Skilled nursing facility · CMS certification number 555574
STONEY POINT HEALTHCARE CENTER
CHATSWORTH, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 132
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 13 June 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $39,175,290 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,822,103 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $30,353,187 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,000,288 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $9,352,899 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $26,441 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $9,379,340 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $9,379,340 (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 | 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 | 15,951 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 1,366 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 27,798 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 45,115 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 118 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 152 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 283 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 135.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 105.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1429151, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $35,118,965 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,917,139 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $28,201,826 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,319,275 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $8,882,551 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,042 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $8,892,593 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $8,892,593 (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 | 132 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,046 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 271 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 88.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 781.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 214.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441110, 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 28 October 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,576,694 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,149,704 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,426,990 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,837,162 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $6,589,828 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $223,105 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $6,812,933 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $6,813,729 (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 | 132 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,800 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 283 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 204.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 158.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398210, 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 30 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,194,641 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,919,454 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,275,187 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,507,086 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,231,899 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $239,712 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$992,187 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,004,312 (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 | 132 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,799 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 239 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 84.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 220.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 149.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334706, 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 | $11,243,563 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,482,148 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,761,415 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,670,336 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,908,921 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $632,569 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,276,352 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,276,352 (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 | 132 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,433 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 183 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,931.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 193.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1302127, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 January 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,901,180 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $518,838 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,382,342 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,193,785 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$811,443 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,555 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$807,888 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$807,888 (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 | 132 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,734 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,042.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 324.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278292, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,647,427 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,409,936 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,237,491 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,581,147 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,343,656 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $70,750 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,272,906 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,272,906 (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%).
| 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 | 44,181 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,193 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 441.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240490, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,557,815 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,741,375 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,816,440 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,820,534 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,004,094 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,389 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,002,705 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,002,705 (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 | 132 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,062 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 165 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,129 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 608.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1199468, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 December 2015 to 31 December 2016 — a reporting period of 396 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,008,282 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,766,305 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,241,977 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,677,075 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$435,098 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $84 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$435,014 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$435,014 (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 | 132 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,067 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 107.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,182 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 618.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170693, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 November 2015
Cost report for 1 January 2015 to 30 November 2015 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 4 December 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,763,787 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,387,489 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,376,298 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,937,899 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$561,601 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$561,601 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,020,533 (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 | 132 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,613 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 131 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 120 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 316.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 317.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179279, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 August 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,350,465 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,240,265 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,110,200 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,928,301 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $181,899 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $181,899 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $181,899 (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 | 132 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,912 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 146 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 116.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 351.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 314.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108575, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 26 June 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,857,952 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $290,932 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,567,020 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,432,183 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $134,837 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $134,837 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $134,837 (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 | 132 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,771 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 146 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 124.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 349.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 313.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1068535, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 June 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,754,152 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $7,754,152 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,911,177 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$157,025 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $730 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$156,295 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$156,295 (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 | 132 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,538 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 139 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 396.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 313.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1036251, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 November 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,856,420 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$514,850 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,371,270 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,133,243 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $238,027 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $981 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $239,008 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $241,176 (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 | 132 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,260 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 143 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 118.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 333.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 309.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1021179, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 August 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,048,928 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,670,906 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $378,022 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,541 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$25,407 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $404,970 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,449 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 166 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 75.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 305.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 267.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415743, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 July 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,414,683 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,316,129 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $98,554 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $594 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $99,148 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,428 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 163 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 304.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 266.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 383832, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,294,763 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,423,980 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$129,217 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,422 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$115,595 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,352 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 159 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 347.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 285.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 350990, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 August 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,199,094 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,309,111 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$110,017 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,846 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$89,171 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,074 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 109 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 93.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 603.16 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 413.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 323286, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 March 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,418,040 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,339,317 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $78,723 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,603 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $93,326 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,967 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 117 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 111.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 446.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 367.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 304185, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 November 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,755,424 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,832,667 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$77,243 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,035 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$41,208 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,699 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 405.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 344.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266375, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 19 May 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,112,207 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,541,493 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$429,286 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $224,921 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$204,365 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,217 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 138 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 379.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 313.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 249829, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,734,194 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,351,008 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$616,814 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,763 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$612,051 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,173 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 425.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 332.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 218150, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 March 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,902,524 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,901,418 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,106 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,523 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $5,629 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,422 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 489.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 425.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 170733, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 May 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,604,461 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,426,135 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $178,326 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,100 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $179,426 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,578 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 121 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 450.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 351.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 143803, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,233,154 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,316,569 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$83,415 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,731 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$80,684 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,058 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 495.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 331.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 123098, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 September 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,933,749 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,912,051 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $21,698 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,389 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $24,287 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,789 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 353.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 269.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 74970, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 18 March 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,841,611 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,168,774 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$327,163 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $50,356 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$276,807 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,099 | 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 | 39.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 435.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 310.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133761, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 November 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,807,609 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,966,600 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$158,991 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,012 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$155,979 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,462 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 164 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 384.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 252.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 7784, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 19 October 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,109,535 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,983,759 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $125,776 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,024 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $126,800 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,026 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 399.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 310.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 7783, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| RUTHERFORD, KEINO | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/01/2023 |
| APT, FREDERICK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| HANCOCK, MARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| JERGENSEN, JOSHUA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| HARTLEY, SAMUEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2021 |
| HARTLEY, SAMUEL | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 10/01/2021 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CUCUMBER HOLDINGS LLC (enrollment ID O20151023000912).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JASON H MURRAY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 41.8 | 4/15/2024 | 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. |
| MARK D HANCOCK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 41.8 | 4/15/2024 | 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. |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 6/30/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| KEINO A RUTHERFORD | Individual | CONTRACTED MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2023 | 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. |
| FREDERICK G APT | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2024 | 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. |
| JOHN T MITCHELL | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2024 | 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. |
| JOSHUA O JERGENSEN | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2024 | 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. |
| MARK D HANCOCK | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2024 | 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. |
| SAMUEL HARTLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SAMUEL HARTLEY | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: JOHN T MITCHELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON H MURRAY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KEINO A RUTHERFORD no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN T MITCHELL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KEINO A RUTHERFORD appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 September 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: JOSHUA O JERGENSEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: KEINO A RUTHERFORD appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 November 2023: BAY BRIDGE CAPITAL PARTNERS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: CALIFORNIA OPCO LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: OPCO HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: PROVIDENCE GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: PACS GROUP, INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: PACS HOLDINGS, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: PROVIDENCE GROUP NH, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 30 November 2022: CHAD NIELSEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: CHAD NIELSEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: SAMUEL HARTLEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: SAMUEL HARTLEY appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
Recent changes on this record
- 1 July 2026: JOHN T MITCHELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON H MURRAY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KEINO A RUTHERFORD no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN T MITCHELL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KEINO A RUTHERFORD appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 20 October 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 13 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 28 October 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 1 September 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: JOSHUA O JERGENSEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: KEINO A RUTHERFORD appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 November 2023: BAY BRIDGE CAPITAL PARTNERS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: CALIFORNIA OPCO LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: OPCO HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: PROVIDENCE GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: PACS GROUP, INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: PACS HOLDINGS, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: PROVIDENCE GROUP NH, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 30 November 2022: CHAD NIELSEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: CHAD NIELSEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: SAMUEL HARTLEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 November 2022: SAMUEL HARTLEY appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 30 September 2022: 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
- 15 January 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 12 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 19 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 4 December 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 25 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 23 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 26 June 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 19 June 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 30 November 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 17 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 27 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 16 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 7 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 12 March 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 14 November 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 3 July 2025 | 3 July 2025 | 22 | 10 |
| 2 | 25 July 2024 | 25 July 2024 | 12 | 5 |
| 3 | 4 March 2022 | 4 March 2022 | 21 | 18 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
55 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 24 June 2026 | Health | F 0573 | Resident Rights Deficiencies | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Yes | Deficient, Provider has date of correction | 22 July 2026 |
| 24 June 2026 | 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 | 22 July 2026 |
| 28 May 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 12 June 2026 |
| 22 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 | Yes | Deficient, Provider has date of correction | 6 February 2026 |
| 22 January 2026 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | 6 February 2026 |
| 5 September 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | 28 September 2025 |
| 3 July 2025 | 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 | 2 August 2025 |
| 3 July 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 2 August 2025 |
| 3 July 2025 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 2 August 2025 |
| 3 July 2025 | 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 | 2 August 2025 |
| 3 July 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | B | No | Deficient, Provider has date of correction | 2 August 2025 |
| 3 July 2025 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | 2 August 2025 |
| 3 July 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 2 August 2025 |
| 3 July 2025 | 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 | 2 August 2025 |
| 3 July 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | No | Deficient, Provider has date of correction | 2 August 2025 |
| 3 July 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 2 August 2025 |
| 3 July 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 2 August 2025 |
| 3 July 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | 2 August 2025 |
| 3 July 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | 2 August 2025 |
| 3 July 2025 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | 2 August 2025 |
| 3 July 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 2 August 2025 |
| 3 July 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. | E | No | Deficient, Provider has date of correction | 2 August 2025 |
| 9 May 2025 | Health | F 0745 | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Yes | Deficient, Provider has date of correction | 30 May 2025 |
| 27 February 2025 | Health | F 0660 | Resident Assessment and Care Planning Deficiencies | Plan the resident's discharge to meet the resident's goals and needs. | D | Yes | Deficient, Provider has date of correction | 28 February 2025 |
| 18 October 2024 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Yes | Deficient, Provider has date of correction | 7 November 2024 |
| 25 July 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 13 August 2024 |
| 25 July 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 13 August 2024 |
| 25 July 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | B | No | Deficient, Provider has date of correction | 13 August 2024 |
| 25 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. | E | No | Deficient, Provider has date of correction | 13 August 2024 |
| 25 July 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 | No | Deficient, Provider has date of correction | 13 August 2024 |
| 25 July 2024 | 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 | 13 August 2024 |
| 25 July 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | No | Deficient, Provider has date of correction | 13 August 2024 |
| 25 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. | D | No | Deficient, Provider has date of correction | 13 August 2024 |
| 25 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 | 13 August 2024 |
| 19 July 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | 18 August 2024 |
| 22 April 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. | D | Yes | Deficient, Provider has date of correction | 15 May 2024 |
| 18 August 2023 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Yes | Deficient, Provider has date of correction | 10 September 2023 |
| 18 August 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 10 September 2023 |
| 4 March 2022 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | 31 March 2022 |
| 4 March 2022 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 31 March 2022 |
| 4 March 2022 | 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 | 31 March 2022 |
| 4 March 2022 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | 31 March 2022 |
| 4 March 2022 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | 31 March 2022 |
| 4 March 2022 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | 31 March 2022 |
| 4 March 2022 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 31 March 2022 |
| 4 March 2022 | 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. | E | No | Deficient, Provider has date of correction | 31 March 2022 |
| 4 March 2022 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 31 March 2022 |
| 4 March 2022 | 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 | 31 March 2022 |
| 4 March 2022 | 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 | 31 March 2022 |
| 4 March 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 | 31 March 2022 |
| 4 March 2022 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | No | Deficient, Provider has date of correction | 31 March 2022 |
| 4 March 2022 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | 31 March 2022 |
| 4 March 2022 | 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 | 31 March 2022 |
| 4 March 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. | E | No | Deficient, Provider has date of correction | 31 March 2022 |
| 4 March 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 31 March 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 |
|---|---|---|---|---|---|
| 19 July 2024 | Payment Denial | 15 August 2024 | 3 |
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 | CUCUMBER HOLDINGS LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1993-10-14 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Los Angeles |
| Telephone Number | 8188828233 |
| Chain Name | PACS GROUP |
| Chain ID | 690 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 132 |
| Average Number of Residents per Day | 123.1 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on STONEY POINT HEALTHCARE 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: JOHN T MITCHELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for STONEY POINT HEALTHCARE 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 555574.