Facility record report · CMS certification number 555824
4503 MODESTO
MODESTO, California
This certification number is not in CMS’s current Care Compare Provider Information file, processed on 1 August 2026.
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 December 2008 to 7 January 2010 — a reporting period of 402 days, on form CMS-2540-96, settled, processed by CMS on 10 May 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,866,348 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,584,021 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,717,673 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,650 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$5,704,023 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Bed days available, all components | 25,792 | CMS-2540-96 worksheet S300001 line 900 column 200 |
| Medicare (Title XVIII) patient days | 3,296 | CMS-2540-96 worksheet S300001 line 900 column 400 |
| Other-payer patient days | 5,600 | CMS-2540-96 worksheet S300001 line 900 column 600 |
| Total patient days, all components | 8,896 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Medicare discharges | 113 | CMS-2540-96 worksheet S300001 line 900 column 900 |
| Other-payer discharges | 95 | CMS-2540-96 worksheet S300001 line 900 column 1100 |
| Total discharges, all components | 208 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 42.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 399093, read from the public cost report file SNFFY2009.zip.
Cost report for 1 May 2008 to 30 November 2008 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 14 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,716,668 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,937,506 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,220,838 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,013 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$6,202,825 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 6,483 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 219 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 29.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 350260, read from the public cost report file SNFFY2008.zip.
Five facilities of a similar size in California, fiscal year 2010
Chosen for having certified bed counts closest to this facility’s, listed by name. Every one filed for the same fiscal year; the day each year ends differs and is shown. Each figure is that facility’s own filing.
| Facility | Total facility beds | Total patient days | Net patient revenue | Total operating expenses | Net income from service to patients | Period ended |
|---|---|---|---|---|---|---|
| 4503 MODESTO | 64 | 8,896 | $4,866,348 | $10,584,021 | −$5,717,673 | 7 January 2010 |
| CHOWCHILLA CONVALESCENT CENTER | 65 | 20,791 | $4,155,149 | $4,405,680 | −$250,531 | 31 December 2010 |
| MEADOWBROOK HEALTH CARE CENTER | 64 | 20,560 | $3,909,492 | $3,847,402 | $62,090 | 31 December 2010 |
| MOUNT SAN ANTONIO GARDENS | 64 | 18,695 | $14,658,498 | $20,288,827 | −$5,630,329 | 30 September 2010 |
| SPRINGS ROAD HEALTHCARE | 65 | 18,774 | $5,753,485 | $5,039,393 | $714,092 | 31 December 2010 |
| WESTGATE MANOR CONVALESCENT HOSPITAL | 64 | 21,866 | $4,586,386 | $4,594,936 | −$8,550 | 31 December 2010 |
Where each column comes from, on every filing in this table: Total facility beds: CMS-2540-96 worksheet S300001 line 900 column 100 · Total patient days: CMS-2540-96 worksheet S300001 line 900 column 700 · Net patient revenue: CMS-2540-96 worksheet G300000 line 300 column 100 · Total operating expenses: CMS-2540-96 worksheet G200002 line 1500 column 200 · Net income from service to patients: CMS-2540-96 worksheet G300000 line 500 column 100.
Ownership, as filed with CMS
Care Compare
Not yet extracted for this facility.
Medicare enrollment
Not yet extracted for this facility.
Changes in ownership
Not yet extracted for this facility.
Inspections
Not yet extracted for this facility.
Deficiencies cited
Not yet extracted for this facility.
Penalties
Not yet extracted for this facility.
Care Compare provider information
Not yet extracted for this facility.
Every change on this record
- 10 May 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 14 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
How to read this report
Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.
A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.
This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.
How to cite this report
Velarion Records, 4503 MODESTO — facility record report, CMS certification number 555824. https://velarionrecords.com/facility/555824/report.
- Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-96, publication year 2009, file
SNFFY2009.zip. - Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
- Care Compare ownership: CMS file dated 1 August 2026.
- Medicare enrollment ownership: CMS file dated 1 August 2026.
Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 555824. Velarion Records publishes these records as filed.
Nurse staffing, quarter by quarter
Hours this facility reported to CMS’s Payroll-Based Journal, one row per quarter, oldest first, each with how its figures are derived and the file it came from.
Not yet extracted for this facility.