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Skilled nursing facility · CMS certification number 555684

LEGACY POST ACUTE CARE

MARTINEZ, California · Medicare and Medicaid · 96 certified beds in Care Compare

Download LEGACY POST ACUTE CARE’s record (CSV, each figure with its worksheet, line and column)

LEGACY POST ACUTE CARE: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 29, 2025.
  • Net patient revenue rose from $13.9M in fiscal year 2023 to $15.1M in fiscal year 2024.
  • Its result from service to patients: $452K (2022), $786K (2023), $954K (2024).
  • Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
  • Its net patient revenue of $15.1M ranks 467th of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
  • 4 of the 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.

LEGACY POST ACUTE CARE: Medicare cost reports

Form CMS-2540-10: each report covers January 1 to December 31 of its year.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-102024 · report 14383112023 · report 13839082022 · report 13651212021 · report 13701502020 · report 13039902019 · report 12781602018 · report 12430752017 · report 12112722016 · report 11690802015 · report 11421072014 · report 11041602013 · report 10720042012 · report 10362582011 · report 1013069
Report statussettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledas submittedsettledsettled
Processed by CMSAugust 29, 2025June 14, 2024September 20, 2023December 8, 2023November 10, 2021January 15, 2021September 19, 2019August 31, 2018July 17, 2017August 22, 2016July 25, 2015July 23, 2014June 19, 2013September 28, 2012
Total patient revenue$15,383,835$15,230,033$14,985,105$11,009,215$13,276,122$15,562,952$11,686,211$11,285,206$9,943,948$8,270,313$9,839,544$9,503,836$9,768,211$8,707,340
Contractual allowances and discounts$330,441$1,371,868$2,148,625$1,303,055$2,623,038$6,092,454$3,594,079$2,991,224$1,556,966−$192,386$2,945,681$2,237,767$2,623,672$2,062,991
Net patient revenue$15,053,394$13,858,165$12,836,480$9,706,160$10,653,084$9,470,498$8,092,132$8,293,982$8,386,982$8,462,699$6,893,863$7,266,069$7,144,539$6,644,349
Total operating expenses$14,099,671$13,072,590$12,384,368$9,804,402$9,812,792$9,434,262$8,758,910$8,674,353$8,043,502$7,608,378$7,189,040$7,011,184$6,823,480$5,905,225
Net income from service to patients$953,723$785,575$452,112−$98,242$840,292$36,236−$666,778−$380,371$343,480$854,321−$295,177$254,885$321,059$739,124
Total other income$18,664$665,954$1,272$7,443$6,596$38,188$85,015$40,018$10,158$12,761$14,622$73,129$51,464$79,994
Net income after other income$972,387$1,451,529$453,384−$90,799$846,888$74,424−$581,763−$340,353$353,638$867,082−$280,555$328,014$372,523$819,118
Net income$972,387$1,451,529$452,065−$90,799$846,888$74,424−$581,763−$340,353$353,638$867,082−$280,555$328,014$372,523$819,118
Total facility beds, all components9696969696969696969696969696
Bed days available, all components35,136—————————————
Medicare (Title XVIII) patient days5,972—————————————
Medicaid (Title XIX) patient days1,210—————————————
Other-payer patient days20,210—————————————
Total patient days, all components27,39227,71127,15020,31724,76827,82627,93430,16030,91331,31630,90129,58931,72632,565
Medicare discharges112—————————————
Medicaid discharges33—————————————
Other-payer discharges30—————————————
Total discharges, all components175273254308183281275160185258251247174135
Average length of stay, Medicare, in days53.32—37.1339.2133.0827.1228.4231.0734.6140.0442.8746.3453.7639.24
Average length of stay, Medicaid, in days36.67372.622,288.25183.671,225.64813.12236.42566.72821497.26213.79337.54372.14392.17
Average length of stay, all patients, in days156.53101.51106.8965.96135.3499.02101.58188.5167.1121.38123.11119.79182.33241.22

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.

Cost reports on form CMS-2540-96, fiscal years 1996 to 2010
Form CMS-2540-962010 · report 4092742009 · report 3874852008 · report 3475442007 · report 3211892006 · report 2884422005 · report 2602952004 · report 2310152003 · report 2003362002 · report 1773772001 · report 1717762000 · report 1440251999 · report 987491998 · report 987481997 · report 987451996 · report 98743
Period beganJanuary 1, 2010January 1, 2009January 1, 2008January 1, 2007January 1, 2006January 1, 2005January 1, 2004January 1, 2003January 1, 2002January 1, 2001January 1, 2000January 1, 1999August 1, 1998January 1, 1997November 12, 1996
Period endedDecember 31, 2010December 31, 2009December 31, 2008December 31, 2007December 31, 2006December 31, 2005December 31, 2004December 31, 2003December 31, 2002December 31, 2001December 31, 2000December 31, 1999December 31, 1998December 31, 1997December 31, 1996
Days, where not a full year————————————152—49
Report statussettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledas submittedsettledsettled
Processed by CMSJune 30, 2011September 9, 2010June 25, 2009July 25, 2008July 25, 2007August 1, 2006August 18, 2005November 22, 2004May 21, 2004March 24, 2004May 7, 2003July 25, 2001September 7, 2000June 9, 1999June 17, 1998
Net patient revenue$5,815,920$6,021,708$5,910,207$5,363,933$5,144,958$5,098,990$4,192,430$3,739,928$3,367,585$2,544,124$3,067,414$3,794,820$1,562,329$4,298,416$836,848
Total operating expenses$6,321,481$5,508,933$5,121,795$5,049,101$5,030,905$4,730,714$4,025,187$3,593,568$3,126,628$2,725,572$3,064,764$3,840,623$1,562,123$3,049,262$2,639,982
Net income from service to patients−$505,561$512,775$788,412$314,832$114,053$368,276$167,243$146,360$240,957−$181,448$2,650−$45,803$206$1,249,154−$1,803,134
Total other income$99,164$80,022$80,199$42,750$68$15$91$819$60,500$208,986$2,118$2,327$2,075$30,254—
Total other expenses——————————$1,535————
Net income−$406,397$592,797$868,611$357,582$114,121$368,291$167,334$147,179$301,457$27,538$3,233−$43,476$2,281$1,279,408−$1,803,134
Total facility beds, all components969696969696969696999999999999
Total patient days, all components30,06229,83030,55430,45528,52229,92327,28425,98024,96020,04624,21630,35911,49823,8168,161
Total discharges, all components166157140929914711011249491321943310325
Average length of stay, Medicare, in days55.0964.5251.4742.7980.0666.1872.5476.6327.5531.8734.8135.18—29.8426.33
Average length of stay, Medicaid, in days255.51230.71339.47620.07440.11308.12363.59305.21743.81610.63209.35208.821,299.25433.91399.83
Average length of stay, all patients, in days181.1190218.24331.03288.1203.56248.04231.96509.39409.1183.45156.49348.42231.22326.44

Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.

LEGACY POST ACUTE CARE: nurse staffing hours by quarter →

Who owns LEGACY POST ACUTE CARE, as filed with CMS

Care Compare

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: JOSEPH, TOM (individual), 100%%, since 01/01/2008
  • ADP OF THE SNF: BROACH, JASMINE (individual), NOT APPLICABLE, since 06/10/2019; BUGHIO, SARA (individual), NOT APPLICABLE, since 01/01/2025; CASTILLO, MYLA (individual), NOT APPLICABLE, since 04/25/2024; CLEMENT, SHARLETTA (individual), NOT APPLICABLE, since 01/20/2023; COOPER, DUSTIN (individual), NOT APPLICABLE, since 04/29/2025; CRUZ, MARISSA (individual), NOT APPLICABLE, since 02/07/2024; DANTES, ALVIN (individual), NOT APPLICABLE, since 09/27/2022; HERNANDEZ-PERDOMO, YESENIA (individual), NOT APPLICABLE, since 11/30/2021; JOSEPH, APRIL (individual), NOT APPLICABLE, since 01/01/2012; JOSEPH, TOM (individual), NOT APPLICABLE, since 01/01/2008; KAUR, RAMANDEEP (individual), NOT APPLICABLE, since 01/01/2008; MCCHESNEY, STEPHANIE (individual), NOT APPLICABLE, since 10/23/2019; MCCLENDON, CINDY (individual), NOT APPLICABLE, since 01/17/2023; ROLDAN, RAQUEL (individual), NOT APPLICABLE, since 09/26/2022; SANTOYO, JENNIFER (individual), NOT APPLICABLE, since 08/29/2023; VERGARA-MIESTRUP, ISABELL (individual), NOT APPLICABLE, since 04/06/2021
  • CORPORATE DIRECTOR: JOSEPH, APRIL (individual), NOT APPLICABLE, since 01/01/2012; JOSEPH, TOM (individual), NOT APPLICABLE, since 01/01/2008
  • CORPORATE OFFICER: JOSEPH, APRIL (individual), NOT APPLICABLE, since 01/01/2012; JOSEPH, TOM (individual), NOT APPLICABLE, since 01/01/2008
  • OPERATIONAL/MANAGERIAL CONTROL: BROACH, JASMINE (individual), NOT APPLICABLE, since 06/10/2019; BUGHIO, SARA (individual), NOT APPLICABLE, since 01/01/2025; CASTILLO, MYLA (individual), NOT APPLICABLE, since 04/25/2024; CLEMENT, SHARLETTA (individual), NOT APPLICABLE, since 01/20/2023; COOPER, DUSTIN (individual), NOT APPLICABLE, since 04/29/2025; CRUZ, MARISSA (individual), NOT APPLICABLE, since 02/07/2024; DANTES, ALVIN (individual), NOT APPLICABLE, since 09/27/2022; HERNANDEZ-PERDOMO, YESENIA (individual), NOT APPLICABLE, since 11/30/2021; JOSEPH, APRIL (individual), NOT APPLICABLE, since 01/01/2012; JOSEPH, TOM (individual), NOT APPLICABLE, since 01/01/2008; KAUR, RAMANDEEP (individual), NOT APPLICABLE, since 01/01/2008; MCCHESNEY, STEPHANIE (individual), NOT APPLICABLE, since 10/23/2019; MCCLENDON, CINDY (individual), NOT APPLICABLE, since 01/17/2023; ROLDAN, RAQUEL (individual), NOT APPLICABLE, since 09/26/2022; SANTOYO, JENNIFER (individual), NOT APPLICABLE, since 08/29/2023; VERGARA-MIESTRUP, ISABELL (individual), NOT APPLICABLE, since 04/06/2021

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of SYCAMORE HEALTHCARE ASSOCIATES, INC (enrollment ID O20080312000650).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: TOM JOSEPH (individual), 100.00%, since 01/01/2008
  • ADP OF THE SNF: ALVIN DANTES (individual), since 09/27/2022; APRIL JOSEPH (individual), since 01/01/2012; CINDY S MCCLENDON (individual), since 01/17/2023; DUSTIN COOPER (individual), since 04/29/2025; ISABELL R VERGARA-MIESTRUP (individual), since 04/06/2021; JASMINE C BROACH (individual), since 06/10/2019; JENNIFER S SANTOYO (individual), since 08/29/2023; MARISSA C CRUZ (individual), since 02/07/2024; MYLA CASTILLO (individual), since 04/25/2024; RAMANDEEP KAUR (individual), since 01/01/2008; RAQUEL B ROLDAN (individual), since 09/26/2022; SARA Q BUGHIO (individual), since 01/01/2025; SHARLETTA CLEMENT (individual), since 01/20/2023; STEPHANIE MCCHESNEY (individual), since 10/23/2019; TOM JOSEPH (individual), since 01/01/2008; YESENIA HERNANDEZ-PERDOMO (individual), since 11/30/2021; No owner named in the filing (organization), since 06/17/2025; No owner named in the filing (individual), since 01/01/2025; No owner named in the filing (organization), since 06/17/2025; No owner named in the filing (individual), since 09/01/2007; No owner named in the filing (individual), since 04/01/2024
  • CORPORATE DIRECTOR: APRIL JOSEPH (individual), since 01/01/2012; TOM JOSEPH (individual), since 01/01/2008
  • CORPORATE OFFICER: APRIL JOSEPH (individual), since 01/01/2012; TOM JOSEPH (individual), since 01/01/2008
  • OPERATIONAL/MANAGERIAL CONTROL: ALVIN DANTES (individual), since 09/27/2022; APRIL JOSEPH (individual), since 01/01/2012; CINDY S MCCLENDON (individual), since 01/17/2023; DUSTIN COOPER (individual), since 04/29/2025; ISABELL R VERGARA-MIESTRUP (individual), since 04/06/2021; JASMINE C BROACH (individual), since 06/10/2019; JENNIFER S SANTOYO (individual), since 08/29/2023; MARISSA C CRUZ (individual), since 02/07/2024; MYLA CASTILLO (individual), since 04/25/2024; RAMANDEEP KAUR (individual), since 01/01/2008; RAQUEL B ROLDAN (individual), since 09/26/2022; SARA Q BUGHIO (individual), since 01/01/2025; SHARLETTA CLEMENT (individual), since 01/20/2023; STEPHANIE MCCHESNEY (individual), since 10/23/2019; TOM JOSEPH (individual), since 01/01/2008; YESENIA HERNANDEZ-PERDOMO (individual), since 11/30/2021

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: Paused by CMS: TOM JOSEPH; ALVIN DANTES; APRIL JOSEPH; CINDY S MCCLENDON; DUSTIN COOPER; ISABELL R VERGARA-MIESTRUP; JASMINE C BROACH; JENNIFER S SANTOYO; MARISSA C CRUZ; MYLA CASTILLO; RAMANDEEP KAUR; RAQUEL B ROLDAN; SARA Q BUGHIO; SHARLETTA CLEMENT; STEPHANIE MCCHESNEY; TOM JOSEPH; YESENIA HERNANDEZ-PERDOMO; No owner named in the filing; No owner named in the filing; No owner named in the filing; APRIL JOSEPH; TOM JOSEPH; APRIL JOSEPH; TOM JOSEPH; ALVIN DANTES; APRIL JOSEPH; CINDY S MCCLENDON; DUSTIN COOPER; ISABELL R VERGARA-MIESTRUP; JASMINE C BROACH; JENNIFER S SANTOYO; MARISSA C CRUZ; MYLA CASTILLO; RAMANDEEP KAUR; RAQUEL B ROLDAN; SARA Q BUGHIO; SHARLETTA CLEMENT; STEPHANIE MCCHESNEY; TOM JOSEPH; YESENIA HERNANDEZ-PERDOMO.

Private equity company, real estate investment trust and holding company: No: No owner named in the filing; No owner named in the filing.

Changes in ownership

  • December 1, 2025, enrollment ownership file; first listed: APRIL JOSEPH (CORPORATE DIRECTOR), associated since January 1, 2012; APRIL JOSEPH (ADP OF THE SNF), associated since January 1, 2012; ISABELL R VERGARA-MIESTRUP (ADP OF THE SNF), associated since April 6, 2021; ISABELL R VERGARA-MIESTRUP (OPERATIONAL/MANAGERIAL CONTROL), associated since April 6, 2021; JASMINE C BROACH (ADP OF THE SNF), associated since June 10, 2019; JASMINE C BROACH (OPERATIONAL/MANAGERIAL CONTROL), associated since June 10, 2019; STEPHANIE MCCHESNEY (ADP OF THE SNF), associated since October 23, 2019; STEPHANIE MCCHESNEY (OPERATIONAL/MANAGERIAL CONTROL), associated since October 23, 2019; YESENIA HERNANDEZ-PERDOMO (ADP OF THE SNF), associated since November 30, 2021; YESENIA HERNANDEZ-PERDOMO (OPERATIONAL/MANAGERIAL CONTROL), associated since November 30, 2021; SARA Q BUGHIO (ADP OF THE SNF), associated since January 1, 2025; SARA Q BUGHIO (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2025; MYLA CASTILLO (ADP OF THE SNF), associated since April 25, 2024; MYLA CASTILLO (OPERATIONAL/MANAGERIAL CONTROL), associated since April 25, 2024; SHARLETTA CLEMENT (ADP OF THE SNF), associated since January 20, 2023; SHARLETTA CLEMENT (OPERATIONAL/MANAGERIAL CONTROL), associated since January 20, 2023; ALVIN DANTES (ADP OF THE SNF), associated since September 27, 2022; ALVIN DANTES (OPERATIONAL/MANAGERIAL CONTROL), associated since September 27, 2022; JENNIFER S SANTOYO (ADP OF THE SNF), associated since August 29, 2023; JENNIFER S SANTOYO (OPERATIONAL/MANAGERIAL CONTROL), associated since August 29, 2023; TOM JOSEPH (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2008; TOM JOSEPH (CORPORATE OFFICER), associated since January 1, 2008; RAMANDEEP KAUR (ADP OF THE SNF), associated since January 1, 2008; RAMANDEEP KAUR (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2008; a listing under ADP OF THE SNF with no owner named, associated since June 17, 2025; RAQUEL B ROLDAN (ADP OF THE SNF), associated since September 26, 2022; RAQUEL B ROLDAN (OPERATIONAL/MANAGERIAL CONTROL), associated since September 26, 2022; DUSTIN COOPER (ADP OF THE SNF), associated since April 29, 2025; DUSTIN COOPER (OPERATIONAL/MANAGERIAL CONTROL), associated since April 29, 2025; CINDY S MCCLENDON (ADP OF THE SNF), associated since January 17, 2023; CINDY S MCCLENDON (OPERATIONAL/MANAGERIAL CONTROL), associated since January 17, 2023; MARISSA C CRUZ (ADP OF THE SNF), associated since February 7, 2024; MARISSA C CRUZ (OPERATIONAL/MANAGERIAL CONTROL), associated since February 7, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
  • July 1, 2025, enrollment ownership file; no longer listed: APRIL JOSEPH (W-2 MANAGING EMPLOYEE); APRIL JOSEPH (CORPORATE DIRECTOR); CATHERINE JOSEPH (OTHER); CATHERINE JOSEPH (CORPORATE DIRECTOR); first listed: APRIL JOSEPH (OPERATIONAL/MANAGERIAL CONTROL), associated since November 13, 2013; APRIL JOSEPH (CORPORATE OFFICER), associated since January 1, 2010; TOM JOSEPH (ADP OF THE SNF), associated since May 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv

Inspections of LEGACY POST ACUTE CARE

  • Cycle 1: health January 9, 2025 (8 deficiencies), fire safety January 9, 2025 (4)
  • Cycle 2: health October 14, 2022 (5 deficiencies), fire safety October 14, 2022 (12)
  • Cycle 3: health August 16, 2019 (4 deficiencies), fire safety August 16, 2019 (4)

Deficiencies cited at LEGACY POST ACUTE CARE

17 deficiencies on file, by tag, newest citation first

every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 2 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0609, freedom from abuse, neglect, and exploitation: April 3, 2026 (D, from a complaint, corrected April 24, 2026).
  • F 0573, resident rights: December 4, 2025 (D, from a complaint, corrected January 3, 2026).
  • F 0578, resident rights: January 9, 2025 (D, corrected February 6, 2025).
  • F 0640, resident assessment and care planning: January 9, 2025 (D, corrected February 6, 2025).
  • F 0655, resident assessment and care planning: January 9, 2025 (D, corrected February 6, 2025).
  • F 0759, pharmacy service: January 9, 2025 (D, corrected February 6, 2025); August 16, 2019 (D, corrected September 16, 2019).
  • F 0761, pharmacy service: January 9, 2025 (D, corrected February 6, 2025); October 14, 2022 (E, corrected November 14, 2022).
  • F 0880, infection control: January 9, 2025 (D, corrected February 6, 2025); August 16, 2019 (D, corrected September 16, 2019).
  • F 0690, quality of life and care: October 14, 2022 (D, corrected November 14, 2022).
  • F 0695, quality of life and care: October 14, 2022 (D, corrected November 14, 2022).
  • F 0803, nutrition and dietary: October 14, 2022 (E, corrected November 14, 2022); August 16, 2019 (E, corrected September 16, 2019).
  • F 0812, nutrition and dietary: October 14, 2022 (F, corrected November 14, 2022).
  • F 0755, pharmacy service: August 16, 2019 (D, corrected September 16, 2019).

LEGACY POST ACUTE CARE in Care Compare

  • Ownership Type: For profit - Corporation
  • Legal Business Name: SYCAMORE HEALTHCARE ASSOCIATES, INC
  • Date First Approved to Provide Medicare and Medicaid Services: 1996-11-12
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Contra Costa
  • Telephone Number: 9252288383
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 75.2
  • Overall Rating: 5
  • Health Inspection Rating: 4
  • QM Rating: 5
  • Long-Stay QM Rating: 5
  • Short-Stay QM Rating: 5

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Nothing on file for LEGACY POST ACUTE CARE: no penalty in Care Compare.

Other nursing facilities in MARTINEZ and California

Report a figure on LEGACY POST ACUTE CARE’s record that differs from its CMS file, quoting 555684.