Skilled nursing facility · CMS certification number 146093
MEADOWBROOK MANOR - LAGRANGE
LA GRANGE, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 197
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 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $36,275,556 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,528,452 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $26,747,104 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,608,442 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,138,662 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $213,272 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,351,934 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,351,934 (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 | 197 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 72,102 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 15,376 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 20,477 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 23,733 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 59,586 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 407 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 370 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 428 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 1,205 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 55.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 49.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436638, 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 30 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $33,166,196 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,815,052 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,351,144 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,615,625 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$264,481 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $121,568 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$142,913 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$142,913 (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 | 197 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,066 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,071 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 60.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 49.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1393551, 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 9 September 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,784,945 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,532,758 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,252,187 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,571,134 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$318,947 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$2,050 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$320,997 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$320,997 (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 | 197 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,529 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 660 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 128.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363819, 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 21 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,922,852 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,313,452 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,609,400 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,681,024 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$71,624 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,146 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$57,478 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$57,478 (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 | 197 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,070 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 534 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 145.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333314, 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 22 July 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,007,483 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,787,846 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,219,637 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,102,580 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,882,943 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $560,958 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,321,985 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,321,985 (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 | 197 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,934 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 549 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 98.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327339, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 August 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,392,081 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $309,609 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,082,472 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,489,283 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $593,189 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,060 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $603,249 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $601,595 (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 | 197 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,619 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 754 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 84.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 57.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1292851, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,887,918 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $111,956 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,775,962 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,772,230 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,996,268 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,385 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,973,883 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,973,883 (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 | 197 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,673 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 393 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 187.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240915, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,161,781 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $122,673 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,039,108 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,252,221 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,213,113 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,471 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,200,642 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,200,642 (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 | 197 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,796 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 141 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 232.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208510, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,427,938 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $262,671 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,165,267 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,459,651 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,294,384 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,505 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,277,879 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,277,879 (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 | 197 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,269 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 249 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 153.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170182, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,705,373 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $185,362 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,520,011 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,522,928 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,002,917 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $26,757 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$976,160 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$976,160 (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 | 197 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,587 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 258 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 176.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138806, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,280,314 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $279,872 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,000,442 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,754,576 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$754,134 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $67,786 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$686,348 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$686,348 (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 | 197 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,776 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 276 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 176.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104669, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,840,620 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $306,678 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,533,942 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,113,363 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$579,421 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $82,199 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$497,222 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$497,222 (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 | 197 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,377 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 202 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 234.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1075118, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 12 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,750,552 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $351,398 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,399,154 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,475,867 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$76,713 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,711 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$39,002 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$39,002 (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 | 197 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,413 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 201 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 225.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046063, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 May 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,450,588 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $9,450,588 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,324,813 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,125,775 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $1,125,775 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,125,775 (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 | 203 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,041 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 146.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1030654, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 April 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,291,583 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,239,241 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $52,342 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,931,443 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,983,785 (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 | 203 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,376 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 300 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 251.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 144.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 427415, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 May 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,783,564 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,904,263 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$120,699 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: −$120,699 (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 | 197 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,151 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 250 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 350.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 164.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 399506, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 21 October 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,986,479 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,960,498 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$974,019 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: −$974,019 (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 | 197 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,561 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 450 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 194.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 119.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 358067, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 11 February 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,157,245 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,037,576 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,880,331 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: −$1,880,331 (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 | 197 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,091 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 497 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 218.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 96.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333413, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 19 October 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,685,410 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,665,833 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,980,423 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: −$1,980,423 (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 | 197 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,869 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 400 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 202.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 117.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 294919, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 31 October 2005 to 31 December 2005 — a reporting period of 61 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 2 August 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,413,752 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,309,266 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$895,514 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: −$895,514 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 6,765 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 51.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 45.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 260334, read from the public cost report file SNFFY2006.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 |
|---|---|---|---|---|
| CHRIS VANGEL GST EXEMPT DESCENDANTS TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 08/22/2005 |
| JAFARI FAMILY LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 25% | since 08/22/2005 |
| KATHERINE HOCUK GST EXEMPT DESCENDANTS TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 08/26/2005 |
| LOUIS WILLIAM DIMAS FAMILY LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 15% | since 08/26/2005 |
| RBJ INVESTMENTS LP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 25% | since 08/22/2005 |
| VANGEL, DOROTHY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 13% | since 08/22/2005 |
| VANGEL, NICHOLAS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 13% | since 08/22/2005 |
| VANGEL, CHRISTOPHER | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 09/07/2005 |
| JAFARI, KIANOOSH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/07/2005 |
| VANGEL, CHRISTOPHER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/07/2005 |
| VANGEL, NICHOLAS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/07/2005 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BUTTERFIELD HEALTH CARE VII, LLC (enrollment ID O20050907000902).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| CHRIS VANGEL GST EXEMPT DESCENDANTS TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 8/22/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
| DOROTHY VANGEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12.5 | 8/22/2005 | 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. |
| JAFARI FAMILY LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25 | 8/22/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
| KATHERINE HOCUK GST EXEMPT DESCENDANTS TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 8/26/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
| LOUIS WILLIAM DIMAS FAMILY LIMITED PARTNERSHIP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15 | 8/26/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
| NICHOLAS A VANGEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12.5 | 8/22/2005 | 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. |
| RBJ INVESTMENTS LP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25 | 8/22/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHRISTOPHER P VANGEL | Individual | CONTRACTED 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. | 9/7/2005 | 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. |
| CHRISTOPHER P VANGEL | 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. | 9/7/2005 | 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. |
| KIANOOSH JAFARI | 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. | 9/7/2005 | 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. |
| NICHOLAS A VANGEL | 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. | 9/7/2005 | 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: RBJ INVESTMENTS LP 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: KATHERINE HOCUK GST EXEMPT DESCENDANTS TRUST 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: RBJ INVESTMENTS LP 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: KATHERINE HOCUK GST EXEMPT DESCENDANTS TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- 1 July 2026: RBJ INVESTMENTS LP 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: KATHERINE HOCUK GST EXEMPT DESCENDANTS TRUST 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: RBJ INVESTMENTS LP 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: KATHERINE HOCUK GST EXEMPT DESCENDANTS TRUST appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 30 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 9 September 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 21 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 22 July 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 11 August 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 15 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 20 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 29 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 25 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 6 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 12 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 30 May 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 17 April 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 16 May 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 21 October 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 11 February 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 19 October 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 2 August 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2006.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 25 July 2025 | 25 July 2025 | 15 | 13 |
| 2 | 6 June 2024 | 6 June 2024 | 15 | 13 |
| 3 | 24 May 2023 | 24 May 2023 | 16 | 15 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
46 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 3 March 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 10 March 2026 |
| 3 March 2026 | 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. | E | Yes | Deficient, Provider has date of correction | 10 March 2026 |
| 28 January 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 29 January 2026 |
| 24 September 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 25 September 2025 |
| 25 July 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | E | No | Deficient, Provider has date of correction | 5 August 2025 |
| 25 July 2025 | 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. | D | No | Deficient, Provider has date of correction | 5 August 2025 |
| 25 July 2025 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | No | Deficient, Provider has date of correction | 5 August 2025 |
| 25 July 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 5 August 2025 |
| 25 July 2025 | 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 | No | Deficient, Provider has date of correction | 5 August 2025 |
| 25 July 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. | D | Yes | Deficient, Provider has date of correction | 5 August 2025 |
| 25 July 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. | D | No | Deficient, Provider has date of correction | 5 August 2025 |
| 25 July 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | 5 August 2025 |
| 25 July 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. | F | No | Deficient, Provider has date of correction | 5 August 2025 |
| 25 July 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 5 August 2025 |
| 25 July 2025 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | 5 August 2025 |
| 7 June 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Yes | Deficient, Provider has date of correction | 13 June 2025 |
| 7 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. | D | Yes | Deficient, Provider has date of correction | 13 June 2025 |
| 7 May 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 8 May 2025 |
| 13 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. | J | Yes | Deficient, Provider has date of correction | 14 January 2025 |
| 9 December 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 | 23 December 2024 |
| 25 October 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 | 7 November 2024 |
| 28 July 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 11 August 2024 |
| 28 July 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 11 August 2024 |
| 28 July 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | Yes | Deficient, Provider has date of correction | 11 August 2024 |
| 28 July 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 11 August 2024 |
| 28 July 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. | D | Yes | Deficient, Provider has date of correction | 11 August 2024 |
| 27 June 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 | 10 July 2024 |
| 6 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 | No | Deficient, Provider has date of correction | 28 June 2024 |
| 6 June 2024 | 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 | 28 June 2024 |
| 6 June 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 | 28 June 2024 |
| 6 June 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | 28 June 2024 |
| 6 June 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 28 June 2024 |
| 6 June 2024 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | 28 June 2024 |
| 6 June 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 28 June 2024 |
| 6 June 2024 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | 28 June 2024 |
| 6 June 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 28 June 2024 |
| 20 November 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. | G | Yes | Deficient, Provider has date of correction | 15 December 2023 |
| 22 September 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Yes | Deficient, Provider has date of correction | 6 October 2023 |
| 24 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 | 11 June 2023 |
| 24 May 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 11 June 2023 |
| 24 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 | 11 June 2023 |
| 24 May 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 11 June 2023 |
| 24 May 2023 | 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 | No | Deficient, Provider has date of correction | 11 June 2023 |
| 24 May 2023 | 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 | 11 June 2023 |
| 24 May 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | 11 June 2023 |
| 24 May 2023 | 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. | D | No | Deficient, Provider has date of correction | 11 June 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 |
|---|---|---|---|---|---|
| 13 January 2025 | Fine | $36,986 | 70548 | ||
| 9 December 2024 | Fine | $20,728 | 70540 |
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 | BUTTERFIELD HEALTH CARE VII, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2005-10-31 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Cook |
| Telephone Number | 7083544660 |
| 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 | 197 |
| Average Number of Residents per Day | 151.6 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 2 |
| 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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One email a day naming what moved on MEADOWBROOK MANOR - LAGRANGE: the field, the value before, the value after, and the date of the file that first showed it.
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On 1 July 2026: RBJ INVESTMENTS LP 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 MEADOWBROOK MANOR - LAGRANGE
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.
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