Skilled nursing facility · CMS certification number 505513

PUGET SOUND TRANSITIONAL CARE

DES MOINES, Washington · Medicare and Medicaid

Certified beds, as filed in Care Compare: 165

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 May 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$14,619,551	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,033,513	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,586,038	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,474,267	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$111,771	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,095	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$112,866	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $112,660 (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
Figure	As filed	Where it comes from
Total facility beds, all components	125	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	45,750	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	531	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	20,158	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	3,099	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	23,788	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	13	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	36	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	69	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	118	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	559.94	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	201.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1424686, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 August 2023 to 31 December 2023 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 16 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,050,764	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,440,243	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,610,521	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,800,007	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$189,486	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$189,486	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$189,486 (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
Figure	As filed	Where it comes from
Total facility beds, all components	165	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,422	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	63	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	404.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	165.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1392439, 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 24 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$11,421,010	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$679,633	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,741,377	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,359,645	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$618,268	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$126	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$618,394	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$618,394 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,386	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	226	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	225.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	112.33	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359697, 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 24 August 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$12,571,299	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,363,195	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,208,104	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,037,953	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$829,849	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$327,542	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$502,307	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$502,307 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,230	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	297	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.19	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	239.96	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	91.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1330538, 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 21 April 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$15,506,340	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,682,661	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,823,679	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,592,937	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$230,742	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,022,703	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,253,445	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,253,445 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,358	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	420	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.32	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	298.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	79.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313631, 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 14 August 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$18,294,875	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,330,478	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,964,397	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,456,295	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$508,102	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$15,942	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$524,044	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $524,044 (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
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	38,005	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	675	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.51	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	247.87	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	56.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1263722, 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 23 July 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$18,987,094	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,965,439	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,021,655	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,061,601	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$39,946	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,686	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$28,260	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$28,260 (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
Figure	As filed	Where it comes from
Total facility beds, all components	165	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,137	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	729	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	211.82	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	49.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237990, 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 22 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$19,569,049	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,458,158	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,110,891	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,975,164	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$135,727	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$16,907	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$118,820	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $118,820 (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
Figure	As filed	Where it comes from
Total facility beds, all components	165	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	38,243	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	753	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.24	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	293.45	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	50.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210137, 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 18 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$18,778,569	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,902,609	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,875,960	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,486,006	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$389,954	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$27,560	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$362,394	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $362,394 (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
Figure	As filed	Where it comes from
Total facility beds, all components	165	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,457	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	816	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.16	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	310.95	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	43.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169624, 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 27 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$17,288,468	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,149,332	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,139,136	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,157,571	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$18,435	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$15,252	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$3,183	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,183 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	165	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,423	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	630	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	351.61	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	54.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1138337, 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 29 July 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$13,585,632	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,501,998	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,083,634	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,307,315	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$223,681	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$26,652	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$197,029	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$197,029 (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
Figure	As filed	Where it comes from
Total facility beds, all components	165	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,359	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	644	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.92	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	351.61	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	53.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1105930, 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 30 June 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$12,035,651	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$856,457	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,179,194	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,370,940	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$191,746	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$29,350	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$162,396	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$162,392 (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
Figure	As filed	Where it comes from
Total facility beds, all components	165	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,291	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	685	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.18	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	279.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	45.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1069835, 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 23 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$12,970,477	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,077,305	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,893,172	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,856,693	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$36,479	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$37,807	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$74,286	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $74,281 (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
Figure	As filed	Where it comes from
Total facility beds, all components	165	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,079	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	941	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	19.65	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	186.49	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	35.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1042251, 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 25 March 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$13,084,461	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$423,679	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,660,782	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,832,013	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$171,231	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$39,680	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$131,551	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$131,553 (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
Figure	As filed	Where it comes from
Total facility beds, all components	165	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,573	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	939	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	177.49	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	40.01	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1026401, 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 19 July 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$13,844,433	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$13,299,887	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$544,546	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$246,137	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	−$28	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $790,711 (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
Figure	As filed	Where it comes from
Total facility beds, all components	165	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	44,862	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	876	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	21.61	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	217.01	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	51.21	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 410483, 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 11 May 2011.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$14,844,152	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$13,893,033	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$951,119	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$54,617	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	−$1	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $1,005,737 (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
Figure	As filed	Where it comes from
Total facility beds, all components	165	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	52,057	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	817	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	24.73	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	268.06	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	63.72	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 399167, 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, reopened, processed by CMS on 3 February 2010.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$13,611,921	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$13,181,226	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$430,695	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$55,370	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$4	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $486,061 (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
Figure	As filed	Where it comes from
Total facility beds, all components	165	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	51,628	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	817	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.45	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	304.03	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	63.19	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 363516, 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 7 August 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$12,819,670	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$12,096,848	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$722,822	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$129,725	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	−$2	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $852,549 (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 2007
Figure	As filed	Where it comes from
Total facility beds, all components	165	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	51,577	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	845	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.15	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	227.8	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	61.04	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 323168, 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 5 June 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$10,727,925	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,280,380	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$447,545	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$35,293	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	−$3,174	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $486,012 (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
Figure	As filed	Where it comes from
Total facility beds, all components	165	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	47,783	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	560	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	24.07	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	315.38	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	85.33	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 281003, 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 22 June 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$9,443,375	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,329,430	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$113,945	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$49,080	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$32	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $162,993 (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
Figure	As filed	Where it comes from
Total facility beds, all components	202	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	48,307	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	441	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.46	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	345.1	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	109.54	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 255221, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 2 February 2004 to 31 December 2004 — a reporting period of 333 days, on form CMS-2540-96, settled, processed by CMS on 14 July 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$7,450,866	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,302,972	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$147,894	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,248	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$27	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $158,115 (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
Figure	As filed	Where it comes from
Total facility beds, all components	240	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	48,898	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	368	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.83	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	415.37	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	132.88	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 227715, read from the public cost report file SNFFY2004.zip.

Nurse staffing

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

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 manager	Role	Type	Ownership percentage	Association
DENOR, JOSEPH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/30/2025
ENSIGN SERVICES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/01/2023
JENKINS, TRACY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/30/2025
SALTWATER HEALTH HOLDINGS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/01/2023
STANDARD BEARER HEALTHCARE OP LP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/01/2023
PORT, BARRY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 08/01/2023
PENNANT HEALTHCARE LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 11/21/2022
THE ENSIGN GROUP INC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 11/21/2022
BURNAM, SOON	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/21/2022
DENOR, JOSEPH	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 08/01/2023
FARNSWORTH, STEPHEN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 08/01/2023
KEETCH, CHAD	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 03/01/2011
ACTRIV HEALTHCARE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/01/2023
BURNAM, SOON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/21/2022
EASTSIDE HEALTHCARE STAFFING LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/01/2023
JENKINS, TRACY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/21/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of RIVER OTTER HEALTHCARE LLC (enrollment ID O20230802002430).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
ENSIGN SERVICES INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
JOSEPH C DENOR	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/30/2025	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.
SALTWATER HEALTH HOLDINGS LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
STANDARD BEARER HEALTHCARE OP LP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
TRACY JENKINS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/30/2025	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.
BARRY PORT	Individual	CORPORATE DIRECTOR	0	8/1/2023	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.
PENNANT HEALTHCARE LLC	Organization	DIRECT OWNERSHIP INTEREST	100	11/21/2022	Private equity company: No Real estate investment trust: No Holding company: No
THE ENSIGN GROUP INC	Organization	INDIRECT OWNERSHIP INTEREST	100	11/21/2022	Private equity company: No Real estate investment trust: No Holding company: No
CHAD KEETCH	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2011	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 C DENOR	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2023	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.
SOON BURNAM	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/21/2022	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.
STEPHEN W FARNSWORTH	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2023	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.
ACTRIV HEALTHCARE LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
EASTSIDE HEALTHCARE STAFFING LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
SOON BURNAM	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/21/2022	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.
TRACY JENKINS	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/21/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: STANDARD BEARER HEALTHCARE OP LP no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STANDARD BEARER HEALTHCARE OP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 September 2025: SOON BURNAM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CRAIG FITCH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TYLER HOOPES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TRACY JENKINS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: THE ENSIGN GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: PENNANT HEALTHCARE, LLC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SOON BURNAM appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SOON BURNAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ACTRIV HEALTHCARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: EASTSIDE HEALTHCARE STAFFING LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TRACY JENKINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: STEPHEN W FARNSWORTH appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CHAD A KEETCH appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SALTWATER HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JOSEPH C DENOR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JOSEPH C DENOR appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: THE ENSIGN GROUP INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: PENNANT HEALTHCARE LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: BARRY PORT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: STANDARD BEARER HEALTHCARE OP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 December 2023: STAFFORD HEALTH SERVICES INC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: KEVIN MCNAMARA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: CHRISTINE HILL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: EMILY MURER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: KEVIN DOUGLAS OSTROM no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: SOON E BURNAM appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: CRAIG FITCH appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: TYLER HOOPES appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: TRACY JENKINS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: TRACY JENKINS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: THE ENSIGN GROUP INC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: PENNANT HEALTHCARE, LLC. appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv

Recent changes on this record

1 July 2026: STANDARD BEARER HEALTHCARE OP LP no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STANDARD BEARER HEALTHCARE OP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 September 2025: SOON BURNAM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CRAIG FITCH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TYLER HOOPES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TRACY JENKINS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: THE ENSIGN GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: PENNANT HEALTHCARE, LLC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SOON BURNAM appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SOON BURNAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ACTRIV HEALTHCARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: EASTSIDE HEALTHCARE STAFFING LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TRACY JENKINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: STEPHEN W FARNSWORTH appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CHAD A KEETCH appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SALTWATER HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JOSEPH C DENOR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JOSEPH C DENOR appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: THE ENSIGN GROUP INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: PENNANT HEALTHCARE LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: BARRY PORT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: STANDARD BEARER HEALTHCARE OP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
26 May 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
16 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
28 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 December 2023: STAFFORD HEALTH SERVICES INC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: KEVIN MCNAMARA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: CHRISTINE HILL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: EMILY MURER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: KEVIN DOUGLAS OSTROM no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: SOON E BURNAM appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: CRAIG FITCH appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: TYLER HOOPES appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: TRACY JENKINS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: TRACY JENKINS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: THE ENSIGN GROUP INC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: PENNANT HEALTHCARE, LLC. appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
24 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
24 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	27 August 2025	27 August 2025	24	5
2	12 June 2024	12 June 2024	22	11
3	19 May 2023	19 May 2023	17	22

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

Deficiencies cited

63 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
30 April 2026	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	29 May 2026
5 March 2026	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	E	Yes	Deficient, Provider has date of correction	31 March 2026
5 March 2026	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	31 March 2026
27 August 2025	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	E	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0636	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	D	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0676	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	D	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0801	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	E	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0887	Infection Control Deficiencies	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	E	No	Deficient, Provider has date of correction	9 October 2025
27 August 2025	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	D	No	Deficient, Provider has date of correction	9 October 2025
1 July 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	31 July 2025
1 July 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	31 July 2025
1 July 2025	Health	F 0678	Quality of Life and Care Deficiencies	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.	J	Yes	Deficient, Provider has date of correction	31 July 2025
1 July 2025	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	E	Yes	Deficient, Provider has date of correction	31 July 2025
12 June 2024	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	E	No	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	D	No	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	No	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E	No	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	No	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D	No	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0688	Quality of Life and Care Deficiencies	Provide 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.	D	No	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	E	No	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	No	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0847	Administration Deficiencies	Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.	E	No	Deficient, Provider has date of correction	17 July 2024
12 June 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	17 July 2024
19 May 2023	Health	F 0553	Resident Rights Deficiencies	Allow resident to participate in the development and implementation of his or her person-centered plan of care.	E	No	Deficient, Provider has date of correction	14 July 2023
19 May 2023	Health	F 0567	Resident Rights Deficiencies	Honor the resident's right to manage his or her financial affairs.	D	No	Deficient, Provider has date of correction	14 July 2023
19 May 2023	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	14 July 2023
19 May 2023	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E	No	Deficient, Provider has date of correction	14 July 2023
19 May 2023	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	E	No	Deficient, Provider has date of correction	14 July 2023
19 May 2023	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	E	No	Deficient, Provider has date of correction	14 July 2023
19 May 2023	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	14 July 2023
19 May 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	14 July 2023
19 May 2023	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	14 July 2023
19 May 2023	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	No	Deficient, Provider has date of correction	14 July 2023
19 May 2023	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D	No	Deficient, Provider has date of correction	14 July 2023
19 May 2023	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	14 July 2023
19 May 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	14 July 2023
19 May 2023	Health	F 0835	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	F	No	Deficient, Provider has date of correction	14 July 2023
19 May 2023	Health	F 0850	Administration Deficiencies	Hire a qualified full-time social worker in a facility with more than 120 beds.	E	No	Deficient, Provider has date of correction	14 July 2023
19 May 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	14 July 2023
19 May 2023	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D	No	Deficient, Provider has date of correction	14 July 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	RIVER OTTER HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid Services	2004-02-02
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	King
Telephone Number	2068240600
Chain Name	THE ENSIGN GROUP
Chain ID	507
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	165
Average Number of Residents per Day	81.1
Overall Rating	2
Health Inspection Rating	2
QM Rating	4
Long-Stay QM Rating	4
Short-Stay QM Rating	5
Processing Date	2026-08-01

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

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On 1 July 2026: STANDARD BEARER HEALTHCARE OP LP no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Washington at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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