Historical record. CMS lists this CCN as terminated (voluntary - merger/closure). No successor CCN is recorded. The financials below are the historical results reported under this number and are excluded from current peer comparisons and state counts.
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A skilled nursing facility in Gladstone, MO. It ran an operating surplus of 1.2% in FY23 on $7.2M of operating revenue. It held 7 days of cash on hand. Only a single comparable reporting year is available, so trend context is limited.
Days cash on hand · FY23
7d
all sources
vs SNFs—
Total operating revenue · FY23
$7.2M
vs SNFs—
Operating margin · FY23
+1.2%
vs SNFs—
Total margin · incl. nonoperating · FY23
+2.0%
vs SNFs—
Where THE GRAND ROYALE sits among SNFs
Operating margin · FY25 pool · n = 12,481 of 13,901 filed
Each point is one SNF in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The SNF median is +1.0%. Descriptive context only, not a ranking.
One snfTHE GRANDSNF median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this skilled nursing facility is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Operating margin
+1.2% (FY23)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+2.0% (FY23)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
7d (FY23)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
3.66× (FY23)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-382% (FY23)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
52d (FY23)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY21
FY22
FY23
Patient revenue
1,115
4,926
7,248
Total operating revenue
1,115
4,926
7,248
Total operating expenses
4,436
5,886
7,159
Operating income
(3,321)
(960)
89
Operating margin %
-297.8%
-19.5%
+1.2%
Other non-operating, net
0
44
54
Net income
(3,321)
(916)
143
Net income %
-297.8%
-18.4%
+2.0%
HCRIS Worksheet G-3 (SNF) · $ thousands · FY21–FY23 · operating revenue reflects net patient revenue (the SNF form carries no other-operating split) · FY20–21 may include COVID-era relief funding in other income
How it operates
quality & operational context · CMS public reporting
The metrics this skilled nursing facility type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Occupancy
72.7%
Verified fact2023
HCRIS WS S-1 (SNF cost report)
Medicare day share
18.4%
Verified fact2023
HCRIS WS S-1 (SNF cost report)
Medicaid day share
1.8%
Verified fact2023
HCRIS WS S-1 (SNF cost report)
Other payer day share
79.8%
Verified fact2023
HCRIS WS S-1 (SNF cost report)
Trajectory
Cost-report basis · 3 reporting years
Operating margin
Days cash on hand
The county this skilled nursing facility serves
CLAY County, MO
Median household income
$86.2K
vs $82.1K US · $59.7K rural median
Poverty rate
8.5%
vs 12.5% US · 14.3% rural median
Uninsured
7.3%
vs 8.6% US · 8.4% rural median
Age 65+
14.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 6.8% of county personal income is Medicare/Medicaid medical benefits; 16.8% arrives as government transfers (BEA, 2022).
The Board Briefing$1,000
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Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Delivered within 30 days of eligibility confirmation.
