Skilled nursing facility · CMS certification number 555206
BOULDER CREEK POST ACUTE
POWAY, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 149
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 6 June 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,447,204 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,009,746 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $25,437,458 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,754,577 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,682,881 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $233,918 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,916,799 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,916,799 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 54,534 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,408 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 3,062 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 46,259 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 51,729 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 19 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 116 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 133 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 268 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 126.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 26.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 193.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1429106, 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 20 June 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,729,399 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,709,393 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,020,006 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,425,459 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,594,547 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $270,633 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,865,180 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,752,825 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,964 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 302 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 93.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 347.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 158.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1432295, 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 13 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,248,768 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,435,852 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,812,916 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,205,836 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$392,920 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,684,412 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,291,492 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,291,492 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,831 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 370 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 140.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394856, 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 1 December 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,443,021 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,064,762 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,378,259 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,564,745 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,813,514 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $221,977 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,035,491 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,035,491 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,350 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 396.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1369273, 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 27 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,688,200 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,163,676 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,524,524 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,827,702 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $696,822 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $320,858 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,017,680 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,017,680 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,279 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 481 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 164.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343314, 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 20 November 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,856,306 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,118,959 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,737,347 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,607,570 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$870,223 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,300 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$856,923 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$856,923 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,737 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 365 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 173.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 141.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274177, 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 27 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,969,704 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,338,180 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,631,524 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,415,475 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$783,951 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $440,703 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$343,248 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$343,248 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,829 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 13,730 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 498.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1242549, 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 26 December 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,155,555 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,451,390 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,704,165 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,308,973 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$604,808 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,321 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$597,487 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$597,487 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,779 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 260 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 451.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 191.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1248695, 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 26 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,189,003 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,974,593 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,214,410 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,968,134 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $246,276 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $497,944 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $744,220 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $744,220 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,594 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 314 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 451.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217046, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 20 January 2015 to 31 December 2015 — a reporting period of 345 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,774,129 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,677,063 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,097,066 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,286,875 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$189,809 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,531 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$171,278 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$171,278 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,861 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 397 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 77.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 163.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143009, 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 1 August 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,550,031 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,273,598 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,276,433 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,964,483 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$688,050 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $243,482 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$444,568 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$444,568 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,418 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 336 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 282.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 153.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1106467, 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, as submitted, processed by CMS on 28 June 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,946,261 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,644,716 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,301,545 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,679,633 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$378,088 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $246,246 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$131,842 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$131,843 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,530 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 388 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 302.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1069474, 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 16 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,629,002 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,632,715 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,996,287 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,595,448 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$599,161 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $185,249 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$413,912 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$413,912 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,937 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 453 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 290.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046626, 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 24 January 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,792,942 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,898,736 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,894,206 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,493,720 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$599,514 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $643,946 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $44,432 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $44,431 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,706 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 460 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 351.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023645, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 August 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,298,910 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,456,568 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,157,658 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,570 | 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: −$1,133,092 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,815 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 437 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 345.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 104.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415711, 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 13 August 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,034,065 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,644,060 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$609,995 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $508,734 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $284,878 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$386,139 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,527 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 476 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 340.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 101.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385669, 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 11 September 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,932,322 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,561,971 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $370,351 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $255,936 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $398,724 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $227,563 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,427 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 434 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 632.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 106.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 356510, 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 21 August 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,017,106 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,871,314 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $145,792 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $85,193 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $370,217 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$139,232 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,900 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 466 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 326.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 98.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324689, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 August 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,765,484 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,605,642 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $159,842 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,754 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,869 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $175,727 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,418 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 475 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 323.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 97.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 292547, 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 21 September 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,363,964 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,409,188 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,045,224 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $298,276 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$747,748 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,684 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 514 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 706.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 86.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 263723, 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 4 August 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,288,472 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,786,821 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$498,349 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,476 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,569 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$485,442 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,202 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 612 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 485.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 75.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 229987, 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 19 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,692,923 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,388,260 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$695,337 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $91,752 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$603,585 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,815 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 495 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 470.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 90.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 217375, 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 23 November 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,485,744 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,141,524 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$655,780 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $142,803 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$512,977 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 149 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,301 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 349 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 766.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 138.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 200474, 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 5 May 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,284,915 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,095,742 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$810,827 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $104,452 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$706,375 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,848 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 246 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 823.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 206.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 175472, 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 9 January 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,865,276 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,525,724 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$660,448 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30,830 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$629,618 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,767 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 369 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 207.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 129.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97637, 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, as submitted, processed by CMS on 30 July 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,547,074 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,981,734 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$434,660 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $52,579 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$382,081 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,665 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 372 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 215.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 133.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97636, 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 14 April 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,156,031 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,743,352 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$587,321 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $57,485 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$529,836 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,365 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 357 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 322.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 129.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97634, 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 11 March 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,696,625 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,091,135 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$394,510 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,852 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$357,658 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,878 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 310 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 442.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 151.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97632, read from the public cost report file SNFFY1997.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CHIEF JOSEPH TRAIL, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 03/02/2026 |
| CLEGG, MICHAEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 03/02/2026 |
| TIPPET, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 03/02/2026 |
| WHITE CANYON, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 03/02/2026 |
| CHANG, ALAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2004 |
| CHRISTENSEN, COVEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/20/2015 |
| CLEGG, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/26/2023 |
| HOPKINS, AMBER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2021 |
| IKERD, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/25/2022 |
| MADISON CREEK PARTNERS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/28/2026 |
| MASON, TIMOTHY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2022 |
| CLEGG, MICHAEL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/26/2023 |
| IKERD, JOHN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 03/02/2026 |
| CHANG, ALAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2004 |
| CHRISTENSEN, COVEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/20/2015 |
| CLEGG, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/26/2023 |
| HOPKINS, AMBER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2021 |
| IKERD, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/25/2022 |
| MADISON CREEK PARTNERS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/20/2015 |
| MASON, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2022 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of POMERADO OPERATIONS LLC (enrollment ID O20150217001442).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| CHIEF JOSEPH TRAIL, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 3/2/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| COVEY C CHRISTENSEN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 82.5 | 3/2/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MICHAEL JOSEPH CLEGG | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17.5 | 3/2/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TIPPET, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 82.5 | 3/2/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| WHITE CANYON, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17.5 | 3/2/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALAN THOMAS CHANG | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2004 | 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. |
| AMBER M HOPKINS | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| COVEY C CHRISTENSEN | 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. | 1/20/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN P. IKERD | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/25/2022 | 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. |
| MADISON CREEK PARTNERS 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. | 3/28/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| MICHAEL JOSEPH CLEGG | 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. | 6/26/2023 | 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. |
| TIMOTHY MASON | 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. | 9/1/2022 | 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. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 1/20/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHN P. IKERD | 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. | 3/2/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MICHAEL JOSEPH CLEGG | 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. | 6/26/2023 | 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. |
| ALAN THOMAS CHANG | 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. | 2/1/2004 | 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. |
| AMBER M HOPKINS | 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. | 12/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| COVEY C CHRISTENSEN | 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. | 1/20/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN P. IKERD | 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. | 4/25/2022 | 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. |
| MADISON CREEK PARTNERS 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. | 1/20/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| MICHAEL JOSEPH CLEGG | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/26/2023 | 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. |
| TIMOTHY MASON | 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. | 9/1/2022 | 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. |
Changes in ownership
- 1 July 2026: MADISON CREEK PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COVEY C CHRISTENSEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COVEY C CHRISTENSEN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COVEY C CHRISTENSEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TIPPET, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MICHAEL JOSEPH CLEGG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MICHAEL JOSEPH CLEGG appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MICHAEL JOSEPH CLEGG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MICHAEL JOSEPH CLEGG appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: AMBER M HOPKINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: AMBER M HOPKINS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TIMOTHY MASON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TIMOTHY MASON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ALAN THOMAS CHANG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ALAN THOMAS CHANG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CHIEF JOSEPH TRAIL, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN P. IKERD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN P. IKERD appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN P. IKERD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COVEY C CHRISTENSEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COVEY C CHRISTENSEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COVEY C CHRISTENSEN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MADISON CREEK PARTNERS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MADISON CREEK PARTNERS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: WHITE CANYON, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- 1 July 2026: MADISON CREEK PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COVEY C CHRISTENSEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COVEY C CHRISTENSEN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COVEY C CHRISTENSEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TIPPET, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MICHAEL JOSEPH CLEGG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MICHAEL JOSEPH CLEGG appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MICHAEL JOSEPH CLEGG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MICHAEL JOSEPH CLEGG appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: AMBER M HOPKINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: AMBER M HOPKINS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TIMOTHY MASON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TIMOTHY MASON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ALAN THOMAS CHANG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ALAN THOMAS CHANG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CHIEF JOSEPH TRAIL, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN P. IKERD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN P. IKERD appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN P. IKERD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COVEY C CHRISTENSEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COVEY C CHRISTENSEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COVEY C CHRISTENSEN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MADISON CREEK PARTNERS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MADISON CREEK PARTNERS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: WHITE CANYON, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 20 June 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 6 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 13 September 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 1 December 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 27 February 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 20 November 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 26 December 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 27 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 26 December 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 30 September 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 25 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 1 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 28 June 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 16 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 14 February 2025 | 14 February 2025 | 14 | 9 |
| 2 | 20 May 2022 | 20 May 2022 | 21 | 18 |
| 3 | 31 October 2019 | 31 October 2019 | 24 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
59 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 14 February 2025 | 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 | 14 March 2025 |
| 14 February 2025 | Health | F 0625 | Resident Rights Deficiencies | Notify 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. | D | No | Deficient, Provider has date of correction | 14 March 2025 |
| 14 February 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 | 14 March 2025 |
| 14 February 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 14 March 2025 |
| 14 February 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | 14 March 2025 |
| 14 February 2025 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | 14 March 2025 |
| 14 February 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 14 March 2025 |
| 14 February 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | 14 March 2025 |
| 14 February 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 | 14 March 2025 |
| 14 February 2025 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | E | No | Deficient, Provider has date of correction | 14 March 2025 |
| 14 February 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 14 March 2025 |
| 14 February 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 14 March 2025 |
| 14 February 2025 | Health | F 0924 | Environmental Deficiencies | Put firmly secured handrails on each side of hallways. | D | No | Deficient, Provider has date of correction | 14 March 2025 |
| 14 February 2025 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | No | Deficient, Provider has date of correction | 14 March 2025 |
| 13 January 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | Yes | Deficient, Provider has date of correction | 27 January 2025 |
| 9 July 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Yes | Deficient, Provider has date of correction | 12 August 2024 |
| 9 July 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 12 August 2024 |
| 14 December 2023 | 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 | 21 December 2023 |
| 20 May 2022 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 19 June 2022 |
| 20 May 2022 | 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 | 19 June 2022 |
| 20 May 2022 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has date of correction | 19 June 2022 |
| 20 May 2022 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | 19 June 2022 |
| 20 May 2022 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | No | Deficient, Provider has date of correction | 19 June 2022 |
| 20 May 2022 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | 19 June 2022 |
| 20 May 2022 | 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 | 19 June 2022 |
| 20 May 2022 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 19 June 2022 |
| 20 May 2022 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 19 June 2022 |
| 20 May 2022 | 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 | 19 June 2022 |
| 20 May 2022 | Health | F 0675 | Quality of Life and Care Deficiencies | Honor each resident's preferences, choices, values and beliefs. | D | No | Deficient, Provider has date of correction | 19 June 2022 |
| 20 May 2022 | 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 | 19 June 2022 |
| 20 May 2022 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | 19 June 2022 |
| 20 May 2022 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | 19 June 2022 |
| 20 May 2022 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | No | Deficient, Provider has date of correction | 19 June 2022 |
| 20 May 2022 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | 19 June 2022 |
| 20 May 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 19 June 2022 |
| 20 May 2022 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | 19 June 2022 |
| 20 May 2022 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | No | Deficient, Provider has date of correction | 19 June 2022 |
| 20 May 2022 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | 19 June 2022 |
| 31 October 2019 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 30 November 2019 |
| 31 October 2019 | 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 | 30 November 2019 |
| 31 October 2019 | 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. | E | No | Deficient, Provider has date of correction | 30 November 2019 |
| 31 October 2019 | 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 | 30 November 2019 |
| 31 October 2019 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | No | Deficient, Provider has date of correction | 30 November 2019 |
| 31 October 2019 | 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 | 30 November 2019 |
| 31 October 2019 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 30 November 2019 |
| 31 October 2019 | 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 | 30 November 2019 |
| 31 October 2019 | 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 | 30 November 2019 |
| 31 October 2019 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 30 November 2019 |
| 31 October 2019 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 30 November 2019 |
| 31 October 2019 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 30 November 2019 |
| 31 October 2019 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 30 November 2019 |
| 31 October 2019 | 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 | 30 November 2019 |
| 31 October 2019 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | D | No | Deficient, Provider has date of correction | 30 November 2019 |
| 31 October 2019 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | 30 November 2019 |
| 31 October 2019 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | 30 November 2019 |
| 31 October 2019 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | 30 November 2019 |
| 31 October 2019 | Health | F 0839 | Administration Deficiencies | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | No | Deficient, Provider has date of correction | 30 November 2019 |
| 31 October 2019 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 30 November 2019 |
| 31 October 2019 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 30 November 2019 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | POMERADO OPERATIONS LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1985-07-26 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | San Diego |
| Telephone Number | 8584876242 |
| Chain Name | MADISON CREEK PARTNERS |
| Chain ID | 328 |
| 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 | 149 |
| Average Number of Residents per Day | 142.1 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: MADISON CREEK PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for BOULDER CREEK POST ACUTE
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 California 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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