Velarion Records

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Skilled nursing facility · CMS certification number 555792

SUNNYVALE POST-ACUTE CENTER

SUNNYVALE, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 99

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 16 June 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$33,740,049CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$12,748,379CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$20,991,670CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,094,264CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,897,406CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$11,109CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,908,515CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,908,515 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components36,234CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days5,898CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days1,465CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days27,503CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components34,866CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges122CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges11CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges337CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components470CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.34CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days133.18CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days74.18CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1429178, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$27,481,263CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,842,186CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$20,639,077CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,222,076CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$3,417,001CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,162CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,422,163CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,422,163 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,457CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components435CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days53.52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,240.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days79.21CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1435919, 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 27 September 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$22,868,987CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,431,483CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$18,437,504CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,832,827CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,604,677CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$199,489CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,804,166CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,804,097 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,989CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components506CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.66CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,654.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days65.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365671, 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 17 October 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$16,168,362CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,234,145CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,934,217CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,041,750CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$892,467CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$763,904CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$128,563CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $116,438 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,941CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components408CMS-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 days497.58CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days70.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334873, 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 12 August 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$12,997,574CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,744,251CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,253,323CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,752,280CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$498,957CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,587,243CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,088,286CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,088,286 (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 2020
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,395CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components264CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.43CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,864.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days111.34CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329702, 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$16,168,494CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,588,283CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,580,211CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,037,923CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$542,288CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$12,254CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$554,542CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $554,542 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,509CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components395CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.69CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days342.05CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days84.83CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1275378, 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 8 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$16,797,795CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,527,242CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,270,553CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,672,359CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$598,194CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,221CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$605,415CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $605,415 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,916CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components444CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days421.9CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days76.39CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1240173, 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$21,285,364CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$8,595,530CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,689,834CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,094,602CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$595,232CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,322CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$604,554CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $604,554 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,563CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components522CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days228.35CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days64.3CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1208941, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 December 2015 to 31 December 2016 — a reporting period of 396 days, on form CMS-2540-10, settled, processed by CMS on 4 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$20,608,201CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$7,942,525CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,665,676CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,587,882CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$77,794CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,598CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$79,392CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $79,392 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,617CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components583CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.3CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days246.61CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days61.09CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171959, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 30 November 2015

Cost report for 1 January 2015 to 30 November 2015 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 20 December 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$15,309,732CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,229,740CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,079,992CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,321,765CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$241,773CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$713,208CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$471,435CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $53,146 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,391CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components558CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.04CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days170.34CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days50.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1180981, 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 27 August 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$13,972,082CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,189,467CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,782,615CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,946,641CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$164,026CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$571,027CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$407,001CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $30,521 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,295CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components471CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days380.92CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days66.44CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1108920, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 26 June 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$14,455,924CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,600,741CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,855,183CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,182,797CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$327,614CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$717,523CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$389,909CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $25,994 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,059CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components495CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.02CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days251.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days62.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1069005, 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 16 August 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$14,540,332CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,311,922CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,228,410CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,529,825CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$301,415CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$747,919CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$446,504CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $25,946 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,663CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components496CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.98CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days182.01CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days61.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1046658, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$12,436,078CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,470,008CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,966,070CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,624,978CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$658,908CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$735,511CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$76,603CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$186,863 (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 components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,277CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components415CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days246.52CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days77.78CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1023687, 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$9,112,145CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,253,110CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$140,965CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$691,479CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$378,362CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $172,152 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,989CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components300CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days30.23CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,280.53CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days109.96CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 415775, 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$7,964,018CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,421,744CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$457,726CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$685,517CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$227,745CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $46 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,355CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components370CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days28.58CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days180.5CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days87.45CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 385732, 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 14 July 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$7,606,962CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,071,082CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$464,120CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$672,088CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$209,504CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$1,536 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,227CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components237CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days326.83CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days140.2CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 350448, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 July 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$7,656,342CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,462,974CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$193,368CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$738,781CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$828,982CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $103,167 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,373CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components224CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.34CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days351.25CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days148.99CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 318917, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 July 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$6,812,055CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,059,543CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$247,488CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$80,954CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$803CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$167,337 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,475CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components153CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.06CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days427.08CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days218.79CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 289982, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 August 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$6,715,436CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,680,244CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$35,192CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$399,466CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$149,182CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $285,476 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,460CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components199CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days50.54CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days285.12CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days178.19CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 260550, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 19 July 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$6,327,137CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,927,098CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$400,039CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$22,366CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $422,405 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,036CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components262CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days47.64CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days129.91CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 228208, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 February 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$4,620,357CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,448,350CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$172,007CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$18,375CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$24,685CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $165,697 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,856CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components209CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.75CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days123.71CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 207580, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 6 May 2002 to 31 December 2002 — a reporting period of 239 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 16 February 2005.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$1,463,750CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,547,114CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$83,364CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,828CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$800CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$82,336 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components7,776CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components84CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days56CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days92.57CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 207902, read from the public cost report file SNFFY2002.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
JAMALI, MEHRANCONTRACTED 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
PIERCE, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/09/2023
PIERCE, ROBERTW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 08/09/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of JUJUBE HOLDINGS LLC (enrollment ID O20150930001409).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
PROVIDENCE GROUP NH, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/30/2023
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.
PACS GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST1006/30/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
PACS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1006/30/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
MEHRAN JAMALIIndividualCONTRACTED 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.
ROBERT S PIERCEIndividualOPERATIONAL/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.8/9/2023
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.
ROBERT S PIERCEIndividualW-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.8/9/2023
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
118 October 202418 October 2024278
210 April 202310 April 2023248
312 March 202012 March 2020177

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

Deficiencies cited

68 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
1 July 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction17 July 2026
11 September 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 correction25 September 2025
11 September 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correction25 September 2025
11 September 2025HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.DYesDeficient, Provider has date of correction25 September 2025
11 July 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.EYesDeficient, Provider has date of correction4 August 2025
11 July 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction4 August 2025
18 October 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 correction10 November 2024
18 October 2024HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction10 November 2024
18 October 2024HealthF 0574Resident Rights DeficienciesThe resident has the right to receive notices in a format and a language he or she understands.DNoDeficient, Provider has date of correction10 November 2024
18 October 2024HealthF 0577Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.DNoDeficient, Provider has date of correction10 November 2024
18 October 2024HealthF 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 correction10 November 2024
18 October 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.DNoDeficient, Provider has date of correction10 November 2024
18 October 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction10 November 2024
18 October 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction10 November 2024
18 October 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction10 November 2024
18 October 2024HealthF 0676Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DNoDeficient, Provider has date of correction10 November 2024
18 October 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction10 November 2024
18 October 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correction10 November 2024
18 October 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction10 November 2024
18 October 2024HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.ENoDeficient, Provider has date of correction10 November 2024
18 October 2024HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.DNoDeficient, Provider has date of correction10 November 2024
18 October 2024HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction10 November 2024
18 October 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 correction10 November 2024
18 October 2024HealthF 0802Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.ENoDeficient, Provider has date of correction10 November 2024
18 October 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 correction10 November 2024
18 October 2024HealthF 0836Administration DeficienciesEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DNoDeficient, Provider has date of correction10 November 2024
18 October 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction10 November 2024
18 October 2024HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.FNoDeficient, Provider has date of correction10 November 2024
18 October 2024HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.ENoDeficient, Provider has date of correction10 November 2024
3 October 2024HealthF 0602Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.DYesDeficient, Provider has date of correction10 October 2024
15 August 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.EYesDeficient, Provider has date of correction30 August 2024
7 August 2024HealthF 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 correction25 August 2024
4 March 2024HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.EYesDeficient, Provider has date of correction19 March 2024
22 February 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction19 March 2024
18 October 2023HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction26 October 2023
22 September 2023HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.DYesDeficient, Provider has date of correction18 October 2023
10 April 2023HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction9 May 2023
10 April 2023HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction9 May 2023
10 April 2023HealthF 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 correction9 May 2023
10 April 2023HealthF 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.DNoDeficient, Provider has date of correction9 May 2023
10 April 2023HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DNoDeficient, Provider has date of correction9 May 2023
10 April 2023HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correction9 May 2023
10 April 2023HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction9 May 2023
10 April 2023HealthF 0676Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DNoDeficient, Provider has date of correction9 May 2023
10 April 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction9 May 2023
10 April 2023HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correction9 May 2023
10 April 2023HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DNoDeficient, Provider has date of correction9 May 2023
10 April 2023HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction9 May 2023
10 April 2023HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.ENoDeficient, Provider has date of correction9 May 2023
10 April 2023HealthF 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.DNoDeficient, Provider has date of correction9 May 2023
10 April 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction9 May 2023
10 April 2023HealthF 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 correction9 May 2023
10 April 2023HealthF 0825Quality of Life and Care DeficienciesProvide or get specialized rehabilitative services as required for a resident.DNoDeficient, Provider has date of correction9 May 2023
10 April 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction9 May 2023
10 April 2023HealthF 0885Infection Control DeficienciesReport COVID19 data to residents and families.ENoDeficient, Provider has date of correction9 May 2023
12 March 2020HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction11 April 2020
12 March 2020HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction11 April 2020
12 March 2020HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction11 April 2020
12 March 2020HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction11 April 2020
12 March 2020HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction11 April 2020
12 March 2020HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correction11 April 2020
12 March 2020HealthF 0745Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.DNoDeficient, Provider has date of correction11 April 2020
12 March 2020HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction11 April 2020
12 March 2020HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction11 April 2020
12 March 2020HealthF 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.DNoDeficient, Provider has date of correction11 April 2020
12 March 2020HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.DNoDeficient, Provider has date of correction11 April 2020
12 March 2020HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction11 April 2020
12 March 2020HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction11 April 2020

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

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Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameJUJUBE HOLDINGS LLC
Date First Approved to Provide Medicare and Medicaid Services2002-05-06
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishSanta Clara
Telephone Number4082458070
Chain NamePACS GROUP
Chain ID690
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds99
Average Number of Residents per Day94.8
Overall Rating1
Health Inspection Rating1
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating4
Processing Date2026-08-01

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

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