Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 555703

RIDGEWAY POST ACUTE

PETALUMA, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 79

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 13 October 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$17,271,215CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,929,952CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,341,263CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,180,440CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,160,823CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$491CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,161,314CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,161,314 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components28,914CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,325CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days619CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days22,888CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components26,832CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges62CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges7CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges146CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components215CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days53.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days88.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days124.8CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440837, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 March 2023 to 31 December 2023 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on 25 April 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$11,863,551CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$586,269CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,277,282CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,995,200CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,282,082CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,722CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,284,804CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,284,804 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,533CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components141CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days65.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days360CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days159.81CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1421075, 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 29 September 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$9,922,768CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$48,821CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,971,589CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,417,650CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,446,061CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$66,066CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,379,995CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,379,995 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,675CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components87CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.02CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days548.86CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days272.13CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365882, 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 23 November 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$9,629,092CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$600,637CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,229,729CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,206,763CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$977,034CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$174,505CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$802,529CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$802,529 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,757CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components166CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.02CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days303.36CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days143.11CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1368642, 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 3 December 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$8,329,429CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$490,811CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,820,240CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,194,231CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,373,991CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$587,372CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$786,619CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$786,619 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,630CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components132CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52.97CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days431CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days171.44CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1306304, 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 8 December 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$9,154,057CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$197,441CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,956,616CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,979,494CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,022,878CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$17,756CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,005,122CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,005,122 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,172CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components217CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.51CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days210.09CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days120.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1275376, 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 1 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$9,018,036CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$221,191CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,796,845CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,767,360CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$970,515CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$151,453CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$819,062CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$819,062 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,347CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components147CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days607.65CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days172.43CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1239203, 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 21 August 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$9,675,833CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$132,657CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,543,176CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,519,371CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$23,805CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,665CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$25,470CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $25,470 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,241CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components211CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days387.31CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days119.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1208932, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 7 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$9,461,377CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$158,433CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,619,810CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,752,013CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$867,797CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$814CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$868,611CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $868,611 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,663CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components241CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.47CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days289.3CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days106.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1172185, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 September 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$9,145,435CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$699,547CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,445,888CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,019,468CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$573,580CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$178,621CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$394,959CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$394,959 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,454CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components240CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.49CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days290.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days106.06CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1176011, 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 22 September 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$8,639,408CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$886,803CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,752,605CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,753,404CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,000,799CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$379,477CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$621,322CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$664,766 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,857CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components138CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.76CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days928.76CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days180.12CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1110393, 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, settled, processed by CMS on 29 December 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$8,375,976CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$755,393CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,620,583CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,600,752CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$980,169CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$71CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$980,098CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$987,633 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,969CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components110CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days577.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days226.99CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1116671, 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 28 June 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$8,518,486CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$355,440CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,163,046CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,824,069CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$338,977CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$17,812CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$356,789CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $355,999 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,873CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components177CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.87CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days8,321CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days140.53CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1040654, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 May 2011 to 31 December 2011 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 27 January 2014.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$4,831,170CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$89,645CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,741,525CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,719,400CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$22,125CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$11,581CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$33,706CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $33,286 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,596CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components88CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days300.26CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days177.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1054209, 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.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$8,169,710CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,385,823CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$216,113CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$7,584CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$208,529 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,596CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components278CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days36.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days219.76CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days92.07CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 415757, 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 13 August 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$7,652,411CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,190,841CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$538,430CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$16,239CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$522,191 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,767CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components255CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.71CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days285.24CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days104.97CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 385718, 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 31 July 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$6,870,026CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,331,809CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$461,783CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$27,003CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$434,780 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,702CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components323CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days26.27CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days189.24CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days79.57CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 353440, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 September 2007 to 31 December 2007 — a reporting period of 121 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 23 July 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$1,774,957CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,724,959CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$49,998CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,801CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $52,799 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components7,446CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components46CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.6CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days571.67CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days161.87CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 320235, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 May 2006

Cost report for 1 June 2005 to 31 May 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 November 2006.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$3,364,426CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,250,903CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$886,477CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,214CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$883,263 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,088CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components163CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.56CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days173.59CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days110.97CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 266314, read from the public cost report file SNFFY2005.zip.

Fiscal year 2005, ended 31 May 2005

Cost report for 1 June 2004 to 31 May 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 December 2005.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$3,318,413CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,941,444CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$623,031CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$4,313CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$618,718 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,699CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components142CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days32.53CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,325.23CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days152.81CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 240084, read from the public cost report file SNFFY2004.zip.

Fiscal year 2004, ended 31 May 2004

Cost report for 1 June 2003 to 31 May 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 November 2004.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$3,684,507CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,109,106CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$424,599CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,498CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$418,101 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components79CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,374CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components123CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days21.83CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days384.65CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days190.03CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 200743, read from the public cost report file SNFFY2003.zip.

Fiscal year 2003, ended 31 May 2003

Cost report for 1 June 2002 to 31 May 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 February 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$3,479,686CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,031,382CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$551,696CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$7,911CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$543,785 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components83CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,875CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components113CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.65CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days355.56CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days220.13CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 206789, read from the public cost report file SNFFY2002.zip.

Fiscal year 2002, ended 31 May 2002

Cost report for 1 June 2001 to 31 May 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 September 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$3,696,289CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,835,237CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$138,948CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$7,624CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$131,324 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components13CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components4,102CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components99CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.08CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days59.66CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days41.43CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 195430, read from the public cost report file SNFFY2001.zip.

Fiscal year 2001, ended 31 May 2001

Cost report for 1 June 2000 to 31 May 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 February 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$3,427,756CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,729,505CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$301,749CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$8,322CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$293,427 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,111CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components143CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.21CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days421.96CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days182.59CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 113979, read from the public cost report file SNFFY2000.zip.

Fiscal year 2000, ended 31 May 2000

Cost report for 1 June 1999 to 31 May 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 17 September 2001.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$2,732,711CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,308,590CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$575,879CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$8,069CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$567,810 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,421CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components102CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days383.44CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days239.42CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 98787, read from the public cost report file SNFFY1999.zip.

Fiscal year 1999, ended 31 May 1999

Cost report for 1 June 1998 to 31 May 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 7 June 2005.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$3,042,314CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,083,728CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$41,414CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$39,321CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$2,093 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,219CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components149CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.24CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days292.19CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days162.54CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 220055, read from the public cost report file SNFFY1998.zip.

Fiscal year 1998, ended 31 May 1998

Cost report for 1 June 1997 to 31 May 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 October 2001.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$1,874,068CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,690,522CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$816,454CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$17,742CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$798,712 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,238CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components107CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days22CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days384.57CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days217.18CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 98783, read from the public cost report file SNFFY1997.zip.

Fiscal year 1997, ended 31 May 1997

Cost report for 18 April 1997 to 31 May 1997 — a reporting period of 43 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 2 October 1998.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$297,234CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$455,616CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$158,382CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,331CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$157,051 (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.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components3,306CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components7CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days11.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,421.5CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days472.29CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 98782, read from the public cost report file SNFFY1997.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
PROVIDENCE GROUP INC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 01/11/2023
PICETTI, DOMINICCONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 03/01/2024
APT, FREDERICKCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
HANCOCK, MARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
JERGENSEN, JOSHUACORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
MITCHELL, JOHNCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
TUCKER, RILEYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2023
TUCKER, RILEYW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 03/01/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PETALUMA SNF HEALTHCARE, LLC (enrollment ID O20230526002478).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
PROVIDENCE GROUP INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1001/11/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
JASON H MURRAYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST41.84/15/2024
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 HANCOCKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST41.84/15/2024
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.
DOMINIC JOSEPH PICETTIIndividualCONTRACTED MANAGING EMPLOYEECMS 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.3/1/2024
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.
FREDERICK G APTIndividualCORPORATE OFFICERCMS 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 MITCHELLIndividualCORPORATE OFFICERCMS 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 JERGENSENIndividualCORPORATE OFFICERCMS 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 HANCOCKIndividualCORPORATE OFFICERCMS 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.
RILEY W TUCKERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.3/1/2023
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.
RILEY W TUCKERIndividualW-2 MANAGING EMPLOYEECMS 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.3/1/2023
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.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
127 September 202427 September 2024189
212 August 202212 August 2022304
312 July 201912 July 2019910

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

Deficiencies cited

57 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
18 June 2026HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.EYesDeficient, Provider has date of correction7 July 2026
16 December 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction26 December 2025
16 December 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DYesDeficient, Provider has date of correction29 December 2025
8 August 2025HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DYesDeficient, Provider has date of correction22 August 2025
16 June 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction23 June 2025
3 June 2025HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DYesDeficient, Provider has date of correction19 June 2025
16 April 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction7 May 2025
16 April 2025HealthF 0687Quality of Life and Care DeficienciesProvide appropriate foot care.GYesDeficient, Provider has date of correction7 May 2025
16 April 2025HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DYesDeficient, Provider has date of correction7 May 2025
12 March 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EYesDeficient, Provider has date of correction20 March 2025
12 March 2025HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EYesDeficient, Provider has date of correction20 March 2025
22 January 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correction9 February 2025
27 September 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.ENoDeficient, Provider has date of correction23 October 2024
27 September 2024HealthF 0565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.ENoDeficient, Provider has date of correction23 October 2024
27 September 2024HealthF 0577Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.ENoDeficient, Provider has date of correction23 October 2024
27 September 2024HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.ENoDeficient, Provider has date of correction23 October 2024
27 September 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correction23 October 2024
27 September 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correction23 October 2024
27 September 2024HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction23 October 2024
27 September 2024HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.ENoDeficient, Provider has date of correction23 October 2024
27 September 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correction23 October 2024
27 September 2024HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DNoDeficient, Provider has date of correction23 October 2024
27 September 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction23 October 2024
27 September 2024HealthF 0813Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.ENoDeficient, Provider has date of correction23 October 2024
27 September 2024HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.ENoDeficient, Provider has date of correction23 October 2024
27 September 2024HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.ENoDeficient, Provider has date of correction23 October 2024
13 August 2024HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.GYesDeficient, Provider has date of correction13 September 2024
13 August 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.GYesDeficient, Provider has date of correction13 September 2024
13 August 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction13 September 2024
1 February 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EYesDeficient, Provider has date of correction26 February 2024
1 February 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EYesDeficient, Provider has date of correction26 February 2024
1 February 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EYesDeficient, Provider has date of correction26 February 2024
21 November 2023HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DYesDeficient, Provider has date of correction27 December 2023
21 November 2023HealthF 0625Resident Rights DeficienciesNotify 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.DYesDeficient, Provider has date of correction27 December 2023
21 November 2023HealthF 0626Resident Rights DeficienciesPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DYesDeficient, Provider has date of correction27 December 2023
20 November 2023HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction5 December 2023
12 August 2022HealthF 0557Resident Rights DeficienciesHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.ENoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0574Resident Rights DeficienciesThe resident has the right to receive notices in a format and a language he or she understands.ENoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.ENoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.ENoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.ENoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.ENoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0687Quality of Life and Care DeficienciesProvide appropriate foot care.DNoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DNoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FNoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FNoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.FNoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.ENoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction9 September 2022
12 August 2022HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DNoDeficient, Provider has date of correction9 September 2022
12 July 2019HealthF 0578Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction12 August 2019
12 July 2019HealthF 0912Environmental DeficienciesProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BNoDeficient, Provider has date of correction12 August 2019

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
16 April 2025Fine$16,244131252
13 August 2024Fine$8,018130758
13 August 2024Fine$8,018130759

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NamePETALUMA SNF HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid Services1997-04-18
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishSonoma
Telephone Number7077632457
Chain NamePACS GROUP
Chain ID690
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds79
Average Number of Residents per Day74.6
Overall Rating1
Health Inspection Rating1
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating3
Processing Date2026-08-01

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

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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.

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