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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1362470 | 56376 | A GRACE SUBACUTE AND SKILLED CARE | 1250 SOUTH WINCHESTER BLVD | SAN JOSE | CA | 95128 | SANTA CLARA | 41940 | U | 2022-01-01 | 2022-12-31 | 4 | 1354 | 32827 | 34181 | 166 | 60590 | 28 | 100 | 128 | 48.36 | 267.04 | 29 | 100 | 129 | 1354 | 32827 | 34181 | 166 | 60590 | 28 | 100 | 128 | $8,186,504.00 | $6,835,901.00 | $953,772.00 | $1,854,960.00 | $934,856.00 | $8,186,504.00 | $263,126.00 | $5,048,100.00 | $258,882.00 | $5,570,108.00 | $382,995.00 | $375,471.00 | $44,210.00 | $190,262.00 | $340,262.00 | $5,954,580.00 | $1,445,396.00 | $389,201.00 | $142,371.00 | $78,896.00 | $2,055,864.00 | $858,000.00 | $1,308,000.00 | $3,363,864.00 | $2,590,716.00 | $2,590,716.00 | $5,954,580.00 | $20,928,775.00 | $21,882,547.00 | $21,882,547.00 | $7,107,186.00 | $14,775,361.00 | $15,022,405.00 | $-247,044.00 | $142,829.00 | $-104,215.00 | $-168,132.00 | $1,664,849.00 | ADELMAN, JASON | 61.69 | 1354 | 32827 | $21,882,547.00 | $8,186,504.00 | $6,835,901.00 | |||||||||||||||||||||||||||||||||||||||||||||||||||
| 1354300 | 56058 | ALMADEN HEALTH AND REHABILITATION CE | 2065 LOS GATOS ALMADEN ROAD | SAN JOSE | CA | 95124 | SANTA CLARA | 41940 | U | 2022-01-01 | 2022-12-31 | 6 | 4835 | 16048 | 3809 | 24692 | 77 | 28105 | 50 | 102 | 70 | 222 | 96.70 | 157.33 | 111.23 | 74 | 12 | 106 | 192 | 4835 | 16048 | 3809 | 24692 | 77 | 28105 | 50 | 102 | 70 | 222 | $4,984,435.00 | $7,370,737.00 | $2,886,398.00 | $1,396,862.00 | $817,900.00 | $5,058,843.00 | $1,474,579.00 | $3,300.00 | $2,354,127.00 | $616,810.00 | $50,408.00 | $678,959.00 | $2,938,942.00 | $783,551.00 | $118,597.00 | $590,291.00 | $3,336,082.00 | $9,306.00 | $9,306.00 | $4,024,347.00 | $575,859.00 | $160,448.00 | $62,452.00 | $1,216,887.00 | $2,015,646.00 | $2,630,733.00 | $-8,114,657.00 | $-6,099,011.00 | $10,123,358.00 | $10,123,358.00 | $4,024,347.00 | $11,362,143.00 | $14,150,413.00 | $14,150,413.00 | $2,038,713.00 | $12,111,700.00 | $12,355,172.00 | $-243,472.00 | $730,775.00 | $487,303.00 | $487,303.00 | $5,004,644.00 | $80,303.00 | ALMADEN HOLDING COMPANY GP LLC | 93.64 | 16048 | 4835 | 3809 | $14,150,413.00 | $4,984,435.00 | $7,370,737.00 | |||||||||||||||||||||||||||||||||||||||
| 1366069 | 56082 | CANYON SPRINGS POST-ACUTE | 180 N JACKSON AVENUE | SAN JOSE | CA | 95116 | SANTA CLARA | 41940 | U | 2022-01-01 | 2022-12-31 | 5 | 16738 | 4734 | 39914 | 61386 | 199 | 72635 | 185 | 10 | 390 | 585 | 90.48 | 473.40 | 104.93 | 118 | 38 | 415 | 571 | 16738 | 4734 | 39914 | 61386 | 199 | 72635 | 185 | 10 | 390 | 585 | $12,444,963.00 | $15,418,357.00 | $6,986,851.00 | $2,727,729.00 | $1,988,704.00 | $12,444,963.00 | $2,796,428.00 | $6,118,868.00 | $210,697.00 | $14,539.00 | $247,531.00 | $8,278,133.00 | $68,963.00 | $183,051.00 | $442,510.00 | $544,200.00 | $544,200.00 | $9,264,843.00 | $752,860.00 | $613,712.00 | $124,030.00 | $606,609.00 | $2,097,211.00 | $2,097,211.00 | $7,167,632.00 | $7,167,632.00 | $9,264,843.00 | $31,020,035.00 | $38,006,886.00 | $38,006,886.00 | $3,910,180.00 | $34,096,706.00 | $27,863,320.00 | $6,233,386.00 | $192,787.00 | $6,426,173.00 | $6,420,479.00 | $17,337,230.00 | BENNETT, JOHN | 92.16 | 4734 | 16738 | 39914 | $38,006,886.00 | $12,444,963.00 | $15,418,357.00 | ||||||||||||||||||||||||||||||||||||||||||||
| 1358554 | 555635 | COURTYARD CARE CENTER | 340 NORTHLAKE DRIVE | SAN JOSE | CA | 95117 | SANTA CLARA | 41940 | U | 2022-01-01 | 2022-12-31 | 6 | 3828 | 18085 | 3263 | 25176 | 76 | 27740 | 82 | 203 | 62 | 347 | 46.68 | 89.09 | 72.55 | 143 | 82 | 87 | 312 | 3828 | 18085 | 3263 | 25176 | 76 | 27740 | 82 | 203 | 62 | 347 | $5,263,916.00 | $4,962,646.00 | $2,351,818.00 | $919,129.00 | $710,812.00 | $5,263,916.00 | $650,480.00 | $-115,872.00 | $1,959,319.00 | $125,996.00 | $8,000.00 | $12,420.00 | $1,737,871.00 | $294,422.00 | $118,615.00 | $401,605.00 | $115,040.00 | $115,040.00 | $2,254,516.00 | $838,255.00 | $445,534.00 | $898,705.00 | $2,182,494.00 | $270,037.00 | $-107,857.00 | $205,283.00 | $2,387,777.00 | $-133,261.00 | $-133,261.00 | $2,254,516.00 | $10,951,891.00 | $13,303,709.00 | $13,303,709.00 | $2,715,198.00 | $10,588,511.00 | $10,226,562.00 | $361,949.00 | $221,737.00 | $583,686.00 | $583,686.00 | $3,658,776.00 | $4,587.00 | COURTYARD POST ACUTE LLC | 94.34 | 18085 | 3828 | 3263 | $13,303,709.00 | $5,263,916.00 | $4,962,646.00 | ||||||||||||||||||||||||||||||||||||||||
| 1363558 | 55884 | CREEKSIDE POST ACUTE | 3580 PAYNE AVENUE | SAN JOSE | CA | 95117 | SANTA CLARA | 41940 | U | 2022-06-01 | 2022-12-31 | 6 | 2034 | 13141 | 4819 | 19994 | 130 | 27820 | 39 | 39 | 133 | 211 | 52.15 | 336.95 | 94.76 | 53 | 24 | 155 | 232 | 2034 | 13141 | 4819 | 19994 | 130 | 27820 | 39 | 39 | 133 | 211 | $4,089,731.00 | $4,134,197.00 | $1,222,292.00 | $1,000,847.00 | $602,255.00 | $4,089,731.00 | $372,152.00 | $91,229.00 | $1,874,272.00 | $59,313.00 | $101,580.00 | $2,956,004.00 | $98,813.00 | $6,877.00 | $103,452.00 | $809,188.00 | $809,188.00 | $3,868,644.00 | $347,912.00 | $329,127.00 | $112,758.00 | $78,248.00 | $868,045.00 | $3,315,598.00 | $3,315,598.00 | $4,183,643.00 | $-314,999.00 | $-314,999.00 | $3,868,644.00 | $6,156,040.00 | $7,378,332.00 | $7,378,332.00 | $-485,083.00 | $7,863,415.00 | $8,223,928.00 | $-360,513.00 | $45,516.00 | $-314,997.00 | $-314,997.00 | $2,023,626.00 | HOLT, WESTON | 92.31 | 13141 | 2034 | 4819 | $7,378,332.00 | $4,089,731.00 | $4,134,197.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1365812 | 56026 | EMPRESS CONVALESCENT HOSPITAL | 1299 BASCOM AVE | SAN JOSE | CA | 95128 | SANTA CLARA | 41940 | U | 2022-01-01 | 2022-12-31 | 4 | 5172 | 10905 | 750 | 16827 | 67 | 24455 | 50 | 15 | 11 | 76 | 103.44 | 727.00 | 221.41 | 45 | 10 | 55 | 5172 | 10905 | 750 | 16827 | 67 | 24455 | 50 | 15 | 11 | 76 | $3,618,145.00 | $4,612,328.00 | $1,743,188.00 | $728,731.00 | $634,008.00 | $3,618,145.00 | $840,329.00 | $915.00 | $1,039,383.00 | $46,772.00 | $54,924.00 | $4,160,700.00 | $5,220,808.00 | $1,326,934.00 | $413,052.00 | $642,849.00 | $5,863,657.00 | $1,715,414.00 | $279,833.00 | $113,866.00 | $1,302,312.00 | $3,411,425.00 | $3,411,425.00 | $2,452,232.00 | $2,452,232.00 | $5,863,657.00 | $5,211,330.00 | $6,954,518.00 | $6,954,518.00 | $-2,124,994.00 | $9,079,512.00 | $8,230,473.00 | $849,039.00 | $319,040.00 | $1,168,079.00 | $1,168,079.00 | $5,700,292.00 | DIEBOLD, CORY | 75.07 | 10905 | 5172 | 750 | $6,954,518.00 | $3,618,145.00 | $4,612,328.00 | ||||||||||||||||||||||||||||||||||||||||||||||
| 1362624 | 555831 | HERMAN HEALTH CARE CENTER | 2295 PLUMMER AVENUE | SAN JOSE | CA | 95125 | SAN JOSE | 41940 | U | 2022-01-01 | 2022-12-31 | 6 | 5391 | 24240 | 3274 | 32905 | 99 | 36135 | 21 | 84 | 34 | 139 | 256.71 | 288.57 | 236.73 | 56 | 38 | 44 | 138 | 5391 | 24240 | 3274 | 32905 | 99 | 36135 | 21 | 84 | 34 | 139 | $5,792,558.00 | $7,018,485.00 | $650,962.00 | $759,294.00 | $1,110,409.00 | $5,792,558.00 | $618,467.00 | $2,500.00 | $3,204,351.00 | $435,107.00 | $205,496.00 | $3,003,322.00 | $73,186.00 | $27,370.00 | $33,731.00 | $89,205.00 | $7,436,832.00 | $7,436,832.00 | $10,529,359.00 | $2,451,946.00 | $327,989.00 | $89,204.00 | $-236,454.00 | $2,632,685.00 | $399,866.00 | $399,866.00 | $3,032,551.00 | $7,496,808.00 | $7,496,808.00 | $10,529,359.00 | $15,308,833.00 | $15,959,795.00 | $15,959,795.00 | $1,393,133.00 | $14,566,662.00 | $12,811,043.00 | $1,755,619.00 | $169,010.00 | $1,924,629.00 | $1,905,725.00 | $5,348,154.00 | PAUL DAVID SOLLIS TRUST | 107.07 | 24240 | 5391 | 3274 | $15,959,795.00 | $5,792,558.00 | $7,018,485.00 | |||||||||||||||||||||||||||||||||||||||||
| 1351812 | 555363 | LINCOLN GLEN SKILLED NURSING | 2671 PLUMMER AVENUE | SAN JOSE | CA | 95125 | SANTA CLARA | 41940 | U | 2021-10-01 | 2022-09-30 | 2 | 451 | 451 | 59 | 21535 | 10 | 10 | 45.10 | 45.10 | 451 | 451 | 59 | 21535 | 10 | 10 | $3,945,197.00 | $4,309,334.00 | $460,412.00 | $594,572.00 | $902,747.00 | $3,945,197.00 | $74,646.00 | $400.00 | $1,761,507.00 | $458,727.00 | $45,476.00 | $1,423,302.00 | $59,003.00 | $96,525.00 | $2,660,880.00 | $135,806.00 | $896,098.00 | $662,863.00 | $2,086,165.00 | $72,127.00 | $661,942.00 | $19,633.00 | $-804,402.00 | $-50,700.00 | $-50,700.00 | $2,136,865.00 | $2,136,865.00 | $2,086,165.00 | $7,829,655.00 | $8,190,147.00 | $8,190,147.00 | $1,324,148.00 | $6,865,999.00 | $8,254,531.00 | $-1,388,532.00 | $73,709.00 | $-1,314,823.00 | $-1,314,823.00 | $408,038.00 | LINCOLN GLEN MANOR FOR SENIOR CITIZENS | 83.90 | 451 | $8,190,147.00 | $3,945,197.00 | $4,309,334.00 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1362056 | 555487 | MISSION DE LA CASA | 2501 ALVIN AVENUE | SAN JOSE | CA | 95121 | SANTA CLARA | 41940 | U | 2022-01-01 | 2022-12-31 | 4 | 7705 | 43506 | 2051 | 53262 | 163 | 59495 | 93 | 113 | 8 | 214 | 82.85 | 385.01 | 248.89 | 133 | 11 | 59 | 203 | 7705 | 43506 | 2051 | 53262 | 163 | 59495 | 93 | 113 | 8 | 214 | $11,064,771.00 | $9,227,959.00 | $2,881,620.00 | $1,871,447.00 | $2,200,997.00 | $11,064,771.00 | $689,541.00 | $4,374,505.00 | $3,343,610.00 | $381,855.00 | $8,099,970.00 | $769,914.00 | $64,374.00 | $176,200.00 | $450,276.00 | $8,550,246.00 | $524,003.00 | $362,764.00 | $339,795.00 | $759,074.00 | $1,985,636.00 | $4,728,900.00 | $334,276.00 | $5,063,176.00 | $7,048,812.00 | $1,501,434.00 | $1,501,434.00 | $8,550,246.00 | $14,812,749.00 | $17,694,369.00 | $17,694,369.00 | $-5,645,224.00 | $23,339,593.00 | $20,292,730.00 | $3,046,863.00 | $169,162.00 | $3,216,025.00 | $3,216,025.00 | $7,870,201.00 | CASAVINA FOUNDATION CORP | 87.36 | 43506 | 7705 | 2051 | $17,694,369.00 | $11,064,771.00 | $9,227,959.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1366063 | 55866 | PLUM TREE CARE CENTER | 2580 SAMARITAN DRIVE | SAN JOSE | CA | 95124 | SANTA CLARA | 41940 | U | 2022-01-01 | 2022-12-31 | 4 | 7037 | 1855 | 11324 | 20216 | 70 | 25550 | 241 | 12 | 148 | 401 | 29.20 | 154.58 | 50.41 | 266 | 3 | 138 | 407 | 7037 | 1855 | 11324 | 20216 | 70 | 25550 | 241 | 12 | 148 | 401 | $5,045,586.00 | $7,295,815.00 | $3,567,341.00 | $2,081,736.00 | $896,642.00 | $5,045,586.00 | $1,891,392.00 | $33,096,954.00 | $2,183,431.00 | $140,650.00 | $81,126.00 | $35,220,880.00 | $3,749.00 | $1,374,106.00 | $521,595.00 | $5,074,477.00 | $70,168.00 | $118,621.00 | $40,413,978.00 | $670,050.00 | $314,832.00 | $46,164.00 | $-7,715,698.00 | $-6,684,652.00 | $4,760,434.00 | $4,760,434.00 | $-1,924,218.00 | $42,338,196.00 | $42,338,196.00 | $40,413,978.00 | $8,685,829.00 | $12,253,170.00 | $12,253,170.00 | $-1,175,367.00 | $13,428,537.00 | $12,341,401.00 | $1,087,136.00 | $259,730.00 | $1,346,866.00 | $1,346,866.00 | $7,063,009.00 | $10,184.00 | 81.32 | 1855 | 7037 | 11324 | $12,253,170.00 | $5,045,586.00 | $7,295,815.00 | |||||||||||||||||||||||||||||||||||||||||
| 1376538 | 55388 | SAN JOSE HEALTHCARE & WELLNESS | 75 NORTH 13TH ST | SAN JOSE | CA | 95112 | SANTA CLARA | 41940 | U | 2022-09-01 | 2023-08-31 | 6 | 3176 | 12186 | 2117 | 17479 | 58 | 21170 | 63 | 111 | 54 | 228 | 50.41 | 109.78 | 76.66 | 114 | 99 | 13 | 226 | 3176 | 12186 | 2117 | 17479 | 58 | 21170 | 63 | 111 | 54 | 228 | $4,915,373.00 | $4,557,290.00 | $3,965,267.00 | $1,392,889.00 | $803,181.00 | $4,915,373.00 | $589,641.00 | $689,420.00 | $842,066.00 | $887,952.00 | $1,000.00 | $127,313.00 | $68,682.00 | $849,891.00 | $404,747.00 | $381,763.00 | $152,874.00 | $207,261.00 | $39,443.00 | $39,443.00 | $1,096,595.00 | $798,238.00 | $174,285.00 | $104,214.00 | $319,543.00 | $-8,232,354.00 | $1,208,525.00 | $-100,000.00 | $1,108,525.00 | $-7,123,829.00 | $8,220,424.00 | $8,220,424.00 | $1,096,595.00 | $10,311,108.00 | $14,276,375.00 | $14,276,375.00 | $5,344,774.00 | $8,931,601.00 | $9,472,663.00 | $-541,062.00 | $484,316.00 | $-56,746.00 | $-56,746.00 | $3,359,840.00 | CARSON, LESLIE | 92.41 | 12186 | 3176 | 2117 | $14,276,375.00 | $4,915,373.00 | $4,557,290.00 | ||||||||||||||||||||||||||||||||||||||
| 1352537 | 55318 | SKYLINE HEALTHCARE CENTER – SAN JOSE | 2065 FOREST AVENUE | SAN JOSE | CA | 95128 | SANTA CLARA | 41940 | U | 2022-01-01 | 2022-12-31 | 6 | 11316 | 64682 | 9690 | 85688 | 253 | 92345 | 75 | 249 | 96 | 420 | 150.88 | 259.77 | 204.02 | 117 | 58 | 169 | 344 | 11316 | 64682 | 9690 | 85688 | 253 | 92345 | 75 | 249 | 96 | 420 | $12,906,100.00 | $23,687,633.00 | $6,989,692.00 | $3,560,410.00 | $2,472,864.00 | $12,888,096.00 | $7,246,804.00 | $4,500.00 | $5,353,417.00 | $2,212,611.00 | $237,823.00 | $313,156.00 | $3,072,872.00 | $6,227.00 | $7,554,218.00 | $2,369,403.00 | $867,262.00 | $1,803,786.00 | $8,372,349.00 | $992,722.00 | $992,722.00 | $12,437,943.00 | $874,978.00 | $662,432.00 | $159,602.00 | $3,134,192.00 | $4,831,204.00 | $13,219,908.00 | $-15,300,733.00 | $-10,469,529.00 | $22,907,472.00 | $22,907,472.00 | $12,437,943.00 | $32,649,961.00 | $39,452,815.00 | $39,452,815.00 | $5,776,920.00 | $33,675,895.00 | $36,593,733.00 | $-2,917,838.00 | $4,405,989.00 | $1,488,151.00 | $1,488,151.00 | $10,675,500.00 | $175,280.00 | SKYLINE SAN JOSE OPERATING COMPANY GP LLC | 96.56 | 64682 | 11316 | 9690 | $39,452,815.00 | $12,906,100.00 | $23,687,633.00 | |||||||||||||||||||||||||||||||||||||
| 1363800 | 56212 | THE REDWOODS POST-ACUTE | 1267 MERIDIAN AVENUE | SAN JOSE | CA | 95125 | SANTA CLARA | 41940 | U | 2022-01-01 | 2022-12-31 | 6 | 5475 | 35591 | 6574 | 47640 | 152 | 55480 | 76 | 38 | 101 | 215 | 72.04 | 936.61 | 221.58 | 118 | 17 | 154 | 289 | 5475 | 35591 | 6574 | 47640 | 152 | 55480 | 76 | 38 | 101 | 215 | $9,973,399.00 | $10,589,912.00 | $2,669,247.00 | $1,929,260.00 | $1,289,439.00 | $9,973,399.00 | $1,771,397.00 | $1,246,831.00 | $3,448,079.00 | $161,656.00 | $71,293.00 | $4,608,212.00 | $923,618.00 | $186,026.00 | $30,695.00 | $726,419.00 | $1,719,918.00 | $1,719,918.00 | $7,054,549.00 | $510,870.00 | $711,514.00 | $205,826.00 | $20,395.00 | $1,448,605.00 | $4,599,323.00 | $4,599,323.00 | $6,047,928.00 | $1,006,621.00 | $1,006,621.00 | $7,054,549.00 | $21,383,682.00 | $24,052,929.00 | $24,052,929.00 | $4,795,113.00 | $19,257,816.00 | $20,563,311.00 | $-1,305,495.00 | $399,315.00 | $-906,180.00 | $-906,180.00 | $5,618,761.00 | BETTER CARE INC | 96.45 | 35591 | 5475 | 6574 | $24,052,929.00 | $9,973,399.00 | $10,589,912.00 | |||||||||||||||||||||||||||||||||||||||||
| 1363292 | 555799 | THE RIDGE POST-ACUTE | 1355 CLAYTON RD | SAN JOSE | CA | 95127 | SANTA CLARA | 41940 | U | 2022-01-01 | 2022-12-31 | 6 | 2091 | 11425 | 2556 | 16072 | 54 | 19710 | 40 | 43 | 90 | 173 | 52.28 | 265.70 | 92.90 | 66 | 5 | 108 | 179 | 2091 | 11425 | 2556 | 16072 | 54 | 19710 | 40 | 43 | 90 | 173 | $3,030,898.00 | $3,576,447.00 | $1,371,922.00 | $839,241.00 | $452,783.00 | $3,030,898.00 | $330,439.00 | $-145,971.00 | $932,224.00 | $130,265.00 | $71,539.00 | $731,408.00 | $210,441.00 | $7,646.00 | $6,962.00 | $187,308.00 | $402,815.00 | $402,815.00 | $1,321,531.00 | $236,821.00 | $169,836.00 | $71,551.00 | $10,394.00 | $488,602.00 | $208,265.00 | $208,265.00 | $696,867.00 | $624,664.00 | $624,664.00 | $1,321,531.00 | $5,984,923.00 | $7,356,845.00 | $7,356,845.00 | $1,011,726.00 | $6,345,119.00 | $6,607,345.00 | $-262,226.00 | $397,453.00 | $135,227.00 | $135,227.00 | $2,134,289.00 | 86.85 | 11425 | 2091 | 2556 | $7,356,845.00 | $3,030,898.00 | $3,576,447.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1356019 | 555483 | VISTA MANOR NURSING CENTER | 120 SAN JOSE FIGUERES AVE | SAN JOSE | CA | 95116 | SANTA CLARA | 41940 | U | 2022-01-01 | 2022-12-31 | 4 | 4829 | 950 | 18283 | 24062 | 98 | 35770 | 164 | 3 | 328 | 495 | 29.45 | 316.67 | 48.61 | 198 | 3 | 317 | 518 | 4829 | 950 | 18283 | 24062 | 98 | 35770 | 164 | 3 | 328 | 495 | $6,393,842.00 | $6,892,524.00 | $3,622,323.00 | $2,170,487.00 | $1,262,405.00 | $6,393,842.00 | $1,336,343.00 | $27,665,236.00 | $3,113,095.00 | $189,048.00 | $68,740.00 | $30,635,021.00 | $60,783.00 | $1,863,223.00 | $714,424.00 | $737,612.00 | $31,372,633.00 | $604,135.00 | $381,189.00 | $45,011.00 | $-6,439,216.00 | $-5,408,881.00 | $28,735.00 | $28,735.00 | $-5,380,146.00 | $36,752,779.00 | $36,752,779.00 | $31,372,633.00 | $9,154,070.00 | $12,776,393.00 | $12,776,393.00 | $-1,156,053.00 | $13,932,446.00 | $13,286,366.00 | $646,080.00 | $211,815.00 | $857,895.00 | $856,821.00 | $4,963,335.00 | $4,257.00 | 90.91 | 950 | 4829 | 18283 | $12,776,393.00 | $6,393,842.00 | $6,892,524.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1355767 | 55750 | WESTWOOD POST-ACUTE | 1601 PETERSEN AVE | SAN JOSE | CA | 95129 | SANTA CLARA | 41940 | U | 2022-01-01 | 2022-12-31 | 6 | 9692 | 52085 | 13454 | 75231 | 258 | 94170 | 1554 | 1554 | 9692 | 52085 | 13454 | 75231 | 258 | 94170 | $17,145,081.00 | $15,907,453.00 | $5,262,000.00 | $3,594,049.00 | $2,417,200.00 | $17,145,081.00 | $1,415,954.00 | $2,082,541.00 | $5,163,643.00 | $506,214.00 | $243,075.00 | $7,018,021.00 | $929,328.00 | $310,163.00 | $6,254.00 | $1,110,327.00 | $969,436.00 | $969,436.00 | $9,097,784.00 | $1,029,510.00 | $1,315,716.00 | $440,754.00 | $44,994.00 | $2,830,974.00 | $746,822.00 | $746,822.00 | $3,577,796.00 | $5,519,988.00 | $5,519,988.00 | $9,097,784.00 | $32,654,064.00 | $37,916,064.00 | $37,916,064.00 | $2,400,621.00 | $35,515,443.00 | $33,052,534.00 | $2,462,909.00 | $1,825,603.00 | $4,288,512.00 | $4,288,512.00 | $10,618,437.00 | $12,759.00 | MORALES, JAMES | 96.59 | 52085 | 9692 | 13454 | $37,916,064.00 | $17,145,081.00 | $15,907,453.00 | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1354235 | 555068 | WHITE BLOSSOM CARE CENTER | 1990 FRUITDALE AVENUE | SAN JOSE | CA | 95128 | SANTA CLARA | 41940 | U | 2022-01-01 | 2022-12-31 | 5 | 15353 | 3159 | 35231 | 53743 | 153 | 55845 | 218 | 2 | 645 | 865 | 70.43 | 1579.50 | 62.13 | 188 | 8 | 668 | 864 | 15353 | 3159 | 35231 | 53743 | 153 | 55845 | 218 | 2 | 645 | 865 | $12,993,570.00 | $14,134,640.00 | $6,758,738.00 | $3,861,505.00 | $1,767,668.00 | $12,993,570.00 | $1,952,400.00 | $5,290,821.00 | $744,670.00 | $14,839.00 | $189,995.00 | $9,701,515.00 | $70,136.00 | $66,025.00 | $115,077.00 | $334,323.00 | $334,323.00 | $10,150,915.00 | $657,813.00 | $506,265.00 | $67,735.00 | $829,359.00 | $2,061,172.00 | $2,061,172.00 | $8,089,743.00 | $8,089,743.00 | $10,150,915.00 | $31,960,243.00 | $38,718,981.00 | $38,718,981.00 | $5,529,317.00 | $33,189,664.00 | $27,128,210.00 | $6,061,454.00 | $269,491.00 | $6,330,945.00 | $6,331,090.00 | $15,763,353.00 | $52,042.00 | PIERCE, ROBERT | 96.08 | 3159 | 15353 | 35231 | $38,718,981.00 | $12,993,570.00 | $14,134,640.00 |
