Skilled nursing facility · CMS certification number 675220
AVALON PLACE KIRBYVILLE
KIRBYVILLE, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 114
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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, reopened, processed by CMS on 24 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,865,195 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,028,288 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,836,907 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,125,475 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$288,568 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $177,172 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$111,396 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$111,396 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 41,724 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 701 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 11,717 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,271 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 16,689 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 19 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 62 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 67 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 188.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441461, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 30 September 2023
Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 March 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,287,665 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,287,665 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,288,508 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$843 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $843 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,913 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 279.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375297, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 30 September 2022
Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 March 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,677,106 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,677,106 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,619,027 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,941,921 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,941,921 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,402 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 229.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344783, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 30 September 2021
Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,942,138 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,942,138 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,949,441 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,303 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,303 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,085 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 304.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 150.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314289, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 30 September 2020
Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 May 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,564,157 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,564,157 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,566,391 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,234 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,234 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,460 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 439.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 215.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1284967, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 30 September 2019
Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,563,056 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,563,056 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,550,569 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $12,487 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,081 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $14,568 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $14,568 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,922 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 207 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 229.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1300065, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 30 September 2018
Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 March 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,603,758 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,950,521 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,653,237 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,298,932 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $354,305 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,774 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $360,079 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,880 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 169.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 154.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221708, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 30 September 2017
Cost report for 1 April 2017 to 30 September 2017 — a reporting period of 182 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 21 September 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,886,580 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,244,706 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,641,874 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,546,327 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $95,547 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $227 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $95,774 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,847 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 196.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1212175, 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 22 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,026,240 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,250,717 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,775,523 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,428,436 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $347,087 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$30,898 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $316,189 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $316,189 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,184 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 175 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 288.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174462, 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 25 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,180,734 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,465,063 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,715,671 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,364,218 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $351,453 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$5,468 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $345,985 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $345,985 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,422 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 205 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 207.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 133.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142600, 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 21 November 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,644,620 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,953,028 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,691,592 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,119,373 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $572,219 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $572,253 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $476,813 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,955 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 146 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 90.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 266.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 184.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1146869, 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 4 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,812,119 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,295,098 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,517,021 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,711,446 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $805,575 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,469 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $812,044 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $812,044 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,665 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 141 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 267.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 196.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074825, 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 15 September 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,382,112 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,151,078 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,231,034 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,750,173 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $480,861 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $111 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $480,972 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $463,838 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,462 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 153 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 79.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 267.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 199.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1078058, 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 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,321,357 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,070,665 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,250,692 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,704,033 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $546,659 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$13,187 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $533,472 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $530,512 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,399 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 82 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,920.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 370.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1014216, 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, as submitted, processed by CMS on 19 July 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,767,571 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,450,679 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $316,892 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $506 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,555 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $306,843 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,723 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 76.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 957.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 364.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 410228, 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 15 July 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,920,448 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,373,201 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $547,247 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,970 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $47,454 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $501,763 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,400 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 86.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 263.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 210 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 381762, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,221,563 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,688,265 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $533,298 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,730 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,259 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $527,769 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,191 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 266.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 159.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 348669, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 July 2007 to 31 December 2007 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 30 June 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,973,035 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,725,079 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $247,956 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $4,476 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $243,480 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,285 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 225 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 122.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 318362, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 May 2006
Cost report for 1 July 2005 to 31 May 2006 — a reporting period of 334 days, on form CMS-2540-96, settled, processed by CMS on 18 October 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,429,448 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,149,219 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $280,229 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$5,294 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $274,935 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,550 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 83 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 142.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 499.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 343.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264790, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 January 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,100,080 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,353,912 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$253,832 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$7,570 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$261,402 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,493 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,057.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 531.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241525, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 30 June 2004
Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 8 February 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,149,654 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,327,857 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$178,203 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,532 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$167,671 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,118 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 134.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 843.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 540.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 206792, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 30 June 2003
Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 November 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,977,965 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,288,920 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$310,955 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $48,573 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$262,382 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,296 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 65 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 97.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 682.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 435.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 199336, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 30 June 2002
Cost report for 1 July 2001 to 30 June 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 March 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,252,705 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,238,384 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $14,321 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$6,890 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $7,431 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,732 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 90.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 611.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 480.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 172468, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 30 June 2001
Cost report for 1 July 2000 to 30 June 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 April 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,043,152 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,858,976 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $184,176 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,659 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $211,835 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,833 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 68 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 136 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 814.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 468.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 137923, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 30 June 2000
Cost report for 1 July 1999 to 30 June 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 17 December 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,525,102 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,677,835 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$152,733 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$12,561 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$165,294 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,272 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 847.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 382.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 99561, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 30 June 1999
Cost report for 1 July 1998 to 30 June 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 May 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,412,556 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,366,859 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $45,697 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,124 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $61,821 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,493 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,170.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 547.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 99559, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended 30 June 1998
Cost report for 1 July 1997 to 30 June 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 April 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,646,044 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,747,871 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $898,173 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $127,767 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,025,940 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,019 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 911.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 359.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 99557, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended 30 June 1997
Cost report for 1 July 1996 to 30 June 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 July 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,362,255 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,368,615 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,360 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $49,646 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $96,188 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$52,902 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,686 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 65 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 968 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 487.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 99556, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended 30 June 1996
Cost report for 1 July 1995 to 30 June 1996 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 8 May 1997.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,167,865 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,340,935 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$173,070 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,131 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$149,939 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,704 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 35 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 284.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,310.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 877.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 99555, read from the public cost report file SNFFY1995.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO 1 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/01/2017 |
| BLAKE, GARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/09/2024 |
| BLAKE, MALISA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/09/2024 |
| BURKHALTER, SHEILA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/12/2025 |
| EAMIGUEL, CHRISTOPHER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/09/2024 |
| KIRBYVILLE I ENTERPRISES, L.L.C. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/12/2025 |
| KIRBYVILLE I REALTY, L.L.C. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/09/2024 |
| XINTAVELONIS, ELENA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/12/2025 |
| HUGGINS, LINDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/09/2024 |
| WILLIG, ZACHARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| STRATTON, CHARLES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2005 |
| FREGIA, MILTON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/07/2022 |
| GARDNER, SHANNON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/22/2022 |
| GARDZINA, MARGARET | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/26/2024 |
| HENRY, PAUL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/09/2009 |
| STRATTON, CHARLES | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2005 |
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/09/2024 |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/09/2024 |
| KIRBYVILLE I ENTERPRISES, L.L.C. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/09/2024 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (enrollment ID O20170630001411).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO 1 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHRISTOPHER EAMIGUEL | Individual | ADP OF THE SNF | 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. | 7/9/2024 | 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. |
| ELENA XINTAVELONIS | Individual | ADP OF THE SNF | 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. | 4/12/2025 | 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. |
| GARY R BLAKE | Individual | ADP OF THE SNF | 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. | 7/9/2024 | 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. |
| KIRBYVILLE I ENTERPRISES, L.L.C. | Organization | ADP OF THE SNF | 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. | 4/12/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| KIRBYVILLE I REALTY, L.L.C. | Organization | ADP OF THE SNF | 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. | 7/9/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| MALISA A BLAKE | Individual | ADP OF THE SNF | 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. | 7/9/2024 | 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. |
| SHEILA BURKHALTER | Individual | ADP OF THE SNF | 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. | 4/12/2025 | 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. |
| LINDA F HUGGINS | Individual | CORPORATE DIRECTOR | 0 | 7/9/2024 | 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. |
| ZACHARY WILLIG | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | 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. |
| CHARLES BRUCE STRATTON | Individual | CORPORATE OFFICER | 0 | 5/1/2005 | 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. |
| CHARLES BRUCE STRATTON | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 5/1/2005 | 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. |
| MARGARET GARDZINA | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 2/26/2024 | 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. |
| MILTON FREGIA | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 5/7/2022 | 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. |
| PAUL HENRY | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 5/9/2009 | 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. |
| SHANNON GARDNER | Individual | MANAGING CONTROL - GOVERNING BODY | 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. | 8/22/2022 | 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. |
| GARY R BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/9/2024 | 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. |
| KIRBYVILLE I ENTERPRISES, L.L.C. | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/9/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| MALISA A BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/9/2024 | 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. |
Changes in ownership
- 1 July 2025: ROBERT SANDERS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: VICTOR BARRANCO no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PAUL HENRY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CHARLES BRUCE STRATTON no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CHARLES BRUCE STRATTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CHARLES BRUCE STRATTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SOUTHWEST LTC--KIRBYVILLE, LTD. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: EDWARD PICKETT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: ZACHARY WILLIG appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: ELENA XINTAVELONIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MARGARET GARDZINA appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CHRISTOPHER EAMIGUEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MILTON FREGIA appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KIRBYVILLE I REALTY, L.L.C. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PAUL HENRY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: LIBERTY COUNTY HOSPITAL DISTRICT NO.1 appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: LINDA F HUGGINS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CHARLES BRUCE STRATTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CHARLES BRUCE STRATTON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SHANNON GARDNER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KIRBYVILLE I ENTERPRISES, L.L.C. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KIRBYVILLE I ENTERPRISES, L.L.C. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SHEILA BURKHALTER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: GARY R BLAKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: GARY R BLAKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MALISA A BLAKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MALISA A BLAKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
Recent changes on this record
- 24 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 July 2025: ROBERT SANDERS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: VICTOR BARRANCO no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PAUL HENRY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CHARLES BRUCE STRATTON no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CHARLES BRUCE STRATTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CHARLES BRUCE STRATTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SOUTHWEST LTC--KIRBYVILLE, LTD. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: EDWARD PICKETT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: ZACHARY WILLIG appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: ELENA XINTAVELONIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MARGARET GARDZINA appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CHRISTOPHER EAMIGUEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MILTON FREGIA appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KIRBYVILLE I REALTY, L.L.C. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PAUL HENRY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: LIBERTY COUNTY HOSPITAL DISTRICT NO.1 appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: LINDA F HUGGINS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CHARLES BRUCE STRATTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CHARLES BRUCE STRATTON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SHANNON GARDNER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KIRBYVILLE I ENTERPRISES, L.L.C. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KIRBYVILLE I ENTERPRISES, L.L.C. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SHEILA BURKHALTER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: GARY R BLAKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: GARY R BLAKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MALISA A BLAKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MALISA A BLAKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 20 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 22 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 21 April 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 16 September 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 28 May 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 22 March 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 21 September 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 19 June 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 22 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 21 November 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 25 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 15 September 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 3 December 2025 | 3 December 2025 | 6 | 1 |
| 2 | 11 September 2024 | 11 September 2024 | 3 | 2 |
| 3 | 23 August 2023 | 23 August 2023 | 8 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
17 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 3 December 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 4 December 2025 |
| 3 December 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | B | No | Deficient, Provider has date of correction | 4 December 2025 |
| 3 December 2025 | Health | F 0813 | Nutrition and Dietary Deficiencies | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | No | Deficient, Provider has date of correction | 4 December 2025 |
| 3 December 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 4 December 2025 |
| 10 September 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 11 September 2025 |
| 10 September 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Past Non-Compliance | 5 September 2025 |
| 11 September 2024 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | No | Deficient, Provider has date of correction | 12 September 2024 |
| 11 September 2024 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | 12 September 2024 |
| 11 September 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | F | No | Deficient, Provider has date of correction | 8 October 2024 |
| 23 August 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 1 September 2023 |
| 23 August 2023 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | 1 September 2023 |
| 23 August 2023 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | No | Deficient, Provider has date of correction | 1 September 2023 |
| 23 August 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 1 September 2023 |
| 23 August 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | 1 September 2023 |
| 23 August 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | 1 September 2023 |
| 23 August 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure 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. | E | No | Deficient, Provider has date of correction | 1 September 2023 |
| 23 August 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 1 September 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 10 September 2025 | Fine | $9,113 | 135126 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - Hospital district |
| Legal Business Name | LIBERTY COUNTY HOSPITAL DISTRICT NO 1 |
| Date First Approved to Provide Medicare and Medicaid Services | 1993-09-28 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Jasper |
| Telephone Number | 4094236111 |
| Chain Name | CREATIVE SOLUTIONS IN HEALTHCARE |
| Chain ID | 169 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 114 |
| Average Number of Residents per Day | 48.9 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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