Skilled nursing facility · CMS certification number 145380
LUTHERAN CARE CENTER
ALTAMONT, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 96
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 March 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,880,619 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$303,152 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,183,771 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,419,989 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,236,218 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,142,181 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$94,037 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$97,442 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 35,136 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,053 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 3,293 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,303 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 16,649 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 47 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 5 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 26 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 78 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 658.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 213.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405465, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 30 September 2023
Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 April 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,378,141 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$425,146 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,803,287 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,472,503 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,669,216 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,284,239 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$384,977 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$387,051 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,488 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 794.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 270.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376681, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 30 September 2022
Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,386,850 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$245,790 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,632,640 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,219,566 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,586,926 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,401,483 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$185,443 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$185,443 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,917 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 24 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 5,347 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 746.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345936, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 30 September 2021
Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,419,850 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$238,565 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,658,415 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,556,311 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,897,896 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,803,247 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$94,649 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$94,649 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,236 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 587.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 298.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314101, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 30 September 2020
Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 March 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,737,768 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$198,993 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,936,761 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,498,958 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,562,197 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,778,817 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $216,620 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $216,620 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,730 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 132 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 254.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280933, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 30 September 2019
Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 March 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,263,185 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $132,365 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,130,820 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,201,461 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,070,641 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,081,877 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $11,236 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $11,236 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,074 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 320.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 180.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253421, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 30 September 2018
Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 April 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,891,118 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $158,850 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,732,268 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,103,664 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,371,396 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $777,865 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$593,531 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$393,670 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,751 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 174 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 246.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222361, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 30 September 2017
Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,468,760 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $292,182 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,176,578 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,938,564 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$761,986 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $953,912 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $191,926 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $191,926 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,621 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 280.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188327, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 30 September 2016
Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 February 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,139,203 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $169,261 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,969,942 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,028,763 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,058,821 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,040,484 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$18,337 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$18,337 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,720 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 130 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 478.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 182.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153554, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 September 2015
Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 March 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,070,073 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$20,412 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,090,485 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,012,939 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$922,454 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $823,016 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$99,438 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $122,484 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,892 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 308.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1121363, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 30 September 2014
Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 March 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,058,784 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $61,440 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,997,344 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,059,499 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,062,155 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,183,260 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $121,105 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $121,105 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,522 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 131 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 340.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 202.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1087883, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 30 September 2013
Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,839,578 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$8,847 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,848,425 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,008,267 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,159,842 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $921,050 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$238,792 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$238,792 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,225 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 415.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 226.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058038, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 30 September 2012
Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 March 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,882,088 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$14,007 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,896,095 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,951,450 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,055,355 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $940,615 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$114,740 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$114,740 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,056 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 172 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 427.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1026714, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 30 September 2011
Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 February 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,119,654 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,827,679 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$708,025 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $915,626 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $207,601 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,883 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 151 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 208.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 191.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 424960, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended 30 September 2010
Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 May 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,616,239 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,640,554 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,024,315 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,012,628 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$11,687 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,117 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 126 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 281.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 215.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398405, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 30 September 2009
Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 April 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,768,426 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,910,783 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,142,357 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,199,654 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $53 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $57,244 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,967 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 147 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 271.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 367594, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 30 September 2008
Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 April 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,493,380 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,673,510 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,180,130 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,400,424 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $220,294 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,802 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 169 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 255 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 170.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 337082, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 30 September 2007
Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 May 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,549,868 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,435,745 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$885,877 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $964,711 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $78,834 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,471 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 198 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 282.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 138.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 308153, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 30 September 2006
Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 May 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,292,816 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,167,599 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$874,783 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $927,788 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $53,005 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,688 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 313 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 278022, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 30 September 2005
Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 March 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,335,493 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,924,501 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$589,008 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $567,403 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,898 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$23,503 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,650 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 186 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 265.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 148.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 246017, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 30 September 2004
Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 6 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $805,775 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,690,635 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,884,860 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $975,764 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,538 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$1,911,634 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,878 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 156 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 986.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 185.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 216270, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 30 September 2003
Cost report for 1 October 2002 to 30 September 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 April 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,831,311 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,465,269 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$633,958 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $970,346 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,573 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $332,815 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,174 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 199 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 354.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 136.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173794, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 30 September 2002
Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 March 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,840,274 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,333,335 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$493,061 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $857,861 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,537 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $361,263 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,252 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 211 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 263.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 129.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 171549, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 30 September 2001
Cost report for 1 October 2000 to 30 September 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 June 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,845,204 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,328,388 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$483,184 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,182,578 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $699,394 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,173 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 163 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 531.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 185.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 147048, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 30 September 2000
Cost report for 1 October 1999 to 30 September 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 9 May 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,757,530 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,232,684 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$475,154 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $583,081 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $107,927 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,739 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 544.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 211.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85424, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 30 September 1999
Cost report for 1 October 1998 to 30 September 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 7 May 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,550,357 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,014,590 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$464,233 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $494,168 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $29,935 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,655 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 146 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 545.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 203.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85423, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 30 September 1998
Cost report for 1 October 1997 to 30 September 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 May 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,574,823 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,098,858 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$524,035 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $587,683 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $63,648 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,226 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 186 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 581.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 157.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85421, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 30 September 1997
Cost report for 1 October 1996 to 30 September 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 March 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,576,080 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,822,466 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$246,386 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $96,476 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$149,910 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,729 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 193 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 298.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 154.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85420, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 30 September 1996
Cost report for 1 October 1995 to 30 September 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 11 September 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,481,820 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,694,528 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$212,708 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $179,721 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$32,987 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,717 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 177 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 433.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85418, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| FAITH LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| GRACE EVANGELICAL LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| HOLY CROSS EVANGELICAL LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| HOLY CROSS LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 02/20/2012 |
| IMMANUEL LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 07/23/2012 |
| ST. JAMES EVANGELICAL LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 04/28/2003 |
| ST. JOHN LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| ST. JOHN'S EVANGELICAL LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 11/28/2011 |
| ST. JOHN'S LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| ST. JOHN'S LUTHERAN CHURCH OF SHELBYVILLE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| ST. PAUL EVANGELICAL LUTHERAN CHURCH ELCA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| ST. PAUL LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| ST. PETER'S LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| TRINITY EVANGELICAL LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| TRINITY LUTHERAN CHURCH NALC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| ZION LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| ASBELL, MARIYA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/14/2023 |
| CLIFTON, JONI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2024 |
| CLIFTONLARSONALLEN LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/30/2013 |
| CORNETT, ALEXIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/29/2025 |
| FELDHAKE, DAWN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/30/2021 |
| HARRIS, SAMANTHA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/23/2022 |
| HERRMANN, KRYSTLE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/30/2012 |
| HUNTLEY, KATHRYN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/11/2016 |
| MILBURN-GEHLE, MARCIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/19/2012 |
| MILLER, EMILY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/15/2025 |
| MULVANEY, RONALD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/10/2025 |
| OPILKA, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/25/2025 |
| REETER, TAMYRA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/23/2022 |
| AHERIN, DIANE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/25/2021 |
| BEHRNS, DOROTHY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| BIGGS, CHARLES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| BLIEVERNICHT, DENNIS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/26/2015 |
| BRAASCH, SUSAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| BRAY, FREDERICK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| CORDER, KATHRYN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| GARBE, VERA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/26/2015 |
| GIVENS, JOANN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/25/2016 |
| HANFLAND, SUSAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/26/2023 |
| HANSON, DEBORAH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/27/2020 |
| HASTINGS, JACK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| HEIDEN, DOUGLAS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| HEIDEN, SANDRA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| HOFFMEISTER, CHERYL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| KIRCHHOFF, MIKE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| MAGNUS, TWILA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| MILLER, EMILY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/02/2021 |
| OPILKA, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/30/2001 |
| REYNOLDS, BETH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/26/2023 |
| SCHROEDER, KIMBERLY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/25/2025 |
| SOLTWEDEL, BEVERLY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| STREMMING, KURT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/26/2015 |
| STUCKMEYER, LEA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/25/2022 |
| TRAUB, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| WETHERELL, DIANE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| WILLIAMS, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/26/2015 |
| WOHLTMAN, NORMA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| WYCKOFF, GERALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/25/2022 |
| WYCKOFF, KATHY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/25/2022 |
| MILLER, EMILY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/02/2021 |
| STREMMING, JEFF | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2025 |
| ASBELL, MARIYA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/14/2023 |
| CLIFTON, JONI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2024 |
| CORNETT, ALEXIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/29/2025 |
| FELDHAKE, DAWN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/30/2021 |
| HARRIS, SAMANTHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/23/2022 |
| HERRMANN, KRYSTLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/30/2012 |
| HUNTLEY, KATHRYN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/11/2016 |
| MILBURN-GEHLE, MARCIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/19/2012 |
| MILLER, EMILY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/02/2021 |
| MULVANEY, RONALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/10/2025 |
| OPILKA, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/30/2001 |
| REETER, TAMYRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/23/2022 |
| WORKMAN, CHRISTINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/16/2017 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LUTHERAN CARE CENTER (enrollment ID O20100628000470).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| FAITH LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| GRACE EVANGELICAL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| GRACE EVANGELICAL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| HOLY CROSS EVANGELICAL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| HOLY CROSS LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 2/20/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| IMMANUEL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| IMMANUEL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 7/23/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. JAMES EVANGELICAL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 4/28/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. JOHN LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. JOHN'S EVANGELICAL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 11/28/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. JOHN'S LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. JOHN'S LUTHERAN CHURCH OF SHELBYVILLE | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. PAUL EVANGELICAL LUTHERAN CHURCH ELCA | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. PAUL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. PAUL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. PAUL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. PETER'S LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRINITY EVANGELICAL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRINITY LUTHERAN CHURCH NALC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ZION LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALEXIS CORNETT | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/29/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CLIFTONLARSONALLEN LLP | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/30/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAWN Y FELDHAKE | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/30/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| EMILY MILLER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/15/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN P. OPILKA | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/25/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JONI K CLIFTON | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KATHRYN L HUNTLEY | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/11/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KRYSTLE N HERRMANN | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/30/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARCIA A MILBURN-GEHLE | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/19/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARIYA F ASBELL | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/14/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RONALD D MULVANEY | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/10/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SAMANTHA R HARRIS | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/23/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TAMYRA L REETER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/23/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BETH A REYNOLDS | Individual | CORPORATE DIRECTOR | 0 | 1/26/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BEVERLY A SOLTWEDEL | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CHARLES BIGGS | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CHERYL HOFFMEISTER | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DAVID TRAUB | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DEBORAH HANSON | Individual | CORPORATE DIRECTOR | 0 | 1/27/2020 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DENNIS BLIEVERNICHT | Individual | CORPORATE DIRECTOR | 0 | 1/26/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DIANE AHERIN | Individual | CORPORATE DIRECTOR | 0 | 1/25/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DIANE WETHERELL | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DOROTHY B BEHRNS | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DOUGLAS HEIDEN | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| EMILY MILLER | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/2/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| FREDERICK BRAY | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GERALD S WYCKOFF | Individual | CORPORATE DIRECTOR | 0 | 1/25/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JACK HASTINGS | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOANN GIVENS | Individual | CORPORATE DIRECTOR | 0 | 1/25/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN P. OPILKA | Individual | CORPORATE DIRECTOR | 0 | 7/30/2001 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KATHRYN CORDER | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KATHY WYCKOFF | Individual | CORPORATE DIRECTOR | 0 | 1/25/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KIMBERLY SCHROEDER | Individual | CORPORATE DIRECTOR | 0 | 8/25/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KURT STREMMING | Individual | CORPORATE DIRECTOR | 0 | 1/26/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LEA J STUCKMEYER | Individual | CORPORATE DIRECTOR | 0 | 1/25/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MIKE KIRCHHOFF | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| NORMA WOHLTMAN | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ROBERT WILLIAMS | Individual | CORPORATE DIRECTOR | 0 | 1/26/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SANDRA HEIDEN | Individual | CORPORATE DIRECTOR | 0 | 1/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SUSAN BRAASCH | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SUSAN C HANFLAND | Individual | CORPORATE DIRECTOR | 0 | 1/26/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TWILA MAGNUS | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| VERA GARBE | Individual | CORPORATE DIRECTOR | 0 | 1/26/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| EMILY MILLER | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/2/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JEFF STREMMING | Individual | CORPORATE OFFICER | 0 | 1/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ALEXIS CORNETT | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/29/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CHRISTINE WORKMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/16/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DAWN Y FELDHAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/30/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| EMILY MILLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/2/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN P. OPILKA | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/30/2001 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JONI K CLIFTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KATHRYN L HUNTLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/11/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KRYSTLE N HERRMANN | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/30/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARCIA A MILBURN-GEHLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/19/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARIYA F ASBELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/14/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RONALD D MULVANEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/10/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SAMANTHA R HARRIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/23/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TAMYRA L REETER | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/23/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: ST. PAUL LUTHERAN CHURCH no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DENNIS BLIEVERNICHT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ST. JOHN LUTHERAN CHURCH no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KATHRYN L HUNTLEY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KATHRYN L HUNTLEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ST. PAUL LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DENNIS BLIEVERNICHT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ST. JOHN LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KATHRYN L HUNTLEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KATHRYN L HUNTLEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2026: HERB C STUEMKE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KEVIN MILLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: PHYLLIS A WEISS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: SHELBY L CARRUTHERS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: SHELBY L CARRUTHERS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: GARRETT M ZIEGLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: NORMA WOHLTMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BEVERLY A SOLTWEDEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: DWAYNE W TAPPENDORF no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: NORMA WOHLTMAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MIKE KIRCHHOFF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BEVERLY A SOLTWEDEL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CHERYL HOFFMEISTER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: SUSAN BRAASCH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 October 2025: KIMBERLY SCHROEDER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 September 2025: JANE E WESTJOHN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CAROL WALDEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ANETTE K RUSSELL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JACK HASTINGS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: GARRETT M ZIEGLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: RICHARD KNEBEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: PATSY A MAHAFFEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: NORMA WOHLTMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CHRISTINE WORKMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: HOLY CROSS LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SAMANTHA R HARRIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SAMANTHA R HARRIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DAWN Y FELDHAKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DAWN Y FELDHAKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JONI K CLIFTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JONI K CLIFTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ST. PETER'S LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: FAITH LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: PHYLLIS A WEISS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DIANE WETHERELL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: EMILY MILLER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: EMILY MILLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ST. PAUL EVANGELICAL LUTHERAN CHURCH ELCA appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SHELBY L CARRUTHERS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SHELBY L CARRUTHERS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: FREDERICK BRAY appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JOHN P. OPILKA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JOHN P. OPILKA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JOHN P. OPILKA appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: HOLY CROSS EVANGELICAL LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JACK HASTINGS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ST. JOHN'S EVANGELICAL LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ST. JOHN'S LUTHERAN CHURCH OF SHELBYVILLE appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: GARRETT M ZIEGLER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ALEXIS CORNETT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ALEXIS CORNETT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: KRYSTLE N HERRMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: KRYSTLE N HERRMANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: TRINITY EVANGELICAL LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: TRINITY LUTHERAN CHURCH NALC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: TAMYRA L REETER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: TAMYRA L REETER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ST. JAMES EVANGELICAL LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ZION LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARIYA F ASBELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARIYA F ASBELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: NORMA WOHLTMAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: IMMANUEL LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DOUGLAS HEIDEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ST. JOHN'S LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BEVERLY A SOLTWEDEL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: RONALD D MULVANEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: RONALD D MULVANEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: GRACE EVANGELICAL LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CLIFTONLARSONALLEN LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARCIA A MILBURN-GEHLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MARCIA A MILBURN-GEHLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DOROTHY B BEHRNS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CHRISTINE WORKMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ST. PAUL LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ST. JOHN LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: KATHRYN L HUNTLEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: KATHRYN L HUNTLEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 3 June 2024: JEFF STREMMING no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: PATRICIA TAPPENDORF no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: GAELYN AUKAMP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: CHARLES BIGGS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: LORRAINE A PAINE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: LANIE J TEDRICK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: JEFF STREMMING appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: CHARLES BIGGS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: PATSY A MAHAFFEY appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 15 September 2023: RICHARD KNEBEL appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 14 April 2023: OTTO RINCKER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: DENNIS BALES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: ROGER BERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: BEVERLY LOTZ no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: LISA RINCKER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: TAYLOR A HILT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: PATRICIA TAPPENDORF appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: KATHRYN CORDER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: SUSAN C HANFLAND appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: DWAYNE W TAPPENDORF appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- 14 April 2023: BETH A REYNOLDS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Recent changes on this record
- 1 July 2026: ST. PAUL LUTHERAN CHURCH no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DENNIS BLIEVERNICHT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ST. JOHN LUTHERAN CHURCH no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KATHRYN L HUNTLEY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KATHRYN L HUNTLEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ST. PAUL LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DENNIS BLIEVERNICHT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ST. JOHN LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KATHRYN L HUNTLEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KATHRYN L HUNTLEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2026: HERB C STUEMKE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KEVIN MILLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: PHYLLIS A WEISS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: SHELBY L CARRUTHERS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: SHELBY L CARRUTHERS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: GARRETT M ZIEGLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: NORMA WOHLTMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BEVERLY A SOLTWEDEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: DWAYNE W TAPPENDORF no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: NORMA WOHLTMAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MIKE KIRCHHOFF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BEVERLY A SOLTWEDEL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CHERYL HOFFMEISTER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: SUSAN BRAASCH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 October 2025: KIMBERLY SCHROEDER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 September 2025: JANE E WESTJOHN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CAROL WALDEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ANETTE K RUSSELL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JACK HASTINGS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: GARRETT M ZIEGLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: RICHARD KNEBEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: PATSY A MAHAFFEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: NORMA WOHLTMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: CHRISTINE WORKMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: HOLY CROSS LUTHERAN CHURCH appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SAMANTHA R HARRIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: SAMANTHA R HARRIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DAWN Y FELDHAKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DAWN Y FELDHAKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JONI K CLIFTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 30 September 2025 | 30 September 2025 | 3 | 4 |
| 2 | 26 July 2024 | 26 July 2024 | 5 | 4 |
| 3 | 9 June 2023 | 9 June 2023 | 3 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
11 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 30 September 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Past Non-Compliance | 15 September 2025 |
| 30 September 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 31 October 2025 |
| 30 September 2025 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has date of correction | 10 October 2025 |
| 28 March 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Past Non-Compliance | 17 March 2025 |
| 15 November 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 13 December 2024 |
| 15 November 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 13 December 2024 |
| 26 July 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | 29 August 2024 |
| 26 July 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 29 August 2024 |
| 9 June 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 14 July 2023 |
| 9 June 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 14 July 2023 |
| 9 June 2023 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has date of correction | 14 July 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 30 September 2025 | Fine | $17,345 | 137619 | ||
| 28 March 2025 | Fine | $11,190 | 70473 | ||
| 26 July 2024 | Fine | $8,018 | 70289 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | LUTHERAN CARE CENTER |
| Date First Approved to Provide Medicare and Medicaid Services | 1979-01-09 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Effingham |
| Telephone Number | 6184836136 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 96 |
| Average Number of Residents per Day | 45.6 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 1 July 2026: ST. PAUL LUTHERAN CHURCH no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for LUTHERAN CARE CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Illinois at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 145380.