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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1377217 | 505483 | ALASKA GARDENS HEALTH AND REHAB | 6220 SOUTH ALASKA STREET | TACOMA | WA | 98408 | PIERCE | 45104 | U | 2022-01-01 | 2022-12-31 | 6 | 3125 | 25178 | 7056 | 35359 | 123 | 44895 | 78 | 121 | 202 | 401 | 40.06 | 208.08 | 88.18 | 119 | 36 | 288 | 443 | 3125 | 25178 | 7056 | 35359 | 123 | 44895 | 78 | 121 | 202 | 401 | $5,185,093.00 | $8,453,848.00 | $1,313,736.00 | $1,257,090.00 | $627,691.00 | $5,185,093.00 | $2,718,598.00 | $342,409.00 | $2,749,489.00 | $113,789.00 | $120,582.00 | $3,151,300.00 | $58,470.00 | $32,426.00 | $18,305.00 | $3,049.00 | $170,436.00 | $1,861.00 | $1,861.00 | $3,323,597.00 | $2,031,561.00 | $-2,245.00 | $187,234.00 | $1,315,148.00 | $535,432.00 | $4,694,422.00 | $4,694,422.00 | $-1,370,825.00 | $-1,370,825.00 | $3,323,597.00 | $13,907,309.00 | $15,221,045.00 | $15,221,045.00 | $2,128,513.00 | $13,092,532.00 | $13,638,941.00 | $-546,409.00 | $168,053.00 | $-378,356.00 | $-378,356.00 | $2,082,344.00 | $158,812.00 | ALASKA GARDENS SNF OPERATIONS HOLDINGS LLC | 85.20 | 25178 | 3125 | 7056 | $15,221,045.00 | $5,185,093.00 | $8,453,848.00 | ||||||||||||||||||||||||||||||||||||||||
| 1378127 | 505264 | AVAMERE AT PACIFIC RIDGE | 3625 EAST B STREET | TACOMA | WA | 98404 | PIERCE | 45104 | U | 2022-01-01 | 2022-12-31 | 4 | 1301 | 19846 | 6031 | 27178 | 102 | 37230 | 19 | 152 | 134 | 305 | 68.47 | 130.57 | 89.11 | 53 | 47 | 194 | 294 | 1301 | 19846 | 6031 | 27178 | 102 | 37230 | 19 | 152 | 134 | 305 | $5,480,577.00 | $6,343,224.00 | $1,916,450.00 | $1,076,148.00 | $854,680.00 | $5,480,577.00 | $36,096.00 | $1,333,578.00 | $84,473.00 | $20,818.00 | $91,170.00 | $1,403,077.00 | $482,286.00 | $3,031.00 | $1,063,777.00 | $250,862.00 | $6,875,918.00 | $6,875,918.00 | $8,529,857.00 | $674,559.00 | $289,462.00 | $61,250.00 | $852,483.00 | $600,424.00 | $2,512,774.00 | $462.00 | $7,272,537.00 | $9,785,311.00 | $-1,255,454.00 | $-1,255,454.00 | $8,529,857.00 | $9,175,997.00 | $10,927,770.00 | $166,673.00 | $11,094,443.00 | $1,057,239.00 | $10,037,204.00 | $11,823,801.00 | $-1,786,597.00 | $1,866,138.00 | $79,541.00 | $79,541.00 | $934,284.00 | $93,295.00 | MILLER, CHRISTINE | 70.20 | 19846 | 1301 | 6031 | $11,094,443.00 | $5,480,577.00 | $6,343,224.00 | ||||||||||||||||||||||||||||||||||||||
| 1378123 | 505183 | AVAMERE HERITAGE REHABILITATION OF T | 7411 PACIFIC AVENUE | TACOMA | WA | 98408 | PIERCE | 45104 | U | 2022-01-01 | 2022-12-31 | 6 | 1371 | 6863 | 3168 | 11402 | 81 | 29565 | 54 | 64 | 106 | 224 | 25.39 | 107.23 | 50.90 | 66 | 75 | 108 | 249 | 1371 | 6863 | 3168 | 11402 | 81 | 29565 | 54 | 64 | 106 | 224 | $3,068,873.00 | $4,250,305.00 | $1,245,287.00 | $683,142.00 | $363,693.00 | $3,068,873.00 | $8,003.00 | $1,447,067.00 | $120,881.00 | $14,051.00 | $54,748.00 | $1,402,988.00 | $357,080.00 | $15,008.00 | $653,880.00 | $275,091.00 | $5,160,468.00 | $5,160,468.00 | $6,838,547.00 | $497,392.00 | $137,505.00 | $34,156.00 | $1,000,440.00 | $391,434.00 | $2,067,230.00 | $462.00 | $5,414,396.00 | $7,481,626.00 | $-643,079.00 | $-643,079.00 | $6,838,547.00 | $4,060,466.00 | $5,306,343.00 | $2,787.00 | $5,309,130.00 | $122,291.00 | $5,186,839.00 | $7,319,178.00 | $-2,132,339.00 | $571,811.00 | $-1,560,528.00 | $-1,560,528.00 | $1,012,497.00 | $96,153.00 | 73.33 | 6863 | 1371 | 3168 | $5,309,130.00 | $3,068,873.00 | $4,250,305.00 | |||||||||||||||||||||||||||||||||||||||
| 1355988 | 505529 | AVAMERE TRANSITIONAL CARE OF PUGET S | 630 S PEARL ST | TACOMA | WA | 98465 | PIERCE | 45104 | U | 2022-01-01 | 2022-12-31 | 4 | 6655 | 3600 | 9626 | 19881 | 60 | 21900 | 256 | 43 | 401 | 700 | 26.00 | 83.72 | 28.40 | 288 | 1 | 411 | 700 | 6655 | 3600 | 9626 | 19881 | 60 | 21900 | 256 | 43 | 401 | 700 | $5,120,015.00 | $6,140,219.00 | $5,063,718.00 | $2,299,315.00 | $773,398.00 | $5,120,015.00 | $1,300.00 | $1,714,961.00 | $155,170.00 | $13,334.00 | $85,824.00 | $1,665,179.00 | $41,380.00 | $171,905.00 | $98,815.00 | $3,791,122.00 | $3,791,122.00 | $5,555,116.00 | $1,322,304.00 | $224,806.00 | $64,086.00 | $1,078,326.00 | $290,348.00 | $2,979,870.00 | $462.00 | $4,281,505.00 | $7,261,375.00 | $-1,706,259.00 | $-1,706,259.00 | $5,555,116.00 | $9,807,184.00 | $14,891,119.00 | $1,608.00 | $14,892,727.00 | $3,793,263.00 | $11,099,464.00 | $11,260,234.00 | $-160,770.00 | $153,691.00 | $-7,079.00 | $-7,079.00 | $4,522,230.00 | $86,305.00 | OKOLI, IKE | 92.17 | 3600 | 6655 | 9626 | $14,892,727.00 | $5,120,015.00 | $6,140,219.00 | |||||||||||||||||||||||||||||||||||||||
| 1355979 | 505326 | HEARTWOOD EXTENDED HEALTH CARE | 1649 EAST 72ND ST | TACOMA | WA | 98404-5402 | PIERCE | 45104 | U | 2022-01-01 | 2022-12-31 | 6 | 2267 | 27521 | 3914 | 33702 | 120 | 43800 | 47 | 171 | 106 | 324 | 48.23 | 160.94 | 104.02 | 91 | 86 | 160 | 337 | 2267 | 27521 | 3914 | 33702 | 120 | 43800 | 47 | 171 | 106 | 324 | $6,504,358.00 | $7,427,718.00 | $910,718.00 | $672,580.00 | $967,689.00 | $6,504,358.00 | $1,694,157.00 | $399,321.00 | $2,263,093.00 | $140,824.00 | $333,486.00 | $3,721,650.00 | $1,706,723.00 | $129,568.00 | $26,714.00 | $1,782,555.00 | $5,504,205.00 | $1,605,784.00 | $36,242.00 | $630,406.00 | $3,206,343.00 | $331,212.00 | $8,867,499.00 | $8,867,499.00 | $-3,363,294.00 | $-3,363,294.00 | $5,504,205.00 | $12,257,971.00 | $13,168,689.00 | $13,168,689.00 | $1,795,805.00 | $11,372,884.00 | $13,932,076.00 | $-2,559,192.00 | $760,192.00 | $-1,799,000.00 | $-1,799,000.00 | $1,526,200.00 | $56,128.00 | HEARTWOOD OPERATOR HOLDINGS LLC | 76.67 | 27521 | 2267 | 3914 | $13,168,689.00 | $6,504,358.00 | $7,427,718.00 | |||||||||||||||||||||||||||||||||||||||||||
| 1368044 | 505289 | MANOR CARE OF TACOMA WA LLC | 5601 S. ORCHARD STREET | TACOMA | WA | 98409 | PIERCE | 45104 | U | 2022-06-01 | 2023-03-31 | 2 | 2866 | 20540 | 6430 | 29836 | 124 | 37696 | 116 | 111 | 236 | 463 | 24.71 | 185.05 | 64.44 | 150 | 37 | 297 | 484 | 2866 | 20540 | 6430 | 29836 | 124 | 37696 | 116 | 111 | 236 | 463 | $6,075,422.00 | $6,910,738.00 | $2,986,912.00 | $1,758,953.00 | $1,148,140.00 | $6,075,422.00 | $1,788,192.00 | $700.00 | $1,567,393.00 | $48,223.00 | $-28,589.00 | $1,587,727.00 | $-16,439.00 | $-16,439.00 | $1,571,288.00 | $281,472.00 | $597,098.00 | $166,709.00 | $6,598,688.00 | $7,643,967.00 | $7,643,967.00 | $-6,072,679.00 | $-6,072,679.00 | $1,571,288.00 | $11,780,857.00 | $14,767,769.00 | $14,767,769.00 | $3,032,247.00 | $11,735,522.00 | $12,986,160.00 | $-1,250,638.00 | $188,764.00 | $-1,061,874.00 | $-1,061,874.00 | $1,901,447.00 | $37,975.00 | WASH 6 SNF OPERATIONS HOLDINGS LLC | 80.65 | 20540 | 2866 | 6430 | $14,767,769.00 | $6,075,422.00 | $6,910,738.00 | ||||||||||||||||||||||||||||||||||||||||||||||
| 1378122 | 505093 | ORCHARD PARK HEALTH REHAB CENTER | 4755 SOUTH 48TH STREET | TACOMA | WA | 98409 | PIERCE | 45104 | U | 2022-01-01 | 2022-12-31 | 6 | 5064 | 23455 | 10360 | 38879 | 147 | 53655 | 191 | 145 | 340 | 676 | 26.51 | 161.76 | 57.51 | 218 | 46 | 402 | 666 | 5064 | 23455 | 10360 | 38879 | 147 | 53655 | 191 | 145 | 340 | 676 | $6,610,836.00 | $8,882,531.00 | $3,443,967.00 | $1,931,631.00 | $912,944.00 | $6,610,836.00 | $588.00 | $2,266,558.00 | $168,124.00 | $28,677.00 | $17,310.00 | $1,534,312.00 | $5,075.00 | $392,378.00 | $129,171.00 | $445,593.00 | $9,610.00 | $1,989,515.00 | $871,644.00 | $111,410.00 | $32,820.00 | $107,764.00 | $1,123,638.00 | -12723.00 | $971,224.00 | $958,501.00 | $2,082,139.00 | $-92,624.00 | $-92,624.00 | $1,989,515.00 | $15,033,295.00 | $18,477,263.00 | $18,477,263.00 | $2,973,672.00 | $15,503,591.00 | $15,493,367.00 | $10,224.00 | $481,444.00 | $491,668.00 | $491,668.00 | $3,574,310.00 | $135,570.00 | 70.68 | 23455 | 5064 | 10360 | $18,477,263.00 | $6,610,836.00 | $8,882,531.00 | |||||||||||||||||||||||||||||||||||||||||
| 1360464 | 505239 | PARK ROSE CARE CENTER | 3919 SOUTH 19TH STREET | TACOMA | WA | 98405 | PIERCE | 45104 | U | 2022-01-01 | 2022-12-31 | 6 | 2686 | 22888 | 5794 | 31368 | 139 | 50735 | 35 | 117 | 99 | 251 | 76.74 | 195.62 | 124.97 | 66 | 64 | 142 | 272 | 2686 | 22888 | 5794 | 31368 | 139 | 50735 | 35 | 117 | 99 | 251 | $7,950,089.00 | $8,786,512.00 | $2,930,575.00 | $1,719,104.00 | $1,033,008.00 | $7,950,089.00 | $1,416,045.00 | $-82,865.00 | $29,339.00 | $1,814,145.00 | $543,858.00 | $16,518.00 | $51,009.00 | $1,284,288.00 | $965,750.00 | $702,610.00 | $805,037.00 | $6.00 | $6.00 | $2,089,331.00 | $1,726,110.00 | $537,505.00 | $230,060.00 | $101,204.00 | $2,594,879.00 | $588,353.00 | $1,085,027.00 | $1,712,873.00 | $4,307,752.00 | $-2,218,421.00 | $-2,218,421.00 | $2,089,331.00 | $17,532,850.00 | $20,463,425.00 | $20,463,425.00 | $5,302,197.00 | $15,161,228.00 | $16,736,601.00 | $-1,575,373.00 | $260,557.00 | $-1,314,816.00 | $-1,314,816.00 | $1,917,602.00 | $187,944.00 | ANDREE, TERRI | 68.35 | 22888 | 2686 | 5794 | $20,463,425.00 | $7,950,089.00 | $8,786,512.00 | ||||||||||||||||||||||||||||||||||||||
| 1364763 | 505435 | TACOMA LUTHERAN HOME AND REITREMENT | 1301 HIGHLANDS PARKWAY | TACOMA | WA | 98406 | PIERCE | 45104 | U | 2022-01-01 | 2022-12-31 | 2 | 6505 | 26816 | 29739 | 63060 | 239 | 87235 | 209 | 32 | 231 | 472 | 31.12 | 838.00 | 99.84 | 270 | 6 | 180 | 456 | 6505 | 26816 | 11807 | 45128 | 187 | 68255 | 209 | 32 | 211 | 452 | $11,569,320.00 | $13,408,022.00 | $1,737,257.00 | $1,871,521.00 | $2,823,858.00 | $11,569,320.00 | $37,311,029.00 | $1,973,186.00 | $473,696.00 | $45,196.00 | $378,734.00 | $50,549,765.00 | $89,987,311.00 | $1,316,931.00 | $1,381,142.00 | $22,156,122.00 | $11,532,281.00 | $2,606,040.00 | $4,405,637.00 | $12,640,949.00 | $8,544,806.00 | $24,399.00 | $8,569,205.00 | $111,197,465.00 | $5,700,942.00 | $886,749.00 | $150,905.00 | $7,797,935.00 | $7,998.00 | $14,544,529.00 | $92,074,540.00 | $137,000.00 | $92,211,540.00 | $106,756,069.00 | $4,441,396.00 | $4,441,396.00 | $111,197,465.00 | $19,559,841.00 | $21,397,373.00 | $21,397,373.00 | $2,075,319.00 | $19,322,054.00 | $24,977,342.00 | $-5,655,288.00 | $-151,577.00 | $-5,806,865.00 | $-6,042,661.00 | $4,704,563.00 | $22,771.00 | HOFFMAN, DANIEL | 67.38 | 26816 | 6505 | 29739 | $21,397,373.00 | $11,569,320.00 | $13,408,022.00 | |||||||||||||||||||||||||||||||||
| 1360746 | 505154 | TACOMA NURSING AND REHAB CENTER | 2102 S 96TH | TACOMA | WA | 98444 | PIERCE | 45104 | U | 2022-01-01 | 2022-12-31 | 6 | 2340 | 26133 | 4215 | 32688 | 150 | 54750 | 66 | 66 | 35.45 | 495.27 | 2340 | 26133 | 4215 | 32688 | 150 | 54750 | 66 | 66 | $6,271,394.00 | $5,448,504.00 | $2,257,042.00 | $868,332.00 | $837,636.00 | $6,271,394.00 | $259,458.00 | $2,064,464.00 | $1,152,190.00 | $11,493.00 | $162,394.00 | $3,390,541.00 | $48,025.00 | $12,818.00 | $10,497.00 | $65,818.00 | $179,377.00 | $179,377.00 | $3,635,736.00 | $1,002,876.00 | $383,979.00 | $89,155.00 | $876,830.00 | $2,352,840.00 | $2,352,840.00 | $1,282,896.00 | $1,282,896.00 | $3,635,736.00 | $10,355,506.00 | $12,599,540.00 | $12,599,540.00 | $1,678,433.00 | $10,921,107.00 | $11,719,898.00 | $-798,791.00 | $2,677,123.00 | $1,878,332.00 | $1,878,332.00 | $1,734,594.00 | $112,808.00 | S&R WEISS REVOCABLE TRUST UAD DECEMBER 23, 1993 | 62.20 | 26133 | 2340 | 4215 | $12,599,540.00 | $6,271,394.00 | $5,448,504.00 |
