Skilled nursing facility · CMS certification number 146036
SHAWNEE SENIOR LIVING
HERRIN, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 159
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 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,525,729 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $104,860 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,420,869 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,455,451 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,034,582 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $623,052 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$411,530 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$411,530 (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 | 159 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 58,194 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,903 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 28,080 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,010 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 34,993 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 32 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 144 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 53 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 195 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 152.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441216, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 October 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,271,420 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $712,642 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,558,778 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,741,051 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,182,273 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $939,576 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$242,697 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$242,697 (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 | 159 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,023 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 223 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 237.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 161.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1396587, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,477,394 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $996,730 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,480,664 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,683,616 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,202,952 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $335,122 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$867,830 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$867,830 (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 | 159 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,710 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 294 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 189.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1361886, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,165,734 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$307,802 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,473,536 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,616,608 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,143,072 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,713,844 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,570,772 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,570,772 (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 | 159 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,459 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 319 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 190.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333560, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 April 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,667,107 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$476,426 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,143,533 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,580,474 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$436,941 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,059,800 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $622,859 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $622,859 (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 | 159 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,748 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 346 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 164.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314934, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 October 2019 to 31 December 2019 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 23 October 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,363,583 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $141,898 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,221,685 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,041,486 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $180,199 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,900 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $183,099 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $183,099 (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 | 159 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,124 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 222.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1272268, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,429,986 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,714,546 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,715,440 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,616,316 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $99,124 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,953 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $134,077 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $134,077 (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 | 159 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,656 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 493 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 163.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217713, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 January 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,937,005 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,940,638 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,996,367 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,539,700 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$543,333 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,335 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$501,998 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$501,998 (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 | 159 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,236 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 432 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 180.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182339, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 January 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,053,178 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,794,741 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,258,437 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,027,751 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$769,314 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,059 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$738,255 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$738,255 (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 | 159 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,832 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 343 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 312.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151493, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 January 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,356,752 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,623,741 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,733,011 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,816,549 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,083,538 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $68,358 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,015,180 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,015,180 (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 | 159 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,933 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 324 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 327.99 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117857, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 January 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,436,995 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,928,760 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,508,235 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,713,687 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$205,452 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $110,611 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$94,841 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$98,765 (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 | 159 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,147 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 301 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 409.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084990, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 November 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,125,387 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,772,057 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,353,330 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,118,628 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$765,298 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $63,149 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$702,149 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$702,149 (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 | 159 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,071 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 398 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 247.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1080585, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 6 November 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,150,416 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,136,336 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,014,080 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,399,949 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$385,869 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $87,024 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$298,845 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$302,313 (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 | 159 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,056 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 511 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 199.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1050287, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 September 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,589,339 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,303,512 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $285,827 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $81,918 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,966 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $365,779 (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 | 159 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,121 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 477 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 267.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 96.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 432293, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 October 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $8,671,301 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 159 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,114 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 538 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 218.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 104.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 419144, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 December 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,853,445 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,089,417 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $764,028 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,373 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,852 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $814,549 (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 | 159 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,928 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 455 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 229.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 105.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 390676, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 15 June 2007 to 30 June 2008 — a reporting period of 381 days, on form CMS-2540-96, settled, processed by CMS on 25 November 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,377,987 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,142,008 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $235,979 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $99,048 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $15,617 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $319,410 (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 | 159 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,029 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 405 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 307.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 128.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 359567, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 14 June 2007
Cost report for 1 July 2006 to 14 June 2007 — a reporting period of 348 days, on form CMS-2540-96, settled, processed by CMS on 21 August 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,969,517 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,088,583 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$119,066 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $111,365 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,593 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$12,294 (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 | 159 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,454 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 414 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 221.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 114.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324672, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 February 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,032,645 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,872,509 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $160,136 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $171,998 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,516 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $323,618 (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 | 159 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,316 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 371 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 306.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 135.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 271825, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 February 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,887,606 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,394,334 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $493,272 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $79,689 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $572,961 (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 | 159 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,754 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 385 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 137.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 242115, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 30 June 2004
Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 4 February 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,292,722 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,925,043 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $367,679 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $78,499 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,166 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $442,012 (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 | 159 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,805 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 413 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 205.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 132.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 206387, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 30 June 2003
Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 November 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,165,165 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,276,958 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$111,793 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $66,107 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$45,686 (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 | 159 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,831 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 165 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 566.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 326.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 199732, read from the public cost report file SNFFY2002.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 |
|---|---|---|---|---|
| SENIOR LIVING HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 10/01/2019 |
| ATRU LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/2019 |
| BENSENVILLE HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 48% | since 10/01/2019 |
| LHCH LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 48% | since 10/01/2019 |
| SALAZAR DUJUA, ANNA SARAH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/04/2020 |
| TRUHLAR, SUSAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/04/2020 |
| CURRY, CAROL | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 10/01/2019 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SHAWNEE SENIOR LIVING LLC (enrollment ID O20191126002864).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| SENIOR LIVING HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| ATRU LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| BENSENVILLE HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47.5 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| LHCH LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47.5 | 10/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANNA SARAH SALAZAR DUJUA | 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. | 4/4/2020 | 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. |
| SUSAN TRUHLAR | Individual | CORPORATE DIRECTOR | 0 | 4/4/2020 | 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. |
| CAROL CURRY | Individual | W-2 MANAGING EMPLOYEE | 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. | 10/1/2019 | 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
No change in ownership appears in the CMS files on record since 20 September 2022.
Recent changes on this record
- 22 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 16 October 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 11 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 22 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 28 April 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 23 October 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2020.zip
- 5 May 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 21 January 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 24 January 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 18 January 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 18 January 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 22 January 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 26 January 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 20 November 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 6 November 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 20 September 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 21 October 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 8 December 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- 25 November 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- 21 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- 6 February 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- 2 February 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- 4 February 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- 15 November 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 12 June 2025 | 12 June 2025 | 7 | 10 |
| 2 | 29 August 2024 | 29 August 2024 | 24 | 11 |
| 3 | 18 May 2023 | 18 May 2023 | 21 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
52 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 20 January 2026 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | G | Yes | Deficient, Provider has date of correction | 26 February 2026 |
| 8 January 2026 | 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 | Yes | Deficient, Provider has date of correction | 9 January 2026 |
| 8 January 2026 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | 9 January 2026 |
| 3 December 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Yes | Deficient, Provider has date of correction | 4 December 2025 |
| 22 October 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 | |
| 16 July 2025 | 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. | G | Yes | Past Non-Compliance | 11 July 2025 |
| 16 July 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 17 July 2025 |
| 12 June 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | No | Deficient, Provider has date of correction | 13 June 2025 |
| 12 June 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 13 June 2025 |
| 17 January 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. | E | Yes | Deficient, Provider has date of correction | 7 February 2025 |
| 29 August 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 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. | G | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 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 | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 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. | J | Yes | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | G | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | 13 September 2024 |
| 29 August 2024 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | No | Deficient, Provider has date of correction | 13 September 2024 |
| 24 July 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. | J | Yes | Deficient, Provider has date of correction | 13 September 2024 |
| 24 July 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | Yes | Deficient, Provider has date of correction | 13 September 2024 |
| 24 July 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | 13 September 2024 |
| 24 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. | J | Yes | Deficient, Provider has date of correction | 13 September 2024 |
| 28 June 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | 13 September 2024 |
| 28 June 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 | Yes | Deficient, Provider has date of correction | 13 September 2024 |
| 22 May 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | 5 June 2024 |
| 4 April 2024 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Deficient, Provider has date of correction | 12 April 2024 |
| 4 April 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | 12 April 2024 |
| 4 April 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 | 12 April 2024 |
| 4 April 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 12 April 2024 |
| 14 September 2023 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Yes | Deficient, Provider has date of correction | 21 September 2023 |
| 18 August 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | C | Yes | Deficient, Provider has plan of correction | 25 August 2023 |
| 18 May 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 31 May 2023 |
| 18 May 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | 31 May 2023 |
| 18 May 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 31 May 2023 |
| 18 May 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 31 May 2023 |
| 18 May 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 | 31 May 2023 |
| 18 May 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 31 May 2023 |
| 18 May 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | No | Deficient, Provider has date of correction | 31 May 2023 |
| 18 May 2023 | Health | F 0807 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | No | Deficient, Provider has date of correction | 31 May 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 |
|---|---|---|---|---|---|
| 20 January 2026 | Fine | $92,820 | 138920 | ||
| 20 January 2026 | Payment Denial | 13 February 2026 | 13 | ||
| 22 October 2025 | Fine | $12,425 | 135489 | ||
| 28 June 2024 | Fine | $220,688 | 69930 | ||
| 28 June 2024 | Payment Denial | 26 July 2024 | 49 |
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 | For profit - Limited Liability company |
| Legal Business Name | SHAWNEE SENIOR LIVING LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2002-11-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Williamson |
| Telephone Number | 6189427391 |
| 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 | 159 |
| Average Number of Residents per Day | 99.7 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| 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.
Get an email when this record changes
One email a day naming what moved on SHAWNEE SENIOR LIVING: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 22 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for SHAWNEE SENIOR LIVING
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 146036.