Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 505404

Bethany At Pacific

EVERETT, Washington · Medicare and Medicaid

Certified beds, as filed in Care Compare: 80

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, as submitted, processed by CMS on 29 May 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$14,646,128CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$755,748CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,890,380CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,247,391CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$642,989CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,897,583CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,540,572CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,540,572 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components29,280CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,075CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days12,423CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days11,481CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components26,979CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges120CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges45CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges428CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components593CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days276.07CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days45.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1424678, 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 23 August 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$14,338,650CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,807,744CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,530,906CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,698,611CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$167,705CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,288,980CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,121,275CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,121,275 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,439CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components589CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days282.32CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days44.89CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1393031, 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 23 August 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$13,746,281CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,459,621CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,286,660CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,915,373CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$371,287CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$2,474,844CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,103,557CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,103,557 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,667CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components325CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.29CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days304.76CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days78.98CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1393030, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 September 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$14,165,068CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,376,257CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,788,811CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,263,501CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$525,310CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,568,403CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,093,713CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,093,713 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,109CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components521CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days263.86CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days48.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1364912, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 February 2023.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$14,263,865CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,550,901CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,712,964CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,948,151CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,235,187CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,064,779CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,829,592CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,829,592 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,484CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components479CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days227.65CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days55.29CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1342247, 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 6 May 2022.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$18,582,687CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,366,363CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,216,324CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,336,939CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$120,615CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,695,716CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,575,101CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,432,431 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,114CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components613CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days384.66CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days58.91CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1315553, 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 17 July 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$17,527,239CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,288,398CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,238,841CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,026,558CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$212,283CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$913,315CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,125,598CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $124,938 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,042CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components448CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days417.08CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days84.92CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1260368, 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 16 July 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$13,924,005CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,398,201CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,525,804CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,320,277CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$794,473CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,973,698CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,179,225CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,179,225 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,661CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components154CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days20.74CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days238.06CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237112, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

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

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$12,978,470CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,733,249CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,245,221CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,484,640CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$760,581CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,071,584CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,832,165CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,532,168 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,234CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components575CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.37CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days299.51CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days66.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1208859, 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 29 July 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$12,526,263CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,364,840CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,161,423CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,190,804CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$970,619CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$365,883CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$604,736CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $413,419 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,051CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components625CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days18.66CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days278.86CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days60.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1138969, 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 27 June 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$12,547,755CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,451,473CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,096,282CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,207,842CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$888,440CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$473,840CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,362,280CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,062,895 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,839CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components670CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days258.93CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days56.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1132922, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 September 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$12,291,010CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,349,791CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,941,219CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,812,531CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,128,688CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$183,464CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,312,152CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $999,036 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,720CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components730CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.04CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days194.54CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days51.67CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1110869, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 February 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$11,692,884CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$714,159CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,978,725CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,618,279CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,360,446CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$479,930CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,840,376CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $895,214 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,052CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components351CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days19.21CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days203.56CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days108.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1055674, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 September 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$11,570,732CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$513,981CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,056,751CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,462,957CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,593,794CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$265,520CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,859,314CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,573,871 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,925CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components765CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.54CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days195.79CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days49.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1048798, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 August 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$10,398,118CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,393,315CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,004,803CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$69,083CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$349,926CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $723,960 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,819CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components584CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.38CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days269.09CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days64.76CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 431094, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 April 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$10,179,671CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,090,717CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,088,954CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$72,153CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$394,558CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $766,549 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,705CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components567CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.09CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days93.88CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days66.5CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 398137, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 26 May 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$9,235,811CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,835,355CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$400,456CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$58,305CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$10,481CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $448,280 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components38,339CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components511CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.51CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days92.38CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days75.03CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 370759, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 June 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$9,023,036CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,708,936CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$314,100CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$119,911CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$118,259CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $315,752 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,617CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components643CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.06CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days343.03CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days58.5CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 345039, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 June 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$8,823,729CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,854,488CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$30,759CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$271,777CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$239,334CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $1,684 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,373CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components156CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days27.92CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,443.31CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days239.57CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 315408, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 August 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$8,778,677CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,848,532CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$69,855CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$48,968CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$115,420CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$136,307 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,305CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components748CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days26.09CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days168.92CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days49.87CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 290642, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 11 April 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$8,635,806CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,183,442CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$452,364CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$79,841CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$91,851CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $440,354 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,124CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components716CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.52CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days204.85CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days51.85CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 246580, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 May 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$7,784,377CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,856,568CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$72,191CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$103,042CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$47,657CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$16,806 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,440CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components700CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days23.92CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days159.73CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days53.49CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 215743, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 February 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$7,460,910CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,135,051CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$674,141CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$267,598CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$101,835CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$508,378 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,703CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components307CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days27.61CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days210.81CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days122.81CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 168518, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 31 December 2001

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 July 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$6,659,442CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,997,068CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$337,626CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$126,902CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$52,377CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$263,101 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,025CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components224CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.44CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days265.73CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days174.22CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 153425, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$6,271,539CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,632,649CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$361,110CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$255,712CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$63,023CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$168,421 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,745CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components407CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.56CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days278.24CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days92.74CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 116356, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 31 December 1999

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 2 October 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$5,967,347CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,858,048CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$109,299CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$640,768CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$140,224CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $609,843 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components101CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components38,500CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components408CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days16.46CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days252.1CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days94.36CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 67681, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 31 December 1998

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 July 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$5,991,984CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,073,986CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$82,002CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$604,722CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$10,000CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $512,720 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components40,386CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components514CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.73CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days78.57CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 67679, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 December 1997

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 November 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$5,950,759CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,362,475CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$411,716CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$158,672CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$253,044 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components40,562CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components524CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days15.85CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days256.59CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days77.41CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 67677, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 31 December 1996

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 10 June 1998.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$5,920,643CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,192,706CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$272,063CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$130,421CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$141,642 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,867CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components329CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days20.19CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days303.86CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days130.29CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 67676, read from the public cost report file SNFFY1996.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
BASADA, MARLITAADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2024
BAUGUESS, TRISTINEADP OF THE SNFIndividualNOT APPLICABLEsince 03/22/2017
BETHANY OF THE NORTHWESTADP OF THE SNFOrganizationNOT APPLICABLEsince 01/22/2025
MANN, HARPREETADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2022
SCRIVENS, JOSEPHADP OF THE SNFIndividualNOT APPLICABLEsince 12/06/2019
DEGROODT, PATRICIACORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/01/2023
DOBLER, ROBERTCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/23/2025
GAY, JEFFCORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/27/2017
IHLE, LORENCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/23/2025
JACOBSON, STEVENCORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/27/2018
KNUDSON, VERONICACORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/23/2025
KOENIG, DAVIDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/01/2007
NESSE, JANICECORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/23/2025
NICHOLSON, ERICCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/26/2023
ROHDE, TOMCORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/07/2018
SEYED ALIROTEH, MAHDIESADATCORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/04/2024
STAVE, LAWRENCECORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/23/2025
TIU, SUSANCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/03/2019
WALLIN, TERRICORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/23/2020
SCRIVENS, JOSEPHCORPORATE OFFICERIndividualNOT APPLICABLEsince 12/06/2019
BASADA, MARLITAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2024
BAUGUESS, TRISTINEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/25/2025
MANN, HARPREETOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/25/2025
SCRIVENS, JOSEPHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/06/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BETHANY OF THE NORTHWEST (enrollment ID O20100224000646).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
BETHANY OF THE NORTHWESTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST10010/12/1999
Private equity company: No
Real estate investment trust: No
Holding company: No
BETHANY OF THE NORTHWESTOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/22/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
HARPREET S MANNIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2022
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.
JOSEPH R SCRIVENSIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/6/2019
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.
MARLITA G BASADAIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2024
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.
TRISTINE C BAUGUESSIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/22/2017
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.
DAVID R KOENIGIndividualCORPORATE DIRECTOR7.143/1/2007
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.
ERIC D NICHOLSONIndividualCORPORATE DIRECTOR7.1410/26/2023
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.
JANICE E NESSEIndividualCORPORATE DIRECTOR7.141/23/2025
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.
JEFF F GAYIndividualCORPORATE DIRECTOR7.144/27/2017
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.
LAWRENCE B STAVEIndividualCORPORATE DIRECTOR7.141/23/2025
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.
LOREN J IHLEIndividualCORPORATE DIRECTOR7.141/23/2025
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.
MAHDIESADAT SEYED ALIROTEHIndividualCORPORATE DIRECTOR7.144/4/2024
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.
PATRICIA M DEGROODTIndividualCORPORATE DIRECTOR7.142/1/2023
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.
ROBERT C DOBLERIndividualCORPORATE DIRECTOR7.141/23/2025
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.
STEVEN C JACOBSONIndividualCORPORATE DIRECTOR7.186/27/2018
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.
SUSAN O TIUIndividualCORPORATE DIRECTOR7.141/3/2019
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.
TERRI K WALLINIndividualCORPORATE DIRECTOR7.147/23/2020
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.
TOM ROHDEIndividualCORPORATE DIRECTOR7.146/7/2018
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.
VERONICA KNUDSONIndividualCORPORATE DIRECTOR7.141/23/2025
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.
JOSEPH R SCRIVENSIndividualCORPORATE OFFICER10012/6/2019
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.
HARPREET S MANNIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/25/2025
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.
JOSEPH R SCRIVENSIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/6/2019
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.
MARLITA G BASADAIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2024
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.
TRISTINE C BAUGUESSIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/25/2025
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.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
118 May 202618 May 2026145
221 April 202521 April 2025188
312 June 202412 June 20242514

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

Deficiencies cited

57 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
18 May 2026HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DNoDeficient, Provider has date of correction1 July 2026
18 May 2026HealthF 0565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.ENoDeficient, Provider has date of correction1 July 2026
18 May 2026HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.ENoDeficient, Provider has date of correction1 July 2026
18 May 2026HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction1 July 2026
18 May 2026HealthF 0646Resident Assessment and Care Planning DeficienciesNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.DNoDeficient, Provider has date of correction1 July 2026
18 May 2026HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction1 July 2026
18 May 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction1 July 2026
18 May 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction1 July 2026
18 May 2026HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction1 July 2026
18 May 2026HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction1 July 2026
18 May 2026HealthF 0745Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.DNoDeficient, Provider has date of correction1 July 2026
18 May 2026HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction1 July 2026
18 May 2026HealthF 0825Quality of Life and Care DeficienciesProvide or get specialized rehabilitative services as required for a resident.DNoDeficient, Provider has date of correction1 July 2026
18 May 2026HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.FNoDeficient, Provider has date of correction1 July 2026
11 June 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DYesDeficient, Provider has date of correction18 July 2025
21 April 2025HealthF 0553Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.DNoDeficient, Provider has date of correction3 June 2025
21 April 2025HealthF 0578Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction3 June 2025
21 April 2025HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correction3 June 2025
21 April 2025HealthF 0585Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction3 June 2025
21 April 2025HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.DNoDeficient, Provider has date of correction3 June 2025
21 April 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correction3 June 2025
21 April 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DNoDeficient, Provider has date of correction3 June 2025
21 April 2025HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction3 June 2025
21 April 2025HealthF 0646Resident Assessment and Care Planning DeficienciesNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.DNoDeficient, Provider has date of correction3 June 2025
21 April 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction3 June 2025
21 April 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction3 June 2025
21 April 2025HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correction3 June 2025
21 April 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction3 June 2025
21 April 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction3 June 2025
21 April 2025HealthF 0745Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.ENoDeficient, Provider has date of correction3 June 2025
21 April 2025HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction3 June 2025
21 April 2025HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correction3 June 2025
12 June 2024HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DNoDeficient, Provider has date of correction17 July 2024
12 June 2024HealthF 0578Resident Rights DeficienciesHonor 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.ENoDeficient, Provider has date of correction17 July 2024
12 June 2024HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.ENoDeficient, Provider has date of correction17 July 2024
12 June 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction17 July 2024
12 June 2024HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.ENoDeficient, Provider has date of correction17 July 2024
12 June 2024HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction17 July 2024
12 June 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction17 July 2024
12 June 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.ENoDeficient, Provider has date of correction17 July 2024
12 June 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction17 July 2024
12 June 2024HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correction17 July 2024
12 June 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.GNoDeficient, Provider has date of correction17 July 2024
12 June 2024HealthF 0745Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.DNoDeficient, Provider has date of correction17 July 2024
12 June 2024HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.ENoDeficient, Provider has date of correction17 July 2024
12 June 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FYesDeficient, Provider has date of correction17 July 2024
12 June 2024HealthF 0882Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FNoDeficient, Provider has date of correction17 July 2024
12 June 2024HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.ENoDeficient, Provider has date of correction17 July 2024
16 May 2024HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EYesDeficient, Provider has date of correction25 June 2024
16 May 2024HealthF 0625Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EYesDeficient, Provider has date of correction25 June 2024
16 May 2024HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DYesDeficient, Provider has date of correction25 June 2024
17 April 2024HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DYesDeficient, Provider has date of correction17 May 2024
17 April 2024HealthF 0585Resident Rights DeficienciesHonor 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.DYesDeficient, Provider has date of correction17 May 2024
17 April 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction17 May 2024
17 April 2024HealthF 0775Administration DeficienciesKeep complete, dated laboratory records in the resident's record.DYesDeficient, Provider has date of correction17 May 2024
17 April 2024HealthF 0779Administration DeficienciesKeep signed and dated reports of x-rays and other diagnostic services in the residents record.DYesDeficient, Provider has date of correction17 May 2024
17 April 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correction17 May 2024

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
17 April 2024Fine$42,47743627

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Other
Legal Business NameBETHANY OF THE NORTHWEST
Date First Approved to Provide Medicare and Medicaid Services1992-01-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishSnohomish
Telephone Number4252595508
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds80
Average Number of Residents per Day74.0
Overall Rating4
Health Inspection Rating3
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating5
Processing Date2026-08-01

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

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On 29 May 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

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The citable document for Bethany At Pacific

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