Facility record report · CMS certification number 555466

ASHBY CARE CENTER

BERKELEY, California · Medicare and Medicaid

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 9 June 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$2,474,341	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$147,199	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,621,540	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,586,183	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$35,357	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$35,357	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $35,357 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	11,346	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	276	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	8,166	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	2,039	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	10,481	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	3	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	14	CMS-2540-10 worksheet S300001 line 800 column 1000
Total discharges, all components	17	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	92	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	583.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	616.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1429142, read from the public cost report file SNF10FY2024.zip.

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 13 August 2024.

None of these figures is carried on this report.

CMS report record 1392059, read from the public cost report file SNF10FY2023.zip.

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 14 August 2023.

None of these figures is carried on this report.

CMS report record 1362160, read from the public cost report file SNF10FY2022.zip.

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.

None of these figures is carried on this report.

CMS report record 1332622, read from the public cost report file SNF10FY2021.zip.

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 26 July 2021.

None of these figures is carried on this report.

CMS report record 1290506, read from the public cost report file SNF10FY2020.zip.

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 18 December 2020.

None of these figures is carried on this report.

CMS report record 1276908, read from the public cost report file SNF10FY2019.zip.

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 1 August 2019.

None of these figures is carried on this report.

CMS report record 1239198, read from the public cost report file SNF10FY2018.zip.

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 23 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$1,611,936	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$100,545	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,712,481	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,858,549	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$146,068	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$146,068	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$147,186 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,868	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	21	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	105	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	511.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	517.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210387, read from the public cost report file SNF10FY2017.zip.

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 24 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$1,845,116	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$139,087	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,706,029	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,919,017	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$212,988	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$212,988	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$227,302 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,194	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	48	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	78.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	262.06	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	212.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174826, read from the public cost report file SNF10FY2016.zip.

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 30 September 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$2,232,662	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$472,287	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,760,375	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,785,206	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$24,831	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$24,831	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$25,653 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,922	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	20	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	968.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	546.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1143302, read from the public cost report file SNF10FY2015.zip.

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 17 September 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$2,180,304	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$331,811	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,848,493	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,791,681	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$56,812	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$56,812	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $55,394 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,241	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	21	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,421.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	487.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1109796, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 28 June 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$2,302,692	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$467,060	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,835,632	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,828,131	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$7,501	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$7,501	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,112 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,935	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	14	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,859.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	781.07	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1069483, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$2,521,995	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$445,863	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,076,132	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,877,537	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$198,595	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$198,595	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $198,595 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,853	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	19	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	231.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	805.91	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	571.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1046640, read from the public cost report file SNF10FY2012.zip.

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.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$2,162,011	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$225,973	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,936,038	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,879,267	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$56,771	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$358	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$57,129	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $57,129 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,450	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	18	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	147.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	813.91	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	580.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1024400, read from the public cost report file SNF10FY2011.zip.

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 8 September 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$1,878,531	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,005,044	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$126,513	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$46,790	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$79,723 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,486	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	25	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	76.89	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,087.38	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	419.44	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 417091, read from the public cost report file SNFFY2010.zip.

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 9 September 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$1,931,720	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,029,811	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$98,091	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$51,682	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$46,409 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,125	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	35	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	110.63	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	628.85	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	289.29	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 387482, read from the public cost report file SNFFY2009.zip.

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 31 August 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$1,875,889	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,878,948	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$3,059	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,161	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $9,102 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,202	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	77	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.46	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	215.11	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	132.49	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 356010, read from the public cost report file SNFFY2008.zip.

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 27 October 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$1,891,131	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,672,098	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$219,033	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $219,033 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,474	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	60	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.36	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	327.04	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	174.57	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 327321, read from the public cost report file SNFFY2007.zip.

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 12 February 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$1,159,883	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,252,627	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$92,744	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$55,749	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$36,995 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,351	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	38	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	781.82	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	272.39	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 272200, read from the public cost report file SNFFY2005.zip.

Cost report for 1 May 2004 to 31 December 2004 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 22 May 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$504,176	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,025,755	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$521,579	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6,106	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$515,473 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	7,008	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	13	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	72.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,454.5	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	539.08	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 249950, read from the public cost report file SNFFY2004.zip.

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 October 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$1,049,107	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$966,578	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$82,529	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,950	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $93,479 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	7,156	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	36	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	49.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	250.16	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	198.78	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 197828, read from the public cost report file SNFFY2003.zip.

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 30 September 2003.

None of these figures is carried on this report.

CMS report record 161136, read from the public cost report file SNFFY2002.zip.

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 18 March 2005.

None of these figures is carried on this report.

CMS report record 211679, read from the public cost report file SNFFY2001.zip.

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 13 February 2003.

Net income, stated at moderate confidence: $78,644 (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.

CMS report record 126695, read from the public cost report file SNFFY2000.zip.

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 30 July 2001.

None of these figures is carried on this report.

CMS report record 74951, read from the public cost report file SNFFY1999.zip.

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 13 February 2003.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$1,114,511	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,166,841	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$52,330	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13,751	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: −$39,379 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,480	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	26	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.4	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	403.08	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 130430, read from the public cost report file SNFFY1998.zip.

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 September 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$1,116,941	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,077,638	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$39,303	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,035	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $42,338 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	31	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,938	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	55	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.07	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	198.87	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 7731, read from the public cost report file SNFFY1997.zip.

Five facilities of a similar size in California, fiscal year 2024

Chosen for having certified bed counts closest to this facility’s, listed by name. Every one filed for the same fiscal year; the day each year ends differs and is shown. Each figure is that facility’s own filing.

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
ASHBY CARE CENTER	31	10,481	$2,621,540	$2,586,183	$35,357	31 December 2024
FRONT PORCH COMMUNITIES AND SERVICES	33	9,697	$6,271,728	$20,467,345	−$14,195,617	31 March 2024
MARINA GARDEN NURSING CENTER INC	32	11,098	$4,009,203	$4,796,531	−$787,328	31 December 2024
NORTHSTARR POST ACUTE CARE CENTER	31	9,684	$4,468,045	$3,224,104	$1,243,941	31 December 2024
ST. ANTHONY CARE CENTER INC.	30	9,369	$4,591,395	$4,422,865	$168,530	31 December 2024
VILLA MARIN	31	4,930	$3,190,250	$17,985,111	−$14,794,861	31 October 2024

Where each column comes from, on every filing in this table: Total facility beds: CMS-2540-10 worksheet S300001 line 800 column 100 · Total patient days: CMS-2540-10 worksheet S300001 line 800 column 700 · Net patient revenue: CMS-2540-10 worksheet G300000 line 300 column 100 · Total operating expenses: CMS-2540-10 worksheet G300000 line 400 column 100 · Net income from service to patients: CMS-2540-10 worksheet G300000 line 500 column 100.

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
SANTIAGO, MARILYN	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	100%	since 10/01/2006
MMS QUALITY NURSING SERVICES, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/01/2025
SANTIAGO-CADE, ADORA ROSE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2006
SANTIAGO-SO, RUBY ANN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2020
SANTIAGO, EDWARD	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2006
SANTIAGO, MARILYN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2006
SNIPES, TYRONE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2012
WELDEN, ELNA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2006
SANTIAGO-CADE, ADORA ROSE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/01/2006
SANTIAGO, EDWARD	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/01/2006
SANTIAGO, MARILYN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/01/2006
MMS QUALITY NURSING SERVICES, INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/01/2006
SANTIAGO-CADE, ADORA ROSE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2006
SANTIAGO-SO, RUBY ANN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2019
SANTIAGO, EDWARD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2006
SANTIAGO, MARILYN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2006
SNIPES, TYRONE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2012
WELDEN, ELNA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2006

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MMS QUALITY NURSING SERVICES, INC. (enrollment ID O20070410000234).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
MARILYN SANTIAGO	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	10/1/2006	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.
ADORA ROSE SANTIAGO-CADE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2006	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.
EDWARD SANTIAGO	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2006	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.
ELNA WELDEN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2006	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.
MARILYN SANTIAGO	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.	10/1/2006	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.
MMS QUALITY NURSING SERVICES, INC.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
RUBY ANN SANTIAGO-SO	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TYRONE E SNIPES	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.	6/1/2012	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.
ADORA ROSE SANTIAGO-CADE	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2006	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.
EDWARD SANTIAGO	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2006	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.
MARILYN SANTIAGO	Individual	CORPORATE DIRECTOR	100	12/1/2006	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.
ADORA ROSE SANTIAGO-CADE	Individual	OPERATIONAL/MANAGERIAL CONTROL	25	12/1/2006	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.
EDWARD SANTIAGO	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2006	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.
ELNA WELDEN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2006	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.
MARILYN SANTIAGO	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.	10/1/2006	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.
MMS QUALITY NURSING SERVICES, 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.	12/1/2006	Private equity company: No Real estate investment trust: No Holding company: No
RUBY ANN SANTIAGO-SO	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.	11/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TYRONE E SNIPES	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: EDWARD SANTIAGO 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: EDWARD SANTIAGO 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: EDWARD SANTIAGO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EDWARD SANTIAGO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EDWARD SANTIAGO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EDWARD SANTIAGO appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2026: MMS QUALITY NURSING SERVICES, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ADORA ROSE SANTIAGO-CADE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: EDWARD SANTIAGO no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RUBY ANN SANTIAGO-SO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RUBY ANN SANTIAGO-SO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MARILYN SANTIAGO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MARILYN SANTIAGO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MARILYN SANTIAGO appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MMS QUALITY NURSING SERVICES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MMS QUALITY NURSING SERVICES, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ADORA ROSE SANTIAGO-CADE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ELNA WELDEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ELNA WELDEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TYRONE E SNIPES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TYRONE E SNIPES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: EDWARD SANTIAGO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	22 May 2025	22 May 2025	13	10
2	20 October 2023	20 October 2023	20	7
3	16 June 2021	16 June 2021	6	14

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

Deficiencies cited

39 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
9 June 2026	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	E	Yes	Deficient, Provider has date of correction	20 June 2026
5 March 2026	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	E	Yes	Deficient, Provider has date of correction	19 March 2026
5 March 2026	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	E	Yes	Deficient, Provider has date of correction	19 March 2026
22 May 2025	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	E	No	Deficient, Provider has date of correction	16 June 2025
22 May 2025	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D	No	Deficient, Provider has date of correction	16 June 2025
22 May 2025	Health	F 0638	Resident Assessment and Care Planning Deficiencies	Assure that each resident’s assessment is updated at least once every 3 months.	E	No	Deficient, Provider has date of correction	16 June 2025
22 May 2025	Health	F 0730	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	E	No	Deficient, Provider has date of correction	16 June 2025
22 May 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	F	No	Deficient, Provider has date of correction	16 June 2025
22 May 2025	Health	F 0801	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	E	No	Deficient, Provider has date of correction	16 June 2025
22 May 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	16 June 2025
22 May 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	16 June 2025
22 May 2025	Health	F 0882	Infection Control Deficiencies	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.	D	No	Deficient, Provider has date of correction	16 June 2025
22 May 2025	Health	F 0912	Environmental Deficiencies	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	B	No	Deficient, Provider has date of correction	16 June 2025
8 May 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	Yes	Deficient, Provider has date of correction	8 June 2025
8 May 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	8 June 2025
10 April 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G	Yes	Deficient, Provider has date of correction	9 May 2024
20 October 2023	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	F	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0636	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	E	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0638	Resident Assessment and Care Planning Deficiencies	Assure that each resident’s assessment is updated at least once every 3 months.	E	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	E	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	F	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	F	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0801	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	F	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	F	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0865	Administration Deficiencies	Have a plan that describes the process for conducting QAPI and QAA activities.	F	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	F	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0912	Environmental Deficiencies	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	B	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	F	No	Deficient, Provider has date of correction	20 November 2023
20 October 2023	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	F	No	Deficient, Provider has date of correction	20 November 2023
13 October 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	G	Yes	Deficient, Provider has date of correction	31 October 2023
16 June 2021	Health	F 0636	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	D	No	Deficient, Provider has date of correction	28 June 2021
16 June 2021	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	28 June 2021
16 June 2021	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	No	Deficient, Provider has date of correction	28 June 2021
16 June 2021	Health	F 0912	Environmental Deficiencies	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	B	No	Deficient, Provider has date of correction	28 June 2021

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
10 April 2024	Fine	$66,134			130509
10 April 2024	Payment Denial		1 May 2024	8

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	MMS QUALITY NURSING SERVICES, INC.
Date First Approved to Provide Medicare and Medicaid Services	1991-05-13
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Alameda
Telephone Number	5108419494
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	31
Average Number of Residents per Day	22.4
Overall Rating	2
Health Inspection Rating	2
QM Rating	5
Long-Stay QM Rating	5
Processing Date	2026-08-01

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

Every change on this record

1 July 2026: EDWARD SANTIAGO 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: EDWARD SANTIAGO 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: EDWARD SANTIAGO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EDWARD SANTIAGO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EDWARD SANTIAGO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EDWARD SANTIAGO appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2026: MMS QUALITY NURSING SERVICES, INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ADORA ROSE SANTIAGO-CADE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: EDWARD SANTIAGO no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RUBY ANN SANTIAGO-SO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RUBY ANN SANTIAGO-SO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MARILYN SANTIAGO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MARILYN SANTIAGO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MARILYN SANTIAGO appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MMS QUALITY NURSING SERVICES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MMS QUALITY NURSING SERVICES, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ADORA ROSE SANTIAGO-CADE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ELNA WELDEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ELNA WELDEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TYRONE E SNIPES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TYRONE E SNIPES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: EDWARD SANTIAGO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
9 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
13 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
14 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
26 July 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
18 December 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
1 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
23 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
24 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
30 September 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
17 September 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
28 June 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
16 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
31 January 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
8 September 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
9 September 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
31 August 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
27 October 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
12 February 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
22 May 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
18 March 2005: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
13 December 2004: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
25 October 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
30 September 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
13 February 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
13 February 2003: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
30 July 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
30 September 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip

How to read this report

Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.

A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.

This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.

How to cite this report

Velarion Records, ASHBY CARE CENTER — facility record report, CMS certification number 555466. https://velarionrecords.com/facility/555466/report.

Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file SNF10FY2024.zip.
Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
Care Compare ownership: CMS file dated 1 August 2026.
Medicare enrollment ownership: CMS file dated 1 August 2026.
Nurse staffing: CMS Payroll-Based Journal, quarters 2022Q4 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 555466. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

Hours this facility reported to CMS’s Payroll-Based Journal, one row per quarter, oldest first, each with how its figures are derived and the file it came from.

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2022Q4	31 December 2022	92	977	1,940.25	961.25	4,910.75	7,812.25
2023Q1	31 March 2023	90	1,600	2,280.25	976	4,832.25	8,088.5
2023Q2	30 June 2023	91	2,020	2,482	1,078.25	4,910.5	8,470.75
2023Q3	30 September 2023	92	1,307	2,691	981	4,763	8,435
2023Q4	31 December 2023	92	2,088	3,064.75	1,084.5	4,662.75	8,812
2024Q1	31 March 2024	91	2,173	3,383.25	851.75	4,718.5	8,953.5
2024Q2	30 June 2024	91	1,512	3,793.75	951	4,784.25	9,529
2024Q3	30 September 2024	92	976	3,580	1,282	4,700.25	9,562.25
2024Q4	31 December 2024	92	1,035	2,848	1,599.75	4,583.5	9,031.25
2025Q1	31 March 2025	90	1,362	1,969.5	1,454	4,656	8,079.5
2025Q2	30 June 2025	91	2,036	1,891	1,629.75	4,565.75	8,086.5
2025Q3	30 September 2025	92	2,508	1,610.5	1,577.5	5,991.25	9,179.25
2025Q4	31 December 2025	92	2,403	1,154	1,770.75	5,883.75	8,808.5
2026Q1	31 March 2026	90	2,018	1,412.5	1,677.75	5,530	8,620.25

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2022Q4	1.985926	0.983879	5.026356	7.996162
2023Q1	1.425156	0.61	3.020156	5.055313
2023Q2	1.228713	0.533787	2.430941	4.193441
2023Q3	2.058914	0.750574	3.644223	6.453711
2023Q4	1.467792	0.519397	2.233118	4.220307
2024Q1	1.556949	0.39197	2.171422	4.120341
2024Q2	2.509094	0.628968	3.164187	6.302249
2024Q3	3.668033	1.313525	4.81583	9.797387
2024Q4	2.751691	1.545652	4.428502	8.725845
2025Q1	1.446035	1.067548	3.418502	5.932085
2025Q2	0.928782	0.800467	2.24251	3.971758
2025Q3	0.642145	0.628987	2.388856	3.659988
2025Q4	0.480233	0.736891	2.448502	3.665626
2026Q1	0.69995	0.831392	2.740337	4.27168

How each quarter is derived, and its file

2022Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv
2023Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv
2023Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv
2023Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv
2023Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv
2024Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv
2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv
2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv
2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv
2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv
2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv
2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv
2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv
2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv

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