Skilled nursing facility · CMS certification number 555349
Vacaville Convalescent and Rehabilitation Center
Vacaville, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,085,283 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$802,309 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,887,592 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,668,046 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,219,546 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $201,537 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,421,083 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,421,083 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,920 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 6,870 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 16,361 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,809 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 32,040 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 266 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 43 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 377 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 686 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 380.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1435894, 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 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,386,955 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $229,751 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,157,204 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,129,941 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $27,263 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,008,890 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,036,153 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,036,153 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,089 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 641 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 279 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 50.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392717, 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 11 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,676,435 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$700,209 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,376,644 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,329,363 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,047,281 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$135,683 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $911,598 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $911,598 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,279 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 561 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 380.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362055, 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 16 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,962,935 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$152,716 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,115,651 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,723,646 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,392,005 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $325,029 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,717,034 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,717,034 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,198 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 527 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 866.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332619, 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 28 October 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,729,552 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$78,063 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,807,615 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,327,303 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,480,312 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,418,156 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,898,468 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,898,468 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,252 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 580 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 846.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 55.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303388, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 October 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,567,892 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $751,493 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,816,399 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,114,758 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,701,641 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $256,989 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,958,630 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,958,630 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,585 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 622 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 734.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1271320, 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 25 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,707,743 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,598,868 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,108,875 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,903,786 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,205,089 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $337,643 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,542,732 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,495,536 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,120 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 656 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 236.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 55.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238287, 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 20 March 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,943,295 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,173,889 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,769,406 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,919,022 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$149,616 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $366,543 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $216,927 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $216,927 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,152 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 542 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 714.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1252953, 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 23 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,289,120 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,014,130 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,274,990 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,526,375 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $748,615 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $63,324 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $811,939 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $811,939 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,061 | 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 | 24.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 488.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174659, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 December 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,009,575 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $574,996 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,434,579 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,020,884 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $413,695 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $28,093 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $441,788 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $441,788 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,866 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 544 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,269.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1180979, 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 15 June 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,902,678 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,449,518 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,352,196 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,762,830 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$410,634 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $205,669 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$204,965 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$204,965 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,832 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 480 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 532.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1096852, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,496,975 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,684,493 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,181,468 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,301,202 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $880,266 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $92,756 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $973,022 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $973,022 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,929 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 492 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,074.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077135, 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 1 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,762,720 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,547,421 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,310,141 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,101,421 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $208,720 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $90,771 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $299,491 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $299,491 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,883 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 584 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 393.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044929, 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 31 January 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,270,200 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,832,768 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,102,968 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,303,769 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $799,199 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,723 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $803,922 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $803,922 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,669 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 572 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 386.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024390, 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 29 April 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,775,872 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,694,760 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,081,112 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $173,328 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,254,440 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,228 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 469 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 500.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 79.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398311, 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 12 May 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,177,826 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,117,248 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,060,578 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $187,753 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,248,331 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,358 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 454 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 845.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 82.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 369534, 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 14 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,261,314 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,635,492 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $625,822 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$1,021 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $624,801 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,619 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 426 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 670.16 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 88.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 349312, 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 13 June 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,875,305 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,819,795 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,055,510 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $94,640 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,150,150 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,341 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 390 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 618.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 95.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 313591, 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 14 August 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,646,867 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,677,535 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,969,332 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,333 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $1,995,664 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,578 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 446 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 524.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 84.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 291881, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 August 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,964,796 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,837,441 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $127,355 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,308 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $143,663 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,911 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 417 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,045.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 90.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261613, 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 27 June 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,568,910 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,530,952 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $37,958 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,333 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $53,291 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,803 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 401 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 527.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 94.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 225643, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 2 October 2003 to 31 December 2003 — a reporting period of 90 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 22 February 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,869,921 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,869,221 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $700 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,405 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $3,105 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,646 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 109 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 445.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 88.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 208420, read from the public cost report file SNFFY2004.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 8 December 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,488,271 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,245,676 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$757,405 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,791 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6,149 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$733,763 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,497 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 471 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 715.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 73.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 201517, 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 25 May 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,930,875 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,756,843 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $174,032 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,960 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,095 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $187,897 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,482 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 553 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 446 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 71.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 178216, 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 8 January 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,627,307 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,644,713 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$17,406 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,889 | 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: $8,683 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,065 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 340 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 813.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 109.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97971, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 May 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,415,615 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,420,767 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,152 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $56,734 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,100 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $44,482 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,804 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 337 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.01 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 453.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 109.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97969, 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 22 August 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,961,691 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,948,562 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $13,129 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $145,158 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,500 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $153,787 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,554 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 268 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 802.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 147.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97967, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 June 1997 to 31 December 1997 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 9 June 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,525,497 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,554,480 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$28,983 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,164 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$849 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$5,970 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,903 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 133 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.01 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 707.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 172.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97965, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 7 October 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,015,162 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,082,232 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$67,070 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,356 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$11,990 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$19,724 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,928 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 316 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 602.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 126.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97962, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
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 |
|---|---|---|---|---|
| NICCOLI, JOSEPH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 05/16/2003 |
| NICCOLI, SUSAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 05/16/2003 |
| VACAVILLE HEALTHCARE INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/16/2003 |
| CAYANAN, AIMILEE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/17/2006 |
| JALEX LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/01/2008 |
| NICCOLI, JOSEPH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/16/2003 |
| NICCOLI, SUSAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2008 |
| VAN AKEN, TERRELL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/12/2025 |
| WIPFLI LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/04/2021 |
| NICCOLI, JOSEPH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/16/2003 |
| NICCOLI, SUSAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/16/2003 |
| NICCOLI, SUSAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/16/2003 |
| CAYANAN, AIMILEE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/17/2006 |
| NICCOLI, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/16/2003 |
| VACAVILLE HEALTHCARE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/16/2003 |
| VAN AKEN, TERRELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/16/2003 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of VACAVILLE HEALTHCARE INC (enrollment ID O20120330000085).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| JOSEPH MARTIN NICCOLI | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 5/16/2003 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SUSAN LOUISE NICCOLI | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 5/16/2003 | 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. |
| VACAVILLE HEALTHCARE INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/16/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| AIMILEE CAYANAN | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/17/2006 | 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. |
| JALEX 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. | 6/1/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOSEPH MARTIN NICCOLI | 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. | 5/16/2003 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SUSAN LOUISE NICCOLI | 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. | 6/1/2008 | 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. |
| TERRELL B VAN AKEN | 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. | 5/12/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WIPFLI LLP | 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. | 6/4/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused 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. | 4/4/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused 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. | 9/25/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused 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. | 4/4/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOSEPH MARTIN NICCOLI | Individual | CORPORATE DIRECTOR | 50 | 5/16/2003 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SUSAN LOUISE NICCOLI | Individual | CORPORATE DIRECTOR | 50 | 5/16/2003 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SUSAN LOUISE NICCOLI | Individual | CORPORATE OFFICER | 50 | 5/16/2003 | 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. |
| AIMILEE CAYANAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/17/2006 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOSEPH MARTIN NICCOLI | 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. | 5/16/2003 | 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. |
| TERRELL B VAN AKEN | 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. | 5/16/2003 | 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. |
| VACAVILLE HEALTHCARE INC | 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. | 5/16/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: VACAVILLE HEALTHCARE INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: VACAVILLE HEALTHCARE INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TERRELL B VAN AKEN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TERRELL B VAN AKEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: VACAVILLE HEALTHCARE INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: VACAVILLE HEALTHCARE INC 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: 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: TERRELL B VAN AKEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TERRELL B VAN AKEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 February 2026: JOSEPH MARTIN NICCOLI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SUSAN LOUISE NICCOLI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: JOSEPH MARTIN NICCOLI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SUSAN LOUISE NICCOLI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: JALEX LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: WIPFLI LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: AIMILEE CAYANAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: AIMILEE CAYANAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: JOSEPH MARTIN NICCOLI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: JOSEPH MARTIN NICCOLI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: VACAVILLE HEALTHCARE INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: VACAVILLE HEALTHCARE INC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: TERRELL B VAN AKEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: TERRELL B VAN AKEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 September 2024: GLORIA JEAN NICCOLI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- 1 July 2026: VACAVILLE HEALTHCARE INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: VACAVILLE HEALTHCARE INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TERRELL B VAN AKEN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TERRELL B VAN AKEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: VACAVILLE HEALTHCARE INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: VACAVILLE HEALTHCARE INC 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: 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: TERRELL B VAN AKEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TERRELL B VAN AKEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 February 2026: JOSEPH MARTIN NICCOLI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SUSAN LOUISE NICCOLI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: JOSEPH MARTIN NICCOLI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SUSAN LOUISE NICCOLI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: JALEX LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: WIPFLI LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: AIMILEE CAYANAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: AIMILEE CAYANAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: JOSEPH MARTIN NICCOLI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: JOSEPH MARTIN NICCOLI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: VACAVILLE HEALTHCARE INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: VACAVILLE HEALTHCARE INC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: TERRELL B VAN AKEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: TERRELL B VAN AKEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 September 2024: GLORIA JEAN NICCOLI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 20 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 11 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 16 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 28 October 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 14 October 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 20 March 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 25 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 20 December 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 23 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 15 June 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 26 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 1 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 31 January 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 6 March 2026 | 6 March 2026 | 6 | 6 |
| 2 | 6 December 2024 | 6 December 2024 | 9 | 7 |
| 3 | 16 December 2022 | 16 December 2022 | 7 | 8 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
22 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 22 April 2026 | 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 | Yes | Deficient, Provider has date of correction | 7 May 2026 |
| 6 March 2026 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | No | Deficient, Provider has date of correction | 27 March 2026 |
| 6 March 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | 27 March 2026 |
| 6 March 2026 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | E | No | Deficient, Provider has date of correction | 27 March 2026 |
| 6 March 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 27 March 2026 |
| 6 March 2026 | 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 | 27 March 2026 |
| 6 December 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 | No | Deficient, Provider has date of correction | 3 January 2025 |
| 6 December 2024 | 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 | 3 January 2025 |
| 6 December 2024 | 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 | 3 January 2025 |
| 6 December 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | 3 January 2025 |
| 6 December 2024 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | No | Deficient, Provider has date of correction | 3 January 2025 |
| 6 December 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | 3 January 2025 |
| 6 December 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 3 January 2025 |
| 6 December 2024 | Health | F 0947 | Nursing and Physician Services Deficiencies | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | No | Deficient, Provider has date of correction | 3 January 2025 |
| 30 September 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 17 October 2024 |
| 10 April 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | 31 May 2024 |
| 28 February 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Yes | Deficient, Provider has date of correction | 25 March 2024 |
| 28 February 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 25 March 2024 |
| 16 December 2022 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | No | Deficient, Provider has date of correction | 19 January 2023 |
| 16 December 2022 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | 19 January 2023 |
| 16 December 2022 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | 19 January 2023 |
| 16 December 2022 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | 19 January 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 6 February 2024 | Fine | $7,976 | 129900 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | VACAVILLE HEALTHCARE INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1989-04-20 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Solano |
| Telephone Number | 7074498000 |
| 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 | 120 |
| Average Number of Residents per Day | 92.9 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 1 July 2026: VACAVILLE HEALTHCARE INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Vacaville Convalescent and Rehabilitation Center
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in 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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