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Source: CMS Government Data
Report Card Number |
Provider CCN |
Facility Name |
Street Address |
City |
State Code |
Zip Code |
County |
Medicare CBSA Number |
Rural versus Urban |
Fiscal Year Begin Date |
Fiscal Year End Date |
Type of Control |
Total Days Title V |
Total Days Title XVIII |
Total Days Title XIX |
Total Days Other |
Total Days Total |
Number of Beds |
Total Bed Days Available |
Total Discharges Title V |
Total Discharges Title XVIII |
Total Discharges Title XIX |
Total Discharges Title Other |
Total Discharges Total |
SNF Avg Length Stay Title V |
SNF Avg Length Stay Title Xviii |
SNF Avg Length Stay Title Xix |
SNF Avg Length Stay Total |
SNF Admissions Title V |
SNF Admissions Title Xviii |
SNF Admissions Title Xix |
SNF Admissions Other |
SNF Admissions Total |
SNF Days Title V |
SNF Days Title Xviii |
SNF Days Title Xix |
SNF Days Other |
SNF Days Total |
SNF Number Of Beds |
SNF Bed Days Available |
SNF Discharges Title V |
SNF Discharges Title Xviii |
SNF Discharges Title Xix |
SNF Discharges Title Other |
SNF Discharges Total |
NF Number Of Beds |
NF Bed Days Available |
NF Days Title V |
NF Days Title Xix |
NF Days Other |
NF Days Total |
NF Discharges Title V |
NF Discharges Title Xix |
NF Discharges Title Other |
NF Discharges Total |
NF Avg Length Stay Title V |
NF Avg Length Stay Title Xix |
NF Avg Length Stay Total |
NF Admissions Title V |
NF Admissions Title Xix |
NF Admissions Other |
NF Admissions Total |
Total RUG Days |
Total Salaries From Worksheet A |
Overhead Non Salary Costs |
Total Charges |
Total Costs |
Wage Related Costs Core |
Total Salaries Adjusted |
Contract Labor |
Cash on hand and in banks |
Temporary Investments |
Notes Receivable |
Accounts Receivable |
Allowances For Uncollectible |
Inventory |
Prepaid Expenses |
Other Current Assets |
Total Current Assets |
Land |
Land Improvements |
Buildings |
Leasehold Improvements |
Fixed Equipment |
Major Movable Equipment |
Minor Equipment Depreciable |
Total Fixed Assets |
Investments |
Other Assets |
Total Other Assets |
Total Assets |
Accounts Payable |
Salaries Wages Fees Payable |
Payroll Taxes Payable |
Notes Loans Payable Short Term |
Deferred Income |
Other Current Liabilities |
Total Current Liabilities |
Mortgage Payable |
Notes Payable |
Unsecured Loans |
Other Long Term Liabilities |
Total Long Term Liabilities |
Total Liabilities |
General Fund Balance |
Total Fund Balances |
Total Liabilities And Fund Balances |
Total General Inpatient Care Services Revenue |
Inpatient Revenue |
Outpatient Revenue |
Gross Revenue |
Contractual Allowance Discounts |
Net Patient Revenue |
Total Operating Expense |
Net Income From Service To Patients |
Total Other Income |
Total Income |
Net Income |
Inpatient Pps Amount |
Nursing Allied Health Education |
Allowable Bad Debts |
Owner Name |
Occupancy Percentage |
Medicare Total Days |
Medicaid Total Days |
Free Market Days |
Total Home Revenue |
Total Payroll Costs |
Total Home Costs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1361976 | 366298 | ALTERCARE OF NOBLES POND INC. | 7006 FULTON ROAD | CANTON | OH | 44718-0000 | STARK | 15940 | U | 2022-01-01 | 2022-12-31 | 4 | 2069 | 2789 | 18313 | 23171 | 71 | 25915 | 98 | 59 | 391 | 548 | 21.11 | 47.27 | 42.28 | 99 | 29 | 357 | 485 | 2069 | 2789 | 18313 | 23171 | 71 | 25915 | 98 | 59 | 391 | 548 | $2,563,865.00 | $5,439,975.00 | $2,553,684.00 | $1,435,938.00 | $480,146.00 | $2,563,865.00 | $663,487.00 | $22,688.00 | $1,216,018.00 | $169,500.00 | $11,875.00 | $1,273,451.00 | $19,002.00 | $554.00 | $75,108.00 | $690.00 | $10,000.00 | $772,845.00 | $2,046,986.00 | $356,232.00 | $136,078.00 | $108,895.00 | $169,797.00 | $771,002.00 | $1,730,366.00 | $2,501,368.00 | $-454,382.00 | $-454,382.00 | $2,046,986.00 | $6,953,886.00 | $9,512,409.00 | $9,512,409.00 | $2,190,190.00 | $7,322,219.00 | $8,003,840.00 | $-681,621.00 | $397,829.00 | $-283,792.00 | $-283,792.00 | $1,136,682.00 | $18,233.00 | 89.44 | 2789 | 2069 | 18313 | $9,512,409.00 | $2,563,865.00 | $5,439,975.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1371970 | 366391 | ASTORIA SNF INC. | 3537 12TH STREET NW | CANTON | OH | 44708 | STARK | 15940 | U | 2022-01-01 | 2022-12-31 | 4 | 1495 | 15205 | 6804 | 23504 | 83 | 30295 | 37 | 194 | 195 | 426 | 40.41 | 78.38 | 55.17 | 72 | 135 | 214 | 421 | 1495 | 15205 | 6804 | 23504 | 83 | 30295 | 37 | 194 | 195 | 426 | $2,900,827.00 | $6,113,996.00 | $2,314,110.00 | $1,242,638.00 | $444,420.00 | $2,900,827.00 | $1,351,234.00 | $258,405.00 | $1,092,558.00 | $21,851.00 | $371,388.00 | $2,905,620.00 | $97,731.00 | $266,052.00 | $728,817.00 | $318,008.00 | $645.00 | $33,410.00 | $3,257,038.00 | $499,388.00 | $189,004.00 | $5,947.00 | $450,567.00 | $1,144,906.00 | $97,190.00 | $254,648.00 | $1,399,554.00 | $1,857,484.00 | $1,857,484.00 | $3,257,038.00 | $5,891,944.00 | $8,206,054.00 | $8,206,054.00 | $8,206,054.00 | $9,014,823.00 | $-808,769.00 | $712,338.00 | $-96,431.00 | $-96,431.00 | $848,420.00 | $60,365.00 | 77.95 | 15205 | 1495 | 6804 | $8,206,054.00 | $2,900,827.00 | $6,113,996.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1363261 | 365324 | BELDEN VILLAGE HEALTHCARE | 5005 HIGBEE AVENUE NW | CANTON | OH | 44718 | STARK | 15940 | U | 2021-12-31 | 2022-12-31 | 5 | 770 | 23921 | 1647 | 26338 | 99 | 36234 | 8 | 73 | 96 | 177 | 96.25 | 327.68 | 148.80 | 16 | 76 | 37 | 129 | 770 | 23921 | 1647 | 26338 | 99 | 36234 | 8 | 73 | 96 | 177 | $3,618,970.00 | $4,073,161.00 | $1,745,928.00 | $680,650.00 | $276,852.00 | $3,618,970.00 | $66,707.00 | $1,639,434.00 | $65,522.00 | $4,236.00 | $1,645,269.00 | $7,416.00 | $23,860.00 | $4,847.00 | $32,727.00 | $2,926,355.00 | $4,604,351.00 | $1,336,841.00 | $134,559.00 | $499.00 | $2,494,605.00 | $3,966,504.00 | $1,813,086.00 | $5,779,590.00 | $-1,175,239.00 | $-1,175,239.00 | $4,604,351.00 | $6,509,313.00 | $8,256,421.00 | $8,256,421.00 | $1,539,365.00 | $6,717,056.00 | $7,692,131.00 | $-975,075.00 | $86.00 | $-974,989.00 | $-974,989.00 | $406,740.00 | HIGBEE OPCO MEMBER LLC | 83.74 | 23921 | 770 | 1647 | $8,256,421.00 | $3,618,970.00 | $4,073,161.00 | ||||||||||||||||||||||||||||||||||||||||||||
| 1361980 | 366334 | BETHANY NURSING HOME INC. | 626 – 34TH STREET NW | CANTON | OH | 44709 | STARK | 15940 | U | 2022-01-01 | 2022-12-31 | 4 | 1896 | 13019 | 13383 | 28298 | 86 | 31390 | 39 | 22 | 119 | 180 | 48.62 | 591.77 | 157.21 | 60 | 8 | 116 | 184 | 1896 | 13019 | 13383 | 28298 | 86 | 31390 | 39 | 22 | 119 | 180 | $5,358,936.00 | $4,202,909.00 | $902,665.00 | $483,946.00 | $943,374.00 | $5,358,936.00 | $311,752.00 | $666,765.00 | $1,367,704.00 | $53,500.00 | $14,189.00 | $2,102,158.00 | $105,497.00 | $8,171,844.00 | $2,406,402.00 | $5,779,517.00 | $65,448.00 | $65,448.00 | $7,947,123.00 | $379,678.00 | $206,345.00 | $68,197.00 | $305,000.00 | $2,135.00 | $961,355.00 | 5900464.00 | $5,900,464.00 | $6,861,819.00 | $1,085,304.00 | $1,085,304.00 | $7,947,123.00 | $7,242,857.00 | $8,166,000.00 | $8,166,000.00 | $346,952.00 | $7,819,048.00 | $9,561,845.00 | $-1,742,797.00 | $108,128.00 | $-1,634,669.00 | $-1,634,669.00 | $952,432.00 | $8,169.00 | BAUM, ELIZABETH | 93.02 | 13019 | 1896 | 13383 | $8,166,000.00 | $5,358,936.00 | $4,202,909.00 | |||||||||||||||||||||||||||||||||||||||
| 1361977 | 366300 | CANTON CHRISTIAN HOME | 2550 CLEVELAND AVENUE NW | CANTON | OH | 44079 | STARK | 15940 | U | 2022-01-01 | 2022-12-31 | 1 | 420 | 9010 | 9636 | 19066 | 75 | 27375 | 5 | 50 | 9 | 64 | 84.00 | 180.20 | 297.91 | 15 | 6 | 22 | 43 | 420 | 9010 | 9636 | 19066 | 75 | 27375 | 5 | 50 | 9 | 64 | $2,876,446.00 | $4,244,024.00 | $759,465.00 | $421,280.00 | $886,750.00 | $2,876,446.00 | $1,190,835.00 | $535,617.00 | $1,244,517.00 | $300,000.00 | $69,833.00 | $1,549,967.00 | $2,899,077.00 | $884,362.00 | $9,190,734.00 | $53,158.00 | $16,170,607.00 | $18,604,936.00 | $356,193.00 | $386,161.00 | $140,384.00 | $314,520.00 | $1,197,258.00 | 10814069.00 | $10,814,069.00 | $12,011,327.00 | $6,593,609.00 | $6,593,609.00 | $18,604,936.00 | $6,085,262.00 | $6,924,196.00 | $6,924,196.00 | $1,708,034.00 | $5,216,162.00 | $7,120,470.00 | $-1,904,308.00 | $-625,464.00 | $-2,529,772.00 | $-2,529,772.00 | $228,493.00 | BEAL, RAY | 69.73 | 9010 | 420 | 9636 | $6,924,196.00 | $2,876,446.00 | $4,244,024.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1352293 | 366095 | GLENWOOD CARE AND REHABILITATION | 836 34TH STREET | CANTON | OH | 44709 | STARK | 15940 | U | 2022-01-01 | 2022-12-31 | 4 | 963 | 5489 | 21743 | 28195 | 99 | 36135 | 7 | 24 | 114 | 145 | 137.57 | 228.71 | 194.45 | 14 | 19 | 107 | 140 | 963 | 5489 | 21743 | 28195 | 99 | 36135 | 7 | 24 | 114 | 145 | $3,116,424.00 | $3,880,601.00 | $1,466,668.00 | $757,033.00 | $358,135.00 | $3,116,424.00 | $381,387.00 | $-5,903.00 | $604,630.00 | $3,845.00 | $3,615.00 | $3,204,271.00 | $1,130.00 | $-490.00 | $165,494.00 | $507,792.00 | $387,936.00 | $5,151.00 | $5,151.00 | $3,597,358.00 | $1,420,787.00 | $158,578.00 | $18,484.00 | $21,177.00 | $1,619,026.00 | $1,619,026.00 | $1,978,332.00 | $1,978,332.00 | $3,597,358.00 | $6,442,315.00 | $7,908,983.00 | $7,908,983.00 | $1,017,686.00 | $6,891,297.00 | $6,997,025.00 | $-105,728.00 | $571,440.00 | $465,712.00 | $465,712.00 | $519,862.00 | $49,518.00 | SCCH INVESTMENTS LLC | 76.77 | 5489 | 963 | 21743 | $7,908,983.00 | $3,116,424.00 | $3,880,601.00 | |||||||||||||||||||||||||||||||||||||||||
| 1352144 | 365291 | HALL OF FAME REHAB & NURSING CTR | 2714 13TH ST NW | CANTON | OH | 15940 | STARK | 15940 | U | 2022-01-01 | 2022-12-31 | 6 | 656 | 7965 | 9502 | 18123 | 69 | 36105 | 10 | 24 | 55 | 89 | 65.60 | 331.88 | 203.63 | 12 | 11 | 54 | 77 | 656 | 7965 | 9502 | 18123 | 69 | 36105 | 10 | 24 | 55 | 89 | $2,417,468.00 | $2,962,284.00 | $657,458.00 | $597,141.00 | $338,864.00 | $2,417,468.00 | $82,264.00 | $550,435.00 | $655,671.00 | $200,000.00 | $101,097.00 | $1,107,203.00 | $252,731.00 | $232,087.00 | $2,942.00 | $1,342,232.00 | $185,346.00 | $223,183.00 | $11,159.00 | $-20,746.00 | $25.00 | $398,967.00 | 320000.00 | $2,635,092.00 | $3,034,059.00 | $-1,691,827.00 | $-1,691,827.00 | $1,342,232.00 | $4,505,928.00 | $5,163,386.00 | $5,163,386.00 | $942,425.00 | $4,220,961.00 | $5,379,752.00 | $-1,158,791.00 | $1,384,290.00 | $225,499.00 | $225,499.00 | $376,307.00 | $44,541.00 | DHM OH THREE HOLDINGS LLC | 53.62 | 7965 | 656 | 9502 | $5,163,386.00 | $2,417,468.00 | $2,962,284.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1373450 | 365655 | MCKINLEY HEALTH CARE CENTER | 800 MARKET AVENUE NORTH | CANTON | OH | 44702 | STARK | 15940 | U | 2022-01-01 | 2022-12-31 | 6 | 2414 | 50818 | 1634 | 54866 | 176 | 64240 | 23 | 69 | 18 | 110 | 104.96 | 736.49 | 498.78 | 60 | 81 | 41 | 182 | 2414 | 50818 | 1634 | 54866 | 176 | 64240 | 23 | 69 | 18 | 110 | $6,303,441.00 | $6,770,310.00 | $2,489,506.00 | $1,254,098.00 | $873,324.00 | $6,303,441.00 | $856,894.00 | $87,377.00 | $1,592,688.00 | $956,913.00 | $81,490.00 | $8,572,344.00 | $9,376,986.00 | $16,401.00 | $2,299,008.00 | $1,065,854.00 | $4,886,251.00 | $3,117.00 | $3,117.00 | $14,266,354.00 | $983,444.00 | $377,984.00 | $17,756.00 | $2,259,991.00 | $3,639,175.00 | $3,552,465.00 | $3,552,465.00 | $7,191,640.00 | $7,074,714.00 | $7,074,714.00 | $14,266,354.00 | $12,039,547.00 | $14,529,053.00 | $14,529,053.00 | $1,556,306.00 | $12,972,747.00 | $13,073,751.00 | $-101,004.00 | $2,951,028.00 | $2,850,024.00 | $2,850,024.00 | $1,235,432.00 | $199,330.00 | ROTHNER HEALTH VENTURES I | 84.09 | 50818 | 2414 | 1634 | $14,529,053.00 | $6,303,441.00 | $6,770,310.00 | |||||||||||||||||||||||||||||||||||||||
| 1353191 | 365521 | ST LUKE LUTHERAN HOME | 220 APPLEGROVE STREET NE | NORTH CANTON | OH | 44720 | STARK | 15940 | U | 2022-01-01 | 2022-12-31 | 1 | 1895 | 23963 | 32166 | 58024 | 218 | 79570 | 34 | 45 | 77 | 156 | 55.74 | 532.51 | 260.29 | 54 | 20 | 116 | 190 | 1895 | 23963 | 13186 | 39044 | 166 | 60590 | 34 | 45 | 71 | 150 | $5,088,144.00 | $10,611,675.00 | $2,668,518.00 | $1,254,831.00 | $926,398.00 | $5,088,144.00 | $201,411.00 | $977,954.00 | $234,705.00 | $80,134.00 | $95,936.00 | $3,840,860.00 | $509,683.00 | $257,130.00 | $18,627,123.00 | $3,387,243.00 | $5,006,601.00 | $10,948,074.00 | $88,413.00 | $88,413.00 | $14,877,347.00 | $788,953.00 | $416,542.00 | $45,012.00 | $733,565.00 | $204,035.00 | $7,730,767.00 | 9227586.00 | $9,227,586.00 | $16,958,353.00 | $-2,081,006.00 | $-2,081,006.00 | $14,877,347.00 | $14,427,684.00 | $14,427,684.00 | $14,427,684.00 | $3,011,549.00 | $11,416,135.00 | $15,699,819.00 | $-4,283,684.00 | $2,811,272.00 | $-1,472,412.00 | $-1,473,894.00 | $934,240.00 | $31,795.00 | ST. LUKE LUTHERAN COMMUNITY | 73.67 | 23963 | 1895 | 32166 | $14,427,684.00 | $5,088,144.00 | $10,611,675.00 | |||||||||||||||||||||||||||||||||||||
| 1374600 | 365862 | THE PINES HEALTHCARE CENTER | 3015 17TH STREET | CANTON | OH | 44708 | STARK | 15940 | U | 2022-01-01 | 2022-12-31 | 4 | 1941 | 5263 | 15231 | 22435 | 80 | 29200 | 45 | 185 | 230 | 43.13 | 97.54 | 51 | 191 | 242 | 1941 | 5263 | 15231 | 22435 | 80 | 29200 | 45 | 185 | 230 | $2,665,684.00 | $3,880,228.00 | $1,592,203.00 | $666,702.00 | $567,588.00 | $2,665,684.00 | $490,869.00 | $15,066.00 | $861,047.00 | $86,962.00 | $29,198.00 | $918,224.00 | $269,697.00 | $223,476.00 | $1,141,700.00 | $98,522.00 | $149,651.00 | $30,132.00 | $408,286.00 | $686,591.00 | $686,591.00 | $455,109.00 | $455,109.00 | $1,141,700.00 | $6,599,215.00 | $8,183,184.00 | $8,183,184.00 | $1,616,231.00 | $6,566,953.00 | $6,545,912.00 | $21,041.00 | $511,710.00 | $532,751.00 | $532,751.00 | $1,032,671.00 | $102,094.00 | VACCO, HEIDI | 96.63 | 5263 | 1941 | 15231 | $8,183,184.00 | $2,665,684.00 | $3,880,228.00 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| 1346448 | 366456 | WINDSOR MEDICAL CENTER INC. | 1454 EAST MAPLE STREET | NORTH CANTON | OH | 44720 | STARK | 15940 | U | 2021-10-01 | 2022-09-30 | 4 | 1939 | 11663 | 13602 | 50 | 18250 | 30 | 92 | 122 | 64.63 | 111.49 | 37 | 77 | 114 | 1939 | 11663 | 13602 | 50 | 18250 | 30 | 92 | 122 | $2,406,098.00 | $2,350,375.00 | $512,023.00 | $282,041.00 | $430,992.00 | $2,406,098.00 | $221,225.00 | $124,474.00 | $24,300.00 | $590,599.00 | $2,110.00 | $1,876,782.00 | $110,251.00 | $166,890.00 | $5,525,075.00 | $2,253,766.00 | $3,989,503.00 | $41,373.00 | $41,373.00 | $5,907,658.00 | $160,410.00 | $161,255.00 | $194,300.00 | $146,800.00 | $121,328.00 | $784,093.00 | 3341728.00 | $3,341,728.00 | $4,125,821.00 | $1,781,837.00 | $1,781,837.00 | $5,907,658.00 | $3,005,070.00 | $3,517,093.00 | $3,517,093.00 | $79,287.00 | $3,437,806.00 | $4,756,473.00 | $-1,318,667.00 | $1,086,527.00 | $-232,140.00 | $-232,140.00 | $985,644.00 | SWALLEN, THOMAS | 57.50 | 1939 | 11663 | $3,517,093.00 | $2,406,098.00 | $2,350,375.00 |
