 to 31 October 2020 — a reporting period of 304 days, on form CMS-2540-10, settled, processed by CMS on 23 March 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,526,611 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,148,835 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,377,776 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,216,697 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,161,079 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,187,764 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $19,348,843 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $19,348,843 (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 | 216 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 61,458 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 253 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 625.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 242.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1312804, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 December 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,312,224 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,491,657 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,820,567 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,342,496 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$521,929 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $57,533 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$464,396 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$464,396 (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 | 216 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 75,619 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 357 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 307.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 211.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1308061, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 February 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,701,461 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,560,585 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,140,876 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,596,240 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$455,364 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $62,254 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$393,110 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$393,109 (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 | 216 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 73,088 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 381 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 521.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 191.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251008, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 November 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,253,154 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,902,488 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,350,666 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,272,433 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $78,233 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $81,216 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $159,449 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$120,769 (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 | 216 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 75,694 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 386 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 546.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 196.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1245741, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,233,200 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,535,541 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,697,659 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,255,051 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $442,608 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $98,525 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $541,133 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $349,456 (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 | 216 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 71,058 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 386 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 522.99 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 184.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1215923, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 December 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,612,608 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,763,546 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,849,062 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,363,540 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $485,522 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $70,436 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $555,958 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $331,227 (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 | 196 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 67,766 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 308 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 590.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 220.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1181040, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 November 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,288,062 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,009,313 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,278,749 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,946,223 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $332,526 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $433,884 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $766,410 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $473,201 (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 | 198 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 69,631 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 257 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 643.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 270.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1145948, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 September 2013 to 31 December 2013 — a reporting period of 121 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 8 May 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,455,491 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,363,526 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,091,965 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,609,023 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $482,942 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $251,593 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $734,535 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $646,004 (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 | 198 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,340 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 718.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 395.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1090111, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 August 2012
Cost report for 1 September 2011 to 31 August 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,669,166 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,927,431 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,741,735 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,231,417 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$489,682 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $292,516 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$197,166 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$386,566 (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 | 198 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 64,657 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 282 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 388.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 229.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058229, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 31 August 2011
Cost report for 1 September 2010 to 31 August 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 May 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,269,203 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,859,687 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $409,516 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $452,315 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $225,677 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $636,154 (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 | 198 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 67,194 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 304 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 388.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 221.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428967, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 31 August 2010
Cost report for 1 September 2009 to 31 August 2010 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 2 December 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,635,228 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,076,925 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $558,303 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $341,289 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $71,703 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $827,889 (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 | 198 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,227 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 302 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 450.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 225.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 420815, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 31 August 2009
Cost report for 1 September 2008 to 31 August 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 July 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,690,082 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,342,918 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,347,164 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $378,088 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $154,057 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,571,195 (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 | 198 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,503 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 309 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 358.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 221.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 381860, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 31 August 2008
Cost report for 1 September 2007 to 31 August 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,197,421 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,394,113 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $803,308 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $353,958 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $169,181 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $988,085 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 198 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 69,536 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 253 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 526.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 274.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 348276, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 31 August 2007
Cost report for 1 September 2006 to 31 August 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 July 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,945,582 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,123,027 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $822,555 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $493,817 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $53,842 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,262,530 (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 | 198 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 69,980 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 254 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 391.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 275.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322203, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 31 August 2006
Cost report for 1 September 2005 to 31 August 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 June 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,998,039 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,975,607 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,022,432 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $293,367 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $112,154 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,203,645 (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 | 198 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 69,717 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 223 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 524.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 312.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 285084, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 31 August 2005
Cost report for 1 September 2004 to 31 August 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 November 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,674,468 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,960,733 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $713,735 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $310,678 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $51,002 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $973,411 (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 | 198 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 69,455 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 217 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 77.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 467.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 320.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266020, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 31 August 2004
Cost report for 1 February 2004 to 31 August 2004 — a reporting period of 212 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 9 September 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,629,869 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,404,534 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $225,335 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $166,615 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $391,950 (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 | 198 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 70,566 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 165 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 547.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 427.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 232698, read from the public cost report file SNFFY2004.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 |
|---|---|---|---|---|
| OHI ASSET (VA) SOUTH BOSTON LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 11/01/2020 |
| CITRIN COOPERMAN ADVISORS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| DANNER, JAMES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/14/2024 |
| JONES, SABRINA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/02/2024 |
| NICOLUZAKIS, GREGORY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2020 |
| OHI ASSET (VA) SOUTH BOSTON LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| SABER GOVERNANCE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| SABER HEALTHCARE GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| SABER HEALTHCARE HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/08/2026 |
| SHG BOA LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/10/2026 |
| SHG MT, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/10/2026 |
| TCF NATIONAL BANK | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/02/2022 |
| VOLPE, BENJAMIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2020 |
| WALKER & ASSOCIATES PC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| WEISBERG, WILLIAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2020 |
| WIW DYNASTY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/08/2026 |
| VOLPE, BENJAMIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/01/2020 |
| WEISBERG, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/01/2020 |
| NICOLUZAKIS, GREGORY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2020 |
| VOLPE, BENJAMIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2020 |
| WEISBERG, WILLIAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2020 |
| BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2023 |
| BNV DYNASTY LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2023 |
| DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2023 |
| WIW DYNASTY LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2023 |
| WEISBERG, WILLIAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/10/2026 |
| NICOLUZAKIS, GREGORY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 03/01/2019 |
| JONES, SABRINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/02/2024 |
| SABER GOVERNANCE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/01/2020 |
| SHG MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/01/2020 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SOUTH BOSTON HEALTH & REHAB CENTER LLC (enrollment ID O20201120000804).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| SABER HEALTHCARE HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22.22 | 12/31/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| BNV DYNASTY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22.22 | 12/31/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 77.78 | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| WIW DYNASTY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 77.78 | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| OHI ASSET (VA) SOUTH BOSTON LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 11/1/2020 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| BENJAMIN N VOLPE | 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. | 11/1/2020 | 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. |
| CITRIN COOPERMAN ADVISORS LLC | 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. | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| GREGORY NICOLUZAKIS | 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. | 11/1/2020 | 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. |
| JAMES DANNER | 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. | 8/14/2024 | 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. |
| OHI ASSET (VA) SOUTH BOSTON LLC | 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. | 11/1/2020 | Private equity company: No Real estate investment trust: Yes Holding company: No |
| SABER GOVERNANCE LLC | 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. | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| SABER HEALTHCARE GROUP LLC | 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. | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| SABER HEALTHCARE HOLDINGS LLC | 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. | 2/8/2026 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SABRINA 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. | 6/2/2024 | 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. |
| SHG BOA LLC | 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. | 2/10/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHG MT, LLC | 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. | 2/10/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| TCF NATIONAL BANK | 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. | 12/2/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| WALKER & ASSOCIATES PC | 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. | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILLIAM I WEISBERG | 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. | 11/1/2020 | 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. |
| WIW DYNASTY LLC | 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. | 2/8/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| BENJAMIN N VOLPE | Individual | CORPORATE DIRECTOR | 50 | 11/1/2020 | 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. |
| WILLIAM I WEISBERG | Individual | CORPORATE DIRECTOR | 50 | 11/1/2020 | 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. |
| BENJAMIN N VOLPE | 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. | 11/1/2020 | 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. |
| GREGORY NICOLUZAKIS | 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. | 11/1/2020 | 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. |
| WILLIAM I WEISBERG | 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. | 11/1/2020 | 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. |
| BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) | Organization | INDIRECT OWNERSHIP INTEREST | 33 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| BNV DYNASTY LLC | Organization | INDIRECT OWNERSHIP INTEREST | 33 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 | Organization | INDIRECT OWNERSHIP INTEREST | 67 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| WIW DYNASTY LLC | Organization | INDIRECT OWNERSHIP INTEREST | 67 | 1/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| GREGORY NICOLUZAKIS | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/1/2019 | 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. |
| SABER GOVERNANCE LLC | 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. | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| SABRINA JONES | 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. | 6/2/2024 | 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. |
| SHG MANAGEMENT LLC | 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. | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: SABER HEALTHCARE HOLDINGS LLC 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: SABER HEALTHCARE HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SABER HEALTHCARE HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SABER HEALTHCARE HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2026: SHH HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MITCHELL P DAVIS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JESSICA A WALTERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WWBV HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BENJAMIN N VOLPE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BNV DYNASTY LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SABER HEALTHCARE GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SABER GOVERNANCE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: GREGORY NICOLUZAKIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: GREGORY NICOLUZAKIS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SABRINA JONES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SABRINA JONES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SHG BOA LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SABER HEALTHCARE HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: OHI ASSET (VA) SOUTH BOSTON LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: OHI ASSET (VA) SOUTH BOSTON LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SHG MT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WALKER & ASSOCIATES PC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WILLIAM I WEISBERG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TCF NATIONAL BANK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WIW DYNASTY LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WIW DYNASTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: CITRIN COOPERMAN ADVISORS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JAMES DANNER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
Recent changes on this record
- 1 July 2026: SABER HEALTHCARE HOLDINGS LLC 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: SABER HEALTHCARE HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SABER HEALTHCARE HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SABER HEALTHCARE HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2026: SHH HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MITCHELL P DAVIS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JESSICA A WALTERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WWBV HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BENJAMIN N VOLPE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BNV DYNASTY LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SABER HEALTHCARE GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SABER GOVERNANCE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: GREGORY NICOLUZAKIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: GREGORY NICOLUZAKIS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SABRINA JONES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SABRINA JONES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SHG BOA LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SABER HEALTHCARE HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: OHI ASSET (VA) SOUTH BOSTON LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: OHI ASSET (VA) SOUTH BOSTON LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SHG MT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WALKER & ASSOCIATES PC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WILLIAM I WEISBERG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TCF NATIONAL BANK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WIW DYNASTY LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: WIW DYNASTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: CITRIN COOPERMAN ADVISORS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JAMES DANNER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 28 August 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 15 April 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 22 May 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 23 March 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 28 December 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 13 February 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 15 November 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 14 December 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 20 December 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 22 May 2025 | 22 May 2025 | 13 | 3 |
| 2 | 28 January 2022 | 28 January 2022 | 25 | 10 |
| 3 | 10 October 2019 | 10 October 2019 | 12 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
50 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 4 December 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Yes | Deficient, Provider has date of correction | 9 December 2025 |
| 22 May 2025 | Health | F 0576 | Resident Rights Deficiencies | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | No | Deficient, Provider has date of correction | 26 June 2025 |
| 22 May 2025 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | No | Deficient, Provider has date of correction | 26 June 2025 |
| 22 May 2025 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | 26 June 2025 |
| 22 May 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 26 June 2025 |
| 22 May 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | 26 June 2025 |
| 22 May 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Yes | Deficient, Provider has date of correction | 26 June 2025 |
| 22 May 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 26 June 2025 |
| 22 May 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 26 June 2025 |
| 22 May 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 26 June 2025 |
| 22 May 2025 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | 26 June 2025 |
| 22 May 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | 26 June 2025 |
| 22 May 2025 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | No | Deficient, Provider has date of correction | 26 June 2025 |
| 24 October 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | 13 November 2024 |
| 24 October 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 13 November 2024 |
| 24 October 2024 | Health | F 0917 | Environmental Deficiencies | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | D | Yes | Deficient, Provider has date of correction | 13 November 2024 |
| 28 January 2022 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Past Non-Compliance | 26 June 2020 |
| 28 January 2022 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0635 | Resident Assessment and Care Planning Deficiencies | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | 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. | E | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0839 | Administration Deficiencies | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0849 | Administration Deficiencies | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0943 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | No | Deficient, Provider has date of correction | 1 March 2022 |
| 28 January 2022 | Health | F 0947 | Nursing and Physician Services Deficiencies | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | No | Deficient, Provider has date of correction | 1 March 2022 |
| 10 October 2019 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | 22 November 2019 |
| 10 October 2019 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | 22 November 2019 |
| 10 October 2019 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | 22 November 2019 |
| 10 October 2019 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | B | No | Deficient, Provider has date of correction | 22 November 2019 |
| 10 October 2019 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | 22 November 2019 |
| 10 October 2019 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 22 November 2019 |
| 10 October 2019 | Health | F 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | D | No | Deficient, Provider has date of correction | 22 November 2019 |
| 10 October 2019 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 22 November 2019 |
| 10 October 2019 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | 22 November 2019 |
| 10 October 2019 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 22 November 2019 |
| 10 October 2019 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 22 November 2019 |
| 10 October 2019 | Health | F 0909 | Environmental Deficiencies | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | No | Deficient, Provider has date of correction | 22 November 2019 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 4 December 2025 | Fine | $10,983 | 137629 | ||
| 24 October 2024 | Fine | $17,189 | 8285 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Individual |
| Legal Business Name | SOUTH BOSTON HEALTH & REHAB CENTER LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2004-02-10 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Halifax |
| Telephone Number | 4345724906 |
| Chain Name | SABER HEALTHCARE GROUP |
| Chain ID | 461 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 216 |
| Average Number of Residents per Day | 123.0 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 2 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 1 July 2026: SABER HEALTHCARE HOLDINGS LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for SOUTH BOSTON HEALTH & REHAB CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Virginia at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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