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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366456 | 55304 | BROOKSIDE CARE CENTER LLC | 1221 ROSEMARIE LANE | STOCKTON | CA | 95207 | SAN JOAQUIN | 44700 | U | 2022-01-01 | 2022-12-31 | 6 | 6589 | 23803 | 2657 | 33049 | 99 | 36135 | 62 | 130 | 22 | 214 | 106.27 | 183.10 | 154.43 | 53 | 106 | 25 | 184 | 6589 | 23803 | 2657 | 33049 | 99 | 36135 | 62 | 130 | 22 | 214 | $5,535,959.00 | $4,811,410.00 | $1,094,994.00 | $889,646.00 | $5,535,959.00 | $167,232.00 | $2,799,060.00 | $270,159.00 | $33,857.00 | $2,729,990.00 | $11,100.00 | $61,292.00 | $811,511.00 | $14,649.00 | $92,612.00 | $3,634,113.00 | $915,932.00 | $126,997.00 | $-10,852.00 | $4,771,636.00 | -341953.00 | $-2,245,457.00 | $131,176.00 | $-2,456,234.00 | $2,315,402.00 | $2,506,408.00 | $2,506,408.00 | $4,821,810.00 | $12,051,906.00 | $11,669,269.00 | $11,669,269.00 | $182,429.00 | $11,486,840.00 | $10,347,369.00 | $1,139,471.00 | $1,972.00 | $1,141,443.00 | $1,141,443.00 | $5,127,526.00 | SWC CA OPCO 2 LLC | 93.03 | 23803 | 6589 | 2657 | $11,669,269.00 | $5,535,959.00 | $4,811,410.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1354239 | 555387 | CREEKSIDE CENTER | 9107 N. DAVIS RD | STOCKTON | CA | 95209 | SAN JOAQUIN | 44700 | U | 2022-01-01 | 2022-12-31 | 4 | 7080 | 14967 | 3153 | 25200 | 75 | 27375 | 207 | 92 | 1 | 300 | 34.20 | 162.68 | 84.00 | 168 | 53 | 56 | 277 | 7080 | 14967 | 3153 | 25200 | 75 | 27375 | 207 | 92 | 1 | 300 | $4,390,570.00 | $6,806,127.00 | $2,460,906.00 | $1,585,656.00 | $980,221.00 | $4,390,570.00 | $37,138.00 | $2,028,555.00 | $337,529.00 | $42,924.00 | $127,728.00 | $1,906,776.00 | $14,475.00 | $223,039.00 | $62,942.00 | $35,880.00 | $305,676.00 | $3,542,086.00 | $3,579,830.00 | $5,792,282.00 | $411,168.00 | $181,118.00 | $10,364.00 | $13,894.00 | $236,643.00 | $853,187.00 | -12723.00 | $998,391.00 | $985,668.00 | $1,838,855.00 | $3,953,427.00 | $3,953,427.00 | $5,792,282.00 | $10,896,809.00 | $13,357,717.00 | $13,357,717.00 | $1,942,347.00 | $11,415,370.00 | $11,196,697.00 | $218,673.00 | $19,570.00 | $238,243.00 | $238,243.00 | $5,911,629.00 | $45,356.00 | 95.87 | 14967 | 7080 | 3153 | $13,357,717.00 | $4,390,570.00 | $6,806,127.00 | ||||||||||||||||||||||||||||||||||||||
| 1361474 | 55833 | FULTON GARDENS POST ACUTE | 537 E. FULTON STREET | STOCKTON | CA | 95204 | SAN JOAQUIN | 44700 | U | 2022-01-01 | 2022-12-31 | 6 | 2962 | 25933 | 6435 | 35330 | 116 | 42340 | 59 | 117 | 70 | 246 | 50.20 | 221.65 | 143.62 | 3 | 140 | 87 | 230 | 2962 | 25933 | 6435 | 35330 | 116 | 42340 | 59 | 117 | 70 | 246 | $6,665,420.00 | $7,663,207.00 | $1,984,822.00 | $1,395,034.00 | $1,068,738.00 | $6,665,420.00 | $722,599.00 | $275,175.00 | $2,111,505.00 | $198,190.00 | $208,206.00 | $2,443,857.00 | $690,273.00 | $236,794.00 | $646,393.00 | $8,073,938.00 | $8,073,938.00 | $11,164,188.00 | $793,817.00 | $393,041.00 | $6,059,199.00 | $7,246,057.00 | $7,800,997.00 | $7,800,997.00 | $15,047,054.00 | $-3,882,866.00 | $-3,882,866.00 | $11,164,188.00 | $11,853,801.00 | $13,838,623.00 | $13,838,623.00 | $784,172.00 | $13,054,451.00 | $14,328,627.00 | $-1,274,176.00 | $291,469.00 | $-982,707.00 | $-982,707.00 | $2,621,202.00 | $880.00 | LOTIA, MARIAM | 85.09 | 25933 | 2962 | 6435 | $13,838,623.00 | $6,665,420.00 | $7,663,207.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1356003 | 555186 | LINCOLN SQUARE POST ACUTE REHAB | 1032 NORTH LINCOLN ST | STOCKTON | CA | 95203 | SAN JOAQUIN | 44700 | U | 2022-01-01 | 2022-12-31 | 4 | 5375 | 8591 | 4645 | 18611 | 68 | 24820 | 192 | 72 | 256 | 520 | 27.99 | 119.32 | 35.79 | 233 | 74 | 219 | 526 | 5375 | 8591 | 4645 | 18611 | 68 | 24820 | 192 | 72 | 256 | 520 | $5,018,375.00 | $4,951,953.00 | $2,245,525.00 | $1,718,896.00 | $995,991.00 | $5,018,375.00 | $471,449.00 | $958,356.00 | $88,545.00 | $1,518,350.00 | $2,399,727.00 | $694,024.00 | $266,367.00 | $3,345,534.00 | $3,345,534.00 | $5,130,251.00 | $624,737.00 | $144,456.00 | $574,438.00 | $321,428.00 | $1,665,059.00 | $1,665,059.00 | $3,465,192.00 | $3,465,192.00 | $5,130,251.00 | $10,314,937.00 | $12,560,462.00 | $12,560,462.00 | $2,604,019.00 | $9,956,443.00 | $9,970,328.00 | $-13,885.00 | $131,424.00 | $117,539.00 | $117,539.00 | $4,654,305.00 | $38,403.00 | ELLIS-SHERINIAN, TAYLOR | 88.38 | 8591 | 5375 | 4645 | $12,560,462.00 | $5,018,375.00 | $4,951,953.00 | |||||||||||||||||||||||||||||||||||||||||||||
| 1366145 | 555105 | NOBLE CARE CENTER LLC | 2740 N. CALIFORNIA STREET | STOCKTON | CA | 95204 | SAN JOAQUIN | 44700 | U | 2022-01-01 | 2022-12-31 | 6 | 6698 | 23156 | 1933 | 31787 | 99 | 36135 | 76 | 174 | 19 | 269 | 88.13 | 133.08 | 118.17 | 84 | 153 | 18 | 255 | 6698 | 23156 | 1933 | 31787 | 99 | 36135 | 76 | 174 | 19 | 269 | $4,840,826.00 | $4,504,311.00 | $905,612.00 | $639,514.00 | $4,840,826.00 | $-15,303.00 | $2,392,091.00 | $228,441.00 | $105,358.00 | $2,253,705.00 | $10,868.00 | $22,243.00 | $65,356.00 | $715,390.00 | $793,353.00 | $3,112,414.00 | $842,189.00 | $162,168.00 | $-2,200,823.00 | $130,303.00 | $1,491,630.00 | -224400.00 | $-224,400.00 | $1,267,230.00 | $3,288,175.00 | $3,288,175.00 | $4,555,405.00 | $11,503,377.00 | $11,171,006.00 | $11,171,006.00 | $176,055.00 | $10,994,951.00 | $9,345,137.00 | $1,649,814.00 | $2,481.00 | $1,652,295.00 | $1,652,295.00 | $5,372,267.00 | 94.55 | 23156 | 6698 | 1933 | $11,171,006.00 | $4,840,826.00 | $4,504,311.00 | |||||||||||||||||||||||||||||||||||||||||||||
| 1363648 | 555713 | OCONNOR WOODS HOUSING CORP | 3110 WAGNER HEIGHTS ROAD | STOCKTON | CA | 95209 | SAN JOAQUIN | 44700 | U | 2022-01-01 | 2022-12-31 | 4 | 3986 | 12227 | 7597 | 23810 | 100 | 36500 | 176 | 184 | 115 | 475 | 22.65 | 66.45 | 50.13 | 63 | 191 | 119 | 373 | 3986 | 12227 | 7597 | 23810 | 100 | 36500 | 176 | 184 | 115 | 475 | $13,014,814.00 | $25,157,798.00 | $2,404,732.00 | $2,107,404.00 | $730,411.00 | $13,014,814.00 | $792,113.00 | $4,887,383.00 | $3,776,156.00 | $313,584.00 | $156,041.00 | $616,814.00 | $9,133,056.00 | $4,325,171.00 | $4,023,674.00 | $90,992,999.00 | $10,365,805.00 | $47,763,228.00 | $16,377,044.00 | $6,285,600.00 | $22,662,644.00 | $79,558,928.00 | $2,422,952.00 | $1,210,519.00 | $26,295.00 | $417,273.00 | $1,561,764.00 | $5,638,803.00 | $47,551,560.00 | $47,551,560.00 | $53,190,363.00 | $26,368,565.00 | $26,368,565.00 | $79,558,928.00 | $29,637,923.00 | $32,042,655.00 | $32,042,655.00 | $570,299.00 | $31,472,356.00 | $38,172,612.00 | $-6,700,256.00 | $-6,700,256.00 | $-10,723,296.00 | $3,180,519.00 | O’CONNOR WOODS HOUSING CORP | 67.10 | 12227 | 3986 | 7597 | $32,042,655.00 | $13,014,814.00 | $25,157,798.00 | ||||||||||||||||||||||||||||||||||||||
| 1359700 | 555692 | PLYMOUTH SQUARE | 1319 N MADISON STREET | STOCKTON | CA | 95202 | SAN JOAQUIN | 44700 | U | 2021-12-01 | 2022-11-30 | 1 | 205 | 5513 | 4326 | 10044 | 67 | 24455 | 4 | 16 | 15 | 35 | 51.25 | 344.56 | 205.59 | 4 | 17 | 11 | 32 | 205 | 5513 | 1272 | 6990 | 38 | 13870 | 4 | 16 | 14 | 34 | $2,136,095.00 | $3,665,744.00 | $222,030.00 | $146,486.00 | $392,342.00 | $2,136,095.00 | $69,753.00 | $514,045.00 | $355,325.00 | $169,610.00 | $15,151.00 | $139,360.00 | $910,172.00 | $111,148.00 | $2,343,556.00 | $2,603,020.00 | $1,871,308.00 | $127,924.00 | $127,924.00 | $2,909,404.00 | $170,231.00 | $278,165.00 | $6,548,635.00 | $6,997,031.00 | $4,420,052.00 | $4,420,052.00 | $11,417,083.00 | $-8,507,679.00 | $-8,507,679.00 | $2,909,404.00 | $2,519,348.00 | $3,048,553.00 | $3,048,553.00 | $332,277.00 | $2,716,276.00 | $5,801,839.00 | $-3,085,563.00 | $325,916.00 | $-2,759,647.00 | $-2,759,647.00 | $171,876.00 | #N/A | 5513 | 205 | 4326 | $3,048,553.00 | $2,136,095.00 | $3,665,744.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1355698 | 555496 | RIVERWOOD HEALTHCARE CENTER | 5320 CARRINGTON CIRCLE | STOCKTON | CA | 95210 | SAN JOAQUIN | 44700 | U | 2022-01-01 | 2022-12-31 | 6 | 5693 | 16475 | 9303 | 31471 | 99 | 36135 | 161 | 90 | 212 | 463 | 35.36 | 183.06 | 67.97 | 177 | 61 | 222 | 460 | 5693 | 16475 | 9303 | 31471 | 99 | 36135 | 161 | 90 | 212 | 463 | $5,288,444.00 | $7,598,258.00 | $4,098,146.00 | $2,342,953.00 | $776,128.00 | $5,288,444.00 | $2,308,085.00 | $3,000.00 | $2,286,005.00 | $579,614.00 | $115,405.00 | $1,824,796.00 | $887,761.00 | $127,084.00 | $320,219.00 | $3,559,126.00 | $4,803,180.00 | $4,903,180.00 | $10,287,102.00 | $601,631.00 | $178,815.00 | $550,244.00 | $1,330,690.00 | $2,521,454.00 | $2,521,456.00 | $3,852,146.00 | $6,434,956.00 | $6,434,956.00 | $10,287,102.00 | $10,094,005.00 | $14,192,151.00 | $14,192,151.00 | $507,394.00 | $13,684,757.00 | $12,886,702.00 | $798,055.00 | $47,416.00 | $845,471.00 | $760,471.00 | $5,041,321.00 | $64,010.00 | GITTLEMAN, MARTIN | 91.41 | 16475 | 5693 | 9303 | $14,192,151.00 | $5,288,444.00 | $7,598,258.00 | |||||||||||||||||||||||||||||||||||||||||
| 1366174 | 55201 | STOCKTON NURSING AND REHAB CENTER | 4545 SHELLEY COURT | STOCKTON | CA | 92507 | SAN JOAQUIN | 44700 | U | 2022-01-01 | 2022-12-31 | 4 | 1969 | 32722 | 3947 | 38638 | 119 | 43435 | 29 | 98 | 65 | 192 | 67.90 | 333.90 | 201.24 | 57 | 19 | 128 | 204 | 1969 | 32722 | 3947 | 38638 | 119 | 43435 | 29 | 98 | 65 | 192 | $6,270,637.00 | $7,596,145.00 | $2,835,648.00 | $1,951,134.00 | $1,140,250.00 | $6,270,637.00 | $746,223.00 | $45,907.00 | $1,487,252.00 | $325,432.00 | $83,143.00 | $8,041,457.00 | $9,332,327.00 | $85,208.00 | $556,955.00 | $377,974.00 | $786,101.00 | $353,922.00 | $353,922.00 | $10,472,350.00 | $342,823.00 | $79,780.00 | $262,474.00 | $696,135.00 | $7,931,726.00 | $82,588.00 | $82,588.00 | $8,014,314.00 | $2,458,036.00 | $2,458,036.00 | $10,472,350.00 | $12,440,870.00 | $15,276,518.00 | $15,276,518.00 | $1,969,821.00 | $13,306,697.00 | $13,866,782.00 | $-560,085.00 | $608,150.00 | $48,065.00 | $48,065.00 | $1,807,777.00 | $13,680.00 | STOCKTON NURSING AND REHAB CENTER, LLC | 89.92 | 32722 | 1969 | 3947 | $15,276,518.00 | $6,270,637.00 | $7,596,145.00 | |||||||||||||||||||||||||||||||||||||||
| 1365942 | 555470 | WAGNER HEIGHTS NURSING & REHABILITAT | 9289 BRANSTETTER PLACE | STOCKTON | CA | 95209 | SAN JOAQUIN | 44700 | U | 2022-01-01 | 2022-12-31 | 4 | 5124 | 38610 | 8715 | 52449 | 152 | 55480 | 139 | 294 | 402 | 835 | 36.86 | 131.33 | 62.81 | 210 | 155 | 434 | 799 | 5124 | 38610 | 8715 | 52449 | 152 | 55480 | 139 | 294 | 402 | 835 | $10,922,545.00 | $10,136,702.00 | $3,491,705.00 | $2,553,791.00 | $1,477,430.00 | $10,922,545.00 | $1,024,478.00 | $4,500.00 | $4,670,699.00 | $1,569,413.00 | $76,653.00 | $168,155.00 | $3,364,419.00 | $430,013.00 | $12,862.00 | $87,221.00 | $86,340.00 | $15,346,320.00 | $15,346,320.00 | $18,797,079.00 | $-55,337.00 | $493,191.00 | $1,617,109.00 | $-32,532.00 | $-21,111,771.00 | 6891.00 | $14,511,111.00 | $14,518,002.00 | $-6,593,769.00 | $25,390,848.00 | $25,390,848.00 | $18,797,079.00 | $16,785,957.00 | $20,277,662.00 | $20,277,662.00 | $-1,124,946.00 | $21,402,608.00 | $21,059,247.00 | $343,361.00 | $14,720.00 | $358,081.00 | $358,081.00 | $4,736,286.00 | $22,114.00 | 92.43 | 38610 | 5124 | 8715 | $20,277,662.00 | $10,922,545.00 | $10,136,702.00 | |||||||||||||||||||||||||||||||||||||||
| 1366658 | 55735 | WINDSOR ELMHAVEN CARE CENTER | 6940 PACIFIC AVENUE | STOCKTON | CA | 95207 | SAN JOAQUIN | 44700 | U | 2022-01-01 | 2022-12-31 | 6 | 4820 | 31769 | 2557 | 39146 | 128 | 46720 | 57 | 153 | 41 | 251 | 84.56 | 207.64 | 155.96 | 69 | 87 | 97 | 253 | 4820 | 31769 | 2557 | 39146 | 128 | 46720 | 57 | 153 | 41 | 251 | $7,858,891.00 | $11,180,175.00 | $4,642,479.00 | $2,093,480.00 | $1,572,048.00 | $7,858,891.00 | $2,029,572.00 | $-162,436.00 | $2,512,500.00 | $164,200.00 | $297,057.00 | $2,614,401.00 | $6,079,480.00 | $2,324,809.00 | $1,008,652.00 | $1,416,708.00 | $109,082.00 | $109,082.00 | $7,605,270.00 | $2,362,542.00 | $393,874.00 | $358,960.00 | $3,115,376.00 | $5,902.00 | $5,902.00 | $3,121,278.00 | $4,483,992.00 | $4,483,992.00 | $7,605,270.00 | $18,738,839.00 | $23,314,395.00 | $23,314,395.00 | $5,311,337.00 | $18,003,058.00 | $19,039,066.00 | $-1,036,008.00 | $629,556.00 | $-406,452.00 | $-406,452.00 | $4,615,175.00 | $21,411.00 | 91.48 | 31769 | 4820 | 2557 | $23,314,395.00 | $7,858,891.00 | $11,180,175.00 | ||||||||||||||||||||||||||||||||||||||||||
| 1366368 | 56324 | WINDSOR HAMPTON CARE CENTER | 442 HAMPTON STREET | STOCKTON | CA | 95204 | SAN JOAQUIN | 44700 | U | 2022-01-01 | 2022-12-31 | 6 | 3473 | 25691 | 9031 | 38195 | 120 | 43800 | 103 | 90 | 510 | 703 | 33.72 | 285.46 | 54.33 | 126 | 24 | 558 | 708 | 3473 | 25691 | 9031 | 38195 | 120 | 43800 | 103 | 90 | 510 | 703 | $7,145,375.00 | $9,553,679.00 | $7,402,857.00 | $3,013,991.00 | $1,289,833.00 | $7,145,375.00 | $1,550,725.00 | $-136,511.00 | $1,972,916.00 | $225,905.00 | $192,444.00 | $5,623,196.00 | $7,875,578.00 | $891,764.00 | $670,669.00 | $646,816.00 | $149,088.00 | $149,088.00 | $8,671,482.00 | $1,994,021.00 | $336,103.00 | $385,484.00 | $2,715,608.00 | $167.00 | $167.00 | $2,715,775.00 | $5,955,707.00 | $5,955,707.00 | $8,671,482.00 | $11,872,848.00 | $19,155,883.00 | $19,155,883.00 | $2,892,610.00 | $16,263,273.00 | $16,699,054.00 | $-435,781.00 | $189,285.00 | $-246,496.00 | $-246,496.00 | $3,201,332.00 | $9,367.00 | 94.00 | 25691 | 3473 | 9031 | $19,155,883.00 | $7,145,375.00 | $9,553,679.00 |
