Skilled nursing facility · CMS certification number 555524

HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO

CUPERTINO, California · Medicare

Certified beds, as filed in Care Compare: 48

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 April 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$23,370,489	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,857,172	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$21,513,317	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$24,167,446	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,654,129	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,424,533	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,229,596	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,229,596 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	48,312	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	4,294	CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days	31,478	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	35,772	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	148	CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges	121	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	269	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.01	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	132.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1421072, 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 19 July 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$18,109,022	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,045,561	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,063,461	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$19,614,224	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$3,550,763	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,730,576	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,820,187	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,820,188 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,508	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	97	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	324.82	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1389245, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 July 2022 to 31 December 2022 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 21 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$17,557,086	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,412,812	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,144,274	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$24,344,514	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$9,200,240	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,657,146	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,456,906	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,456,906 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,637	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	134	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	101.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359577, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 30 June 2021

Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 January 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$37,687,054	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,444,001	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$32,243,053	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$40,707,883	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$8,464,830	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$10,710,927	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,246,097	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,246,097 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	448	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	182,480	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	158	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	1,154.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1309070, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended 30 June 2020

Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 3 February 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$34,563,997	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,686,127	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$29,877,870	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$40,153,457	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$10,275,587	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$9,649,660	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$625,927	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$625,927 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	51,912	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	200	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	259.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1279608, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended 30 June 2019

Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$29,565,823	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,037,305	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$24,528,518	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$38,224,688	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$13,696,170	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,715,674	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,019,504	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,019,504 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,831	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	226	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	158.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1249270, read from the public cost report file SNF10FY2018.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 24 January 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$32,644,951	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,197,467	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$27,447,484	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$37,133,076	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$9,685,592	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$9,873,785	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$188,193	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $188,193 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,051	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	171	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	216.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1218174, 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 30 January 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$31,581,528	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,020,705	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$26,560,823	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$35,529,599	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$8,968,776	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,172,978	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$4,204,202	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $4,204,202 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,111	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	253	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	142.73	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1183020, 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 17 January 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$27,400,819	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,707,408	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$21,693,411	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$33,841,724	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$12,148,313	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,609,730	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,461,417	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,461,417 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,465	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	213	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	171.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1151313, 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 20 January 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$25,807,759	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,688,787	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$20,118,972	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$32,340,861	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$12,221,889	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,707,043	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,485,154	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,485,154 (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%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,429	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	247	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	143.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1117224, 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 February 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$31,397,941	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,453,793	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$25,944,148	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$31,571,724	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$5,627,576	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,721,565	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,906,011	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,906,011 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,399	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	202	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.95	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	145.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1085710, 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 27 January 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$13,937,356	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,486,394	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,450,962	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$32,196,650	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$23,745,688	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$22,719,661	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,026,027	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,026,027 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,179	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	211	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	171.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1054150, 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 28 January 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$22,583,855	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,002,161	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$19,581,694	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$30,263,435	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$10,681,741	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,841,957	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,839,784	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,839,784 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,612	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	247	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.94	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	144.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1024149, 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 19 December 2011.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$11,265,357	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,828,323	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$562,966	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$465,042	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$97,924 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	37,122	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	227	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.77	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	163.53	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 422082, 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 3 May 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$10,797,916	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,188,405	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$390,489	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$468,314	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $77,825 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,315	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	289	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.08	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	122.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 398570, 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 1 February 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$10,257,695	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,407,924	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,150,229	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$716,041	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$434,188 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,368	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	227	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	155.81	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 363368, 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 22 July 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$9,753,572	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,236,918	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$483,346	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,341,910	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $858,564 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,751	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	258	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.28	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	130.82	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 351866, 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 18 September 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$9,336,764	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,450,107	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$113,343	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$205,847	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $92,504 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,796	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	237	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	34.31	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	138.38	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 325956, 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 1 May 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$8,331,997	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,032,586	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$700,589	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$780,804	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $80,215 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,520	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	194	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.89	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	157.32	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 277105, 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 24 February 2006.

None of these figures is carried on this report.

CMS report record 243562, 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 27 October 2005.

None of these figures is carried on this report.

CMS report record 235642, 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 8 November 2004.

None of these figures is carried on this report.

CMS report record 199160, 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 7 May 2003.

None of these figures is carried on this report.

CMS report record 143654, 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 18 March 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$5,838,218	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,853,354	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,015,136	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,015,137	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	82	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,698	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	173	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.75	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	154.32	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 133753, 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 11 February 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$3,266,741	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,165,084	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$2,898,343	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,898,647	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $304 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	82	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,016	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	120	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51.68	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	225.13	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 115027, 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 15 March 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$3,286,000	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,741,019	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$2,455,019	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,532,894	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $77,875 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	400	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	24,733	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	142	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.94	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	174.18	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 15935, 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, reopened, processed by CMS on 19 April 2001.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$5,402,233	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,594,540	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$192,307	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$153,923	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$38,384 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	82	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,055	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	193	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	39.66	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	145.36	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 15932, 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 8 July 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$4,956,932	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,771,886	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$185,046	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$162,574	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $347,620 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	82	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,575	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	220	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	18.56	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	125.34	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 15931, 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 6 November 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$4,859,413	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,718,357	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$141,056	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$245,590	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$17	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $386,629 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	82	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,321	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	226	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	21.03	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	125.31	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 15929, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 07/02/1999
JO, DANIEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/22/2025
LIFE CARE SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/22/2025
NELSON, MARK	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/22/2025
RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/31/1992
EXLINE, RICK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
JOHNSON, EIKO	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2023
BRAUMAN, SHARON	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2020
BROWN, KATHY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
BUSH, ELLYN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2023
FISHBEIN, MARGERY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
JO, DANIEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/01/2025
KAO, NANCY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2000
LIFE CARE SERVICES LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 06/01/2012
NELSON, MARK	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/04/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of RANCHO SAN ANTONIO RETIREMENT SERVICES, INC. (enrollment ID O20111114000671).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	7/2/1999	Private equity company: No Real estate investment trust: No Holding company: No
DANIEL H JO	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.	4/22/2025	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.
LIFE CARE SERVICES 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.	4/22/2025	Private equity company: No Real estate investment trust: No Holding company: No
MARK NELSON	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.	4/22/2025	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.
RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/31/1992	Private equity company: No Real estate investment trust: No Holding company: No
EIKO JOHNSON	Individual	CORPORATE DIRECTOR	0	1/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RICK EXLINE	Individual	CORPORATE DIRECTOR	0	1/1/2025	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.
ELLYN BUSH	Individual	CORPORATE OFFICER	0	1/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KATHY BROWN	Individual	CORPORATE OFFICER	0	1/1/2024	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.
MARGERY FISHBEIN	Individual	CORPORATE OFFICER	0	1/1/2024	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.
SHARON BRAUMAN	Individual	CORPORATE OFFICER	0	1/1/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANIEL H JO	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/1/2025	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.
LIFE CARE SERVICES LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	0	6/1/2012	Private equity company: No Real estate investment trust: No Holding company: No
MARK NELSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/4/2024	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.
NANCY H. KAO	Individual	OPERATIONAL/MANAGERIAL CONTROL	0	5/1/2000	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: RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION 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: RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION 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: RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION 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 2025: RANCHO SAN ANTONIO RETIREMENT SERVICES, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: BRIAN WEAVER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LILY YOUNG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LILY YOUNG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: DANIEL H JO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: DANIEL H JO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: MARK NELSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: MARK NELSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: EIKO JOHNSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: MARGERY FISHBEIN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LIFE CARE SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: RICK EXLINE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 June 2025: PHILIP SUNSHINE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 April 2025: MILDRED G VASAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: MILDRED G VASAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
14 April 2023: LOIS ADAMS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: LOIS ADAMS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: MEHRDAD AYATI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: JEROME FISCHBEIN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: EDITH H TOUSEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: VERNON K CLIFFORD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: VERNON K CLIFFORD no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: SHARON BRAUMAN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: ELLYN BUSH appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: KATHY BROWN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: PHILIP SUNSHINE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv

Recent changes on this record

1 July 2026: RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION 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: RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION 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: RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION 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 2025: RANCHO SAN ANTONIO RETIREMENT SERVICES, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: BRIAN WEAVER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LILY YOUNG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LILY YOUNG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: DANIEL H JO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: DANIEL H JO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: MARK NELSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: MARK NELSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: EIKO JOHNSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: MARGERY FISHBEIN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: LIFE CARE SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: RICK EXLINE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 June 2025: PHILIP SUNSHINE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
28 April 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 April 2025: MILDRED G VASAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: MILDRED G VASAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
19 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
21 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
14 April 2023: LOIS ADAMS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: LOIS ADAMS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: MEHRDAD AYATI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: JEROME FISCHBEIN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: EDITH H TOUSEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: VERNON K CLIFFORD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: VERNON K CLIFFORD no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: SHARON BRAUMAN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: ELLYN BUSH appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: KATHY BROWN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 2023: PHILIP SUNSHINE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
17 January 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
19 January 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
3 February 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
16 January 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
24 January 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
30 January 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	30 January 2026	30 January 2026	17	6
2	19 July 2024	19 July 2024	14	3
3	9 June 2023	9 June 2023	5	3

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

Deficiencies cited

36 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
14 May 2026	Health	F 0551	Resident Rights Deficiencies	Give the resident's representative the ability to exercise the resident's rights.	D	Yes	Deficient, Provider has date of correction	26 May 2026
9 April 2026	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Deficient, Provider has date of correction	17 April 2026
30 January 2026	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	28 February 2026
30 January 2026	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	E	No	Deficient, Provider has date of correction	28 February 2026
30 January 2026	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	E	No	Deficient, Provider has date of correction	28 February 2026
30 January 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	28 February 2026
30 January 2026	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	28 February 2026
30 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	No	Deficient, Provider has date of correction	28 February 2026
30 January 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	28 February 2026
30 January 2026	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	E	No	Deficient, Provider has date of correction	28 February 2026
30 January 2026	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	D	No	Deficient, Provider has date of correction	28 February 2026
30 January 2026	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	No	Deficient, Provider has date of correction	28 February 2026
30 January 2026	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.	E	No	Deficient, Provider has date of correction	28 February 2026
30 January 2026	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	E	No	Deficient, Provider has date of correction	28 February 2026
30 January 2026	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	28 February 2026
30 January 2026	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	28 February 2026
30 January 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	28 February 2026
6 September 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	20 September 2024
19 July 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	18 August 2024
19 July 2024	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	E	No	Deficient, Provider has date of correction	18 August 2024
19 July 2024	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	18 August 2024
19 July 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	18 August 2024
19 July 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	18 August 2024
19 July 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	18 August 2024
19 July 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	18 August 2024
19 July 2024	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	D	No	Deficient, Provider has date of correction	18 August 2024
19 July 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	D	No	Deficient, Provider has date of correction	18 August 2024
19 July 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	18 August 2024
19 July 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	18 August 2024
19 July 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	18 August 2024
19 July 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	18 August 2024
9 June 2023	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	9 July 2023
9 June 2023	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	9 July 2023
9 June 2023	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	9 July 2023
9 June 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	9 July 2023
9 June 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	9 July 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare
Ownership Type	Non profit - Other
Legal Business Name	RANCHO SAN ANTONIO RETIREMENT SERVICES, INC.
Date First Approved to Provide Medicare and Medicaid Services	1992-09-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	Y
Urban	Y
County/Parish	Santa Clara
Telephone Number	6509440200
Chain Name	LIFE CARE SERVICES
Chain ID	312
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Both
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	48
Average Number of Residents per Day	45.5
Overall Rating	4
Health Inspection Rating	2
QM Rating	5
Long-Stay QM Rating	4
Short-Stay QM Rating	5
Processing Date	2026-08-01

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

Get an email when this record changes

One email a day naming what moved on HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO: 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: RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION 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 HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO

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

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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 555524.