Skilled nursing facility · CMS certification number 555476
Apple Valley Care Center
Apple Valley, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 99
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 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,596,753 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $489,682 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,107,071 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,347,144 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,759,927 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,278 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,787,205 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,602,564 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 36,234 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 10,718 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 186 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 22,002 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 32,906 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 291 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 35 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 366 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 692 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 5.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 47.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438293, 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 30 May 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,848,011 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $986,970 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,861,041 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,657,534 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,203,507 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $424,855 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,628,362 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,788,154 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,131 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 636 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 161.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1424797, 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 6 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,727,318 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$883,074 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,610,392 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,929,395 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,680,997 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,021 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,693,018 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $947,477 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,145 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 566 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 175.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394046, 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 November 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,734,418 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$671,804 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,406,222 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,473,089 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $933,133 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,736,632 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,669,765 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,918,990 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,449 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 578 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 159.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1368134, 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 20 October 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,147,588 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$2,046,270 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,193,858 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,799,154 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,394,704 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $132,484 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,527,188 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,848,462 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,564 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 301 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 94.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1302125, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 30 September 2019
Cost report for 1 July 2019 to 30 September 2019 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 14 April 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,374,003 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $603,256 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,770,747 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,561,360 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $209,387 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $445,700 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $655,087 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $655,087 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,899 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 238 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 277.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 33.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282054, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 October 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,853,197 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $283,300 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,569,897 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,577,556 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,007,659 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,397 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,005,262 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,005,262 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,087 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 945 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 180.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 31.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1244082, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 December 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,216,584 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,709,444 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,926,028 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,364,307 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $561,721 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,555 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $592,276 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $592,276 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,421 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 904 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 251.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 34.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179539, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 February 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,481,029 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,634,677 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,115,706 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,794,103 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,321,603 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $169,001 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,490,604 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,455,712 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,800 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 683 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 314.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1152801, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 February 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,775,385 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $557,724 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,217,661 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,767,455 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$549,794 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $50,505 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$499,289 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$500,089 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,800 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 650 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 272.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 45.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119329, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 March 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,063,861 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,772,118 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,291,743 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,684,818 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$393,075 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$393,075 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,424,359 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,607 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 682 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 41.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1086955, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 January 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,623,866 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,679,385 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,944,481 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,466,474 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$521,993 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$521,993 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$809,727 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,143 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 351 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 85.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055052, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 31 January 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,045,676 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,270,169 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,775,507 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,692,145 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $83,362 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $83,362 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$373,702 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,374 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 595 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 54.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024401, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,979,371 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,343,749 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $635,622 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $210,810 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $424,812 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,032 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 587 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 56.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422924, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 August 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,107,028 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,551,337 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $555,691 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $85,937 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $641,628 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,209 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 557 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 367.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 57.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 414211, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 December 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,729,967 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,213,866 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $516,101 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $104,497 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $620,598 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,534 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 442 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 182.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 73.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 361121, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 5 February 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,712,032 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,401,392 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $310,640 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $174,806 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $485,446 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,132 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 593 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 223.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 55.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333217, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 30 June 2007
Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 January 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,836,235 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,806,985 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $29,250 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $457,363 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $486,613 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,089 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 607 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 139.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 54.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 300498, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 March 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,036,234 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,210,974 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$174,740 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $80,653 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$94,087 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,542 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 584 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 246 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 57.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 276135, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 March 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,794,428 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,475,221 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$680,793 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $140,091 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$540,702 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,636 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 419 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 589.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 77.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 244385, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 30 June 2004
Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 21 January 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,830,709 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,360,220 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$529,511 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $128,086 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$401,425 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,031 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 558 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 616.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 60.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205149, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 30 June 2003
Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 February 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,275,925 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,288,541 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,012,616 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $185,332 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$827,284 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,115 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 419 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 748.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 79.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 207575, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 30 June 2002
Cost report for 1 July 2001 to 30 June 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,566,706 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,735,279 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$168,573 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $58,500 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$110,073 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,729 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 264 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 180.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 131.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 192564, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 30 June 2001
Cost report for 1 July 2000 to 30 June 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,692,899 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,731,730 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,038,831 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,250 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$998,581 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,786 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 347 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 94.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 139224, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 30 June 2000
Cost report for 1 July 1999 to 30 June 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 December 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,910,126 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,902,804 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$992,678 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $341,473 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $13,747 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$664,952 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,502 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 314 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 686.66 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 100.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 98352, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 30 June 1999
Cost report for 1 July 1998 to 30 June 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 January 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,111,933 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,591,445 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$479,512 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $133,940 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,419 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$352,991 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,964 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 370 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 553 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 98350, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended 30 June 1998
Cost report for 1 July 1997 to 30 June 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 July 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,355,756 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,646,293 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$290,537 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $118,786 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$171,751 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,912 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 527 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 514.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 64.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 98348, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended 30 June 1997
Cost report for 1 July 1996 to 30 June 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 March 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,425,420 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,608,751 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$183,331 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $92,249 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $22,500 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$113,582 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,775 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 512 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 401.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 65.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 98347, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended 30 June 1996
Cost report for 1 July 1995 to 30 June 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 31 August 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,376,626 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,653,834 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$277,208 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $89,789 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$35,983 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$151,436 (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 | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,765 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 517 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 493.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 63.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 98345, read from the public cost report file SNFFY1995.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 |
|---|---|---|---|---|
| LEHMANN, KENNETH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 28% | since 10/01/2019 |
| 11959 APPLE VALLEY ROAD, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/26/2013 |
| ABAK CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/27/2021 |
| BAK, ABRAHAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/26/2013 |
| ESCOBAR, JAY ANNE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/08/2025 |
| GASTWIRTH, MENACHEM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/26/2013 |
| GEWIRTZ, CHONOCH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/13/2020 |
| LEHMANN, KENNETH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/13/2020 |
| MAYER 2005 REVOCABLE TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2014 |
| MAYER, HELENE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/26/2013 |
| MAYER, RONALD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/26/2013 |
| MGAZ CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/27/2021 |
| SIDDIQUI, IMRAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/13/2020 |
| BAK, ABRAHAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/13/2020 |
| ESCOBAR, JAY ANNE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/09/2015 |
| GASTWIRTH, MENACHEM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/13/2020 |
| LEHMANN, KENNETH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/13/2020 |
| SIDDIQUI, IMRAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/13/2020 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of JESS RANCH HEALTHCARE, LLC (enrollment ID O20191118001954).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| ABRAHAM BAK | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 27.5 | 10/1/2019 | 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. |
| CHONOCH GEWIRTZ | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/2019 | 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. |
| HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AARON MAYER DATED DECEM | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 2.1 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO ABRAHAM MAYER DATED DEC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 2.1 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AKIVA MAYER DATED DECEM | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 2.1 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AVIVA MAYER DATED DECEM | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 2.1 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO TALIA MAYER DATED DECEM | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 2.1 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO ZACHARY MAYER DATED DEC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 2 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| KENNETH LEHMANN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 27.5 | 10/1/2019 | 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. |
| MENACHEM GASTWIRTH | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 27.5 | 10/10/2019 | 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. |
| HELENE G MAYER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12.5 | 10/1/2019 | 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. |
| 11959 APPLE VALLEY ROAD, 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. | 9/26/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| ABAK CONSULTING 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. | 12/27/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| ABRAHAM BAK | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/26/2013 | 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. |
| CHONOCH GEWIRTZ | 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. | 5/13/2020 | 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. |
| HELENE G MAYER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/26/2013 | 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. |
| IMRAN SIDDIQUI | 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. | 5/13/2020 | 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. |
| JAY ANNE ESCOBAR | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/8/2025 | 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. |
| KENNETH LEHMANN | 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. | 5/13/2020 | 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. |
| MAYER 2005 REVOCABLE TRUST | 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. | 7/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| MENACHEM GASTWIRTH | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/26/2013 | 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. |
| MGAZ CONSULTING 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. | 12/27/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| RONALD J MAYER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/26/2013 | 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. |
| ABRAHAM BAK | 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. | 5/13/2020 | 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. |
| IMRAN SIDDIQUI | 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. | 5/13/2020 | 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. |
| JAY ANNE ESCOBAR | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 3/9/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KENNETH LEHMANN | 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. | 5/13/2020 | 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. |
| MENACHEM GASTWIRTH | 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. | 5/13/2020 | 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. |
Changes in ownership
- 1 July 2026: MGAZ CONSULTING LLC 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: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO TALIA MAYER DATED DECEM 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: CHONOCH GEWIRTZ 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: CHONOCH GEWIRTZ 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: MGAZ CONSULTING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO TALIA MAYER DATED DECEM 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: CHONOCH GEWIRTZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CHONOCH GEWIRTZ appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 June 2025: HELENE G MAYER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AARON MAYER DATED DECEM no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AKIVA MAYER DATED DECEM no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO ZACHARY MAYER DATED DEC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO ABRAHAM MAYER DATED DEC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AVIVA MAYER DATED DECEM no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO TALIA MAYER DATED DECEM no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: MENACHEM GASTWIRTH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: MENACHEM GASTWIRTH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: IMRAN M SIDDIQUI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: IMRAN M SIDDIQUI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: HELENE G MAYER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: ABAK CONSULTING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: MAYER 2005 REVOCABLE TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: ABRAHAM BAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: ABRAHAM BAK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: KENNETH LEHMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: KENNETH LEHMANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: 11959 APPLE VALLEY ROAD, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: RONALD J MAYER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: JAY ANNE ESCOBAR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: MGAZ CONSULTING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: CHONOCH GEWIRTZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
Recent changes on this record
- 1 July 2026: MGAZ CONSULTING LLC 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: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO TALIA MAYER DATED DECEM 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: CHONOCH GEWIRTZ 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: CHONOCH GEWIRTZ 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: MGAZ CONSULTING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO TALIA MAYER DATED DECEM 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: CHONOCH GEWIRTZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CHONOCH GEWIRTZ appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 June 2025: HELENE G MAYER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AARON MAYER DATED DECEM no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AKIVA MAYER DATED DECEM no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO ZACHARY MAYER DATED DEC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO ABRAHAM MAYER DATED DEC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AVIVA MAYER DATED DECEM no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO TALIA MAYER DATED DECEM no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: MENACHEM GASTWIRTH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: MENACHEM GASTWIRTH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: IMRAN M SIDDIQUI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: IMRAN M SIDDIQUI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: HELENE G MAYER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: ABAK CONSULTING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: MAYER 2005 REVOCABLE TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: ABRAHAM BAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: ABRAHAM BAK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: KENNETH LEHMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: KENNETH LEHMANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: 11959 APPLE VALLEY ROAD, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: RONALD J MAYER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: JAY ANNE ESCOBAR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: MGAZ CONSULTING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 1 June 2025: CHONOCH GEWIRTZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 30 May 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 6 September 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 16 November 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 20 October 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 14 April 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 23 December 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2020.zip
- 10 November 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 16 October 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 18 December 2025 | 18 December 2025 | 4 | 11 |
| 2 | 17 October 2024 | 17 October 2024 | 6 | 4 |
| 3 | 10 January 2022 | 10 January 2022 | 13 | 13 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
23 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 12 March 2026 | Health | F 0675 | Quality of Life and Care Deficiencies | Honor each resident's preferences, choices, values and beliefs. | D | Yes | Deficient, Provider has date of correction | 30 March 2026 |
| 21 January 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 30 January 2026 |
| 18 December 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 January 2026 |
| 18 November 2025 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Yes | Deficient, Provider has date of correction | 1 December 2025 |
| 9 June 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 19 June 2025 |
| 30 January 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | 14 February 2025 |
| 17 October 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | F | No | Deficient, Provider has date of correction | 15 November 2024 |
| 17 October 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 15 November 2024 |
| 17 October 2024 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | 15 November 2024 |
| 17 October 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 15 November 2024 |
| 28 June 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 26 July 2024 |
| 26 February 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | 7 March 2024 |
| 26 February 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has date of correction | 7 March 2024 |
| 12 October 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | 27 October 2023 |
| 10 January 2022 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | 27 January 2022 |
| 10 January 2022 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 27 January 2022 |
| 10 January 2022 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 27 January 2022 |
| 10 January 2022 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | No | Deficient, Provider has date of correction | 27 January 2022 |
| 10 January 2022 | 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 | 27 January 2022 |
| 10 January 2022 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | 27 January 2022 |
| 10 January 2022 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | No | Deficient, Provider has date of correction | 27 January 2022 |
| 10 January 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 27 January 2022 |
| 10 January 2022 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | F | No | Deficient, Provider has date of correction | 27 January 2022 |
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 |
|---|---|---|---|---|---|
| 17 January 2024 | Fine | $8,021 | 130526 |
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 - Limited Liability company |
| Legal Business Name | JESS RANCH HEALTHCARE, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-09-26 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | San Bernardino |
| Telephone Number | 7602405051 |
| Chain Name | ABRAHAM BAK & MENACHEM GASTWIRTH |
| Chain ID | 4 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 99 |
| Average Number of Residents per Day | 92.1 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| 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.
Get an email when this record changes
One email a day naming what moved on Apple Valley Care Center: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: MGAZ CONSULTING LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Apple Valley Care 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.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 555476.