Skilled nursing facility · CMS certification number 165191

Good Samaritan - Red Oak

Red Oak, Iowa · Medicare and Medicaid

Certified beds, as filed in Care Compare: 53

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 11 June 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$6,911,781	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,097,118	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,814,663	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,949,302	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$134,639	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,198	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$129,441	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$123,238 (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%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	26,352	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	809	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	9,294	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	6,052	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	16,155	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	16	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	41	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	50	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	107	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	226.68	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	150.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1427539, 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 29 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,527,182	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,675,518	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,851,664	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,537,234	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$314,430	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,566	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$317,996	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $296,112 (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%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	72	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,369	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	70	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	63.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	323.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	248.13	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1393423, 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 4 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$5,223,436	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,529,641	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,693,795	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,819,227	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$125,432	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,097	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$118,335	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$193,313 (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%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	82	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,666	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	60	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	255.57	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	244.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1360978, 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 28 July 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,080,158	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,498,474	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,581,684	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,801,175	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$219,491	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$10,638	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$208,853	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$130,433 (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%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	82	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,057	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	53	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	87.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	276.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	284.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328201, 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 9 August 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$5,367,186	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,459,699	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,907,487	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,165,934	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$258,447	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$30,500	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$227,947	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$351,571 (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%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,779	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	95	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	76.62	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	214.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	176.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1292308, 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 31 July 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$4,890,397	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$729,072	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,161,325	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,081,604	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$79,721	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$86,455	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$166,176	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $193,719 (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%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,852	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	61	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	757.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	325.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1262161, 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 23 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$4,871,582	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$740,562	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,131,020	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,129,452	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,568	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$36,231	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$37,799	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$76,444 (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%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,350	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	161	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.47	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	456.32	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	120.19	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241963, 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 19 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$4,808,951	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$711,567	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,097,384	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,338,530	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$241,146	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$102,999	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$138,147	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$181,786 (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%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,165	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	140	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.11	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	355.84	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	136.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1198249, 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 31 October 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$4,693,211	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$494,846	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,198,365	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,635,936	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$437,571	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$101,055	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$336,516	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$503,555 (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%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,691	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	170	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.24	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	181.72	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	115.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1213516, 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 June 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$5,381,847	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$504,962	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,876,885	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,963,967	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$87,082	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$46,046	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$41,036	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$74,251 (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%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,504	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	158	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	381.79	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	148.76	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1133295, 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 20 January 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$5,113,116	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$405,915	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,707,201	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,734,738	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$27,537	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$142,359	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$114,822	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $81,226 (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%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,433	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	143	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	453.85	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	170.86	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1117188, 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 20 March 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$5,063,996	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$446,385	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,617,611	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,573,597	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$44,014	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$188,327	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$232,341	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $181,881 (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%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,692	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	182	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	367.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	135.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1087509, 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 31 March 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$4,778,156	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$277,614	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,500,542	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,557,003	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$56,461	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$220,582	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$164,121	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $209,083 (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%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,796	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	172	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.58	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	504.97	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	144.16	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1057756, 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 29 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$5,080,570	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$265,621	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,814,949	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,613,466	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$201,483	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$116,368	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$317,851	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $340,745 (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%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,604	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	182	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	423.06	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	146.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1017327, 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 13 December 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$4,761,664	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,297,512	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$464,152	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$207,518	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	−$83,825	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $755,495 (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.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,221	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	189	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.54	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	452.5	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	138.74	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 421688, 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 15 November 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$4,054,636	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,000,142	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$54,494	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$192,161	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$3,500	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $243,155 (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.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,290	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	181	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.19	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	536.96	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	145.25	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 389669, 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 9 June 2010.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$4,040,935	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,026,134	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$14,801	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$92,964	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$14,993	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$93,156 (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.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,789	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	186	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.9	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	408.16	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	144.03	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 373329, 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, processed by CMS on 2 December 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$3,940,989	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,848,799	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$92,190	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$91,413	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$8,000	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $175,603 (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.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,506	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	107	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	58.22	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	599.48	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	257.07	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 329255, 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, settled, processed by CMS on 23 May 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,940,042	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,770,443	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$169,599	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$93,775	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $263,374 (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.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,489	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	90	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.97	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	567.71	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	316.54	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 309652, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 February 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$3,731,863	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,694,314	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$37,549	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$87,388	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$32,030	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $92,907 (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.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,812	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	167	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	39.41	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	500.56	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	172.53	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 272082, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 November 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$3,731,431	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,563,612	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$167,819	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$50,732	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$54,185	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $164,366 (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.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,923	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	97	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.92	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	618.74	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	298.18	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 236932, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 November 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$3,548,614	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,522,720	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$25,894	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$145,309	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$31,802	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $139,401 (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.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,268	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	86	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.18	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,253.08	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	328.7	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 200016, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 March 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$3,335,449	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,266,500	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$68,949	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$87,028	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$49,489	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $106,488 (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.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,664	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	85	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.92	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	424.94	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	337.22	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 170115, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 31 December 2001

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 March 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$3,192,966	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,237,839	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$44,873	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$42,454	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$87,327 (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.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	29,680	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	69	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	20.97	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,048.93	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	430.14	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 132681, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 2 August 2001.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$3,139,534	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,064,492	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$75,042	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$20,353	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $95,395 (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.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,215	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	70	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	21.97	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,442.67	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	431.64	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 661, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 31 December 1999

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 August 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$2,926,404	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,877,727	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$48,677	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$89,248	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $137,925 (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.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	29,561	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	75	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	19.9	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,457.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	394.15	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 659, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 31 December 1998

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 October 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$2,927,649	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,748,785	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$178,864	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$102,974	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $281,838 (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.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	29,882	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	99	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.63	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,490.1	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	301.84	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 658, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 December 1997

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 October 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$2,664,778	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,639,666	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$25,112	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$71,816	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $96,928 (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.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	29,455	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	68	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.29	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	731.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	433.16	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 17864, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 31 December 1996

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 7 October 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$2,495,649	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,531,084	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$35,435	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$71,348	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $35,913 (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.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	88	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,113	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	167	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.76	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	475.58	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	180.32	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 17863, read from the public cost report file SNFFY1996.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

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
SANFORD	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/2019
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/2019
BUTZ, WILLIAM	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2023
EARLY, MICHAEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/19/2023
MORRISON, TONY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2019
BROWN, GEORGE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
DYKHOUSE, DANA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
ENGBRECHT, WESLEY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
GASSEN, WILLIAM	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
GULSVIG, NEIL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
HERSETH SANDLIN, STEPHANIE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
LUNDEEN, MARK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
MCCAUSLAND, MAUREEN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
MOLBERT, LAURIS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
NORTH, ANDREW	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
SCHIEFFER, KEVIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
SHULKIN, DAVID	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
TEIKEN, BRENT	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
VENTLING-HERRMANN, MARNIE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
WENZEL, THOMAS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
FLUIT, JOEL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2022
GASSEN, WILLIAM	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/30/2024
MIDDLETON, AIMEE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/27/2022
OLSON, NICHOLAS	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/08/2024
SCHEMA, NATHAN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2022
BUTZ, WILLIAM	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2023
EARLY, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/19/2023
MORRISON, TONY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2019
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (enrollment ID O20060821000431).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
SANFORD	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
MICHAEL A EARLY	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/19/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TONY LEE MORRISON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2019	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.
WILLIAM R BUTZ	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANDREW STEWART NORTH	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRENT GERARD TEIKEN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANA JAMES DYKHOUSE	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID JONATHAN SHULKIN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GEORGE JOSEPH BROWN	Individual	CORPORATE DIRECTOR	0	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEVIN VICTOR SCHIEFFER	Individual	CORPORATE DIRECTOR	0	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LAURIS NELSON MOLBERT	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK ALLEN LUNDEEN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARNIE LYNN VENTLING-HERRMANN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MAUREEN PATRICIA MCCAUSLAND	Individual	CORPORATE DIRECTOR	0	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NEIL LESLIE GULSVIG	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEPHANIE MARIE HERSETH SANDLIN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THOMAS RICHARD WENZEL	Individual	CORPORATE DIRECTOR	0	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WESLEY OWEN ENGBRECHT	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WILLIAM JOSEPH GASSEN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AIMEE NICOLE MIDDLETON	Individual	CORPORATE OFFICER	0	1/27/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL ADAM FLUIT	Individual	CORPORATE OFFICER	0	10/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NATHAN THOMAS SCHEMA	Individual	CORPORATE OFFICER	0	1/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NICHOLAS WAYNE OLSON	Individual	CORPORATE OFFICER	0	4/8/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WILLIAM JOSEPH GASSEN	Individual	CORPORATE OFFICER	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL A EARLY	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/19/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
TONY LEE MORRISON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2019	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.
WILLIAM R BUTZ	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: WILLIAM R BUTZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM R BUTZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM R BUTZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM R BUTZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 May 2025: TONY LEE MORRISON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MICHAEL A EARLY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MICHAEL ROGERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JAMES EDWARD CAIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: TONY LEE MORRISON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: WILLIAM R BUTZ no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: KEVIN VICTOR SCHIEFFER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: THOMAS RICHARD WENZEL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MAUREEN PATRICIA MCCAUSLAND appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MICHAEL A EARLY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MICHAEL A EARLY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: GEORGE JOSEPH BROWN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: TONY LEE MORRISON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: WILLIAM R BUTZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: WILLIAM R BUTZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 October 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: THOMAS PHILLIP KOOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SANFORD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: LINDA OLAYINKA NORMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT WOOTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT WOOTEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MARNIE LYNN VENTLING-HERRMANN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: NICHOLAS WAYNE OLSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: LAURIS NELSON MOLBERT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: NEIL LESLIE GULSVIG appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DAVID JONATHAN SHULKIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SANFORD appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MICHAEL A EARLY appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: WESLEY OWEN ENGBRECHT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: WILLIAM JOSEPH GASSEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: WILLIAM JOSEPH GASSEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: STEPHANIE MARIE HERSETH SANDLIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: ANDREW STEWART NORTH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DANA JAMES DYKHOUSE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: BRENT GERARD TEIKEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: JAMES EDWARD CAIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: WILLIAM R BUTZ appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MARK ALLEN LUNDEEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 May 2024: MICHAEL ROGERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: WILLIAM D MARLETTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: MICHAEL ROGERS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: SCOTT WOOTEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: SCOTT WOOTEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 March 2024: DAVID A BRECHTELSBAUER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
2 October 2023: MICHELLE MARIE MICKA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MICHELLE MARIE MICKA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: STEPHANIE MARIE SWENSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: STEPHANIE MARIE SWENSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JOLYN JOY MUNSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JOLYN JOY MUNSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: KARIN LOUISE DULSKI no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: KARIN LOUISE DULSKI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: TONY LEE MORRISON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: TRACI WOOLFOLK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MARNIE LYNN VENTLING-HERRMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: LISA MELBY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: NORVAL BUCKNEBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MICHELLE ANN BRUHN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: CHAD JUNGMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: ERIC VANDEN HULL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: ERIC VANDEN HULL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: DEAN LOUIS BRESCIANI appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: AIMEE NICOLE MIDDLETON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: AIMEE NICOLE MIDDLETON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MICHAEL ROGERS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JOEL FLUIT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: WILLIAM D MARLETTE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: WILLIAM D MARLETTE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: TONY LEE MORRISON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv

Recent changes on this record

1 July 2026: WILLIAM R BUTZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM R BUTZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM R BUTZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM R BUTZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
11 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 May 2025: TONY LEE MORRISON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MICHAEL A EARLY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MICHAEL ROGERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JAMES EDWARD CAIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: TONY LEE MORRISON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: WILLIAM R BUTZ no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: KEVIN VICTOR SCHIEFFER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: THOMAS RICHARD WENZEL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MAUREEN PATRICIA MCCAUSLAND appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MICHAEL A EARLY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MICHAEL A EARLY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: GEORGE JOSEPH BROWN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: TONY LEE MORRISON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: WILLIAM R BUTZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: WILLIAM R BUTZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 October 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: THOMAS PHILLIP KOOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SANFORD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: LINDA OLAYINKA NORMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT WOOTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT WOOTEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MARNIE LYNN VENTLING-HERRMANN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: NICHOLAS WAYNE OLSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: LAURIS NELSON MOLBERT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: NEIL LESLIE GULSVIG appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DAVID JONATHAN SHULKIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	23 April 2026	23 April 2026	16	7
2	17 April 2025	17 April 2025	9	2
3	3 July 2024	3 July 2024	9	4

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

34 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
23 April 2026	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	No	Deficient, Provider has date of correction	21 May 2026
23 April 2026	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	21 May 2026
23 April 2026	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D	No	Deficient, Provider has date of correction	21 May 2026
23 April 2026	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	No	Deficient, Provider has date of correction	21 May 2026
23 April 2026	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	21 May 2026
23 April 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	21 May 2026
23 April 2026	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	21 May 2026
23 April 2026	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	7 May 2026
23 April 2026	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	21 May 2026
23 April 2026	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	21 May 2026
23 April 2026	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	E	No	Deficient, Provider has date of correction	21 May 2026
23 April 2026	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	21 May 2026
23 April 2026	Health	F 0887	Infection Control Deficiencies	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	E	No	Deficient, Provider has date of correction	21 May 2026
18 February 2026	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	4 March 2026
18 February 2026	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	4 March 2026
12 August 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	J	Yes	Deficient, Provider has date of correction	26 August 2025
17 April 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	5 May 2025
17 April 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	5 May 2025
17 April 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	Yes	Deficient, Provider has date of correction	5 May 2025
17 April 2025	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	29 April 2025
17 April 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	Deficient, Provider has date of correction	29 April 2025
17 April 2025	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D	No	Deficient, Provider has date of correction	5 May 2025
17 April 2025	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	5 May 2025
17 April 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	5 May 2025
17 April 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 May 2025
3 July 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	16 July 2024
3 July 2024	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	No	Deficient, Provider has date of correction	17 July 2024
3 July 2024	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	17 July 2024
3 July 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	17 July 2024
18 April 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	Yes	Deficient, Provider has date of correction	7 May 2024
18 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	7 May 2024
18 April 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	7 May 2024
18 April 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	7 May 2024
18 April 2024	Health	F 0849	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D	Yes	Deficient, Provider has date of correction	7 May 2024

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
12 August 2025	Fine	$29,894			135112

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Date First Approved to Provide Medicare and Medicaid Services	1993-01-24
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Montgomery
Telephone Number	7126233170
Chain Name	GOOD SAMARITAN SOCIETY
Chain ID	726
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	53
Average Number of Residents per Day	38.7
Overall Rating	1
Health Inspection Rating	1
QM Rating	3
Long-Stay QM Rating	2
Short-Stay QM Rating	4
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on Good Samaritan - Red Oak: 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 1 July 2026: WILLIAM R BUTZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Good Samaritan - Red Oak

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 Iowa 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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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 165191.