Skilled nursing facility · CMS certification number 165280
Bettendorf Health Care Center
Bettendorf, Iowa · Medicare and Medicaid
Certified beds, as filed in Care Compare: 86
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 10 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,869,223 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,058,636 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,810,587 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,949,023 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$138,436 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,058 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$127,378 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$127,378 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 31,476 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 626 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 17,534 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,240 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 22,400 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 18 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 75 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 66 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 159 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 233.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440503, 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 April 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,953,470 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,229,395 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,724,075 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,736,053 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,011,978 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,729 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$977,249 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$977,249 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,181 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 228.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 142.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1420162, 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 16 May 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,717,172 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,470,170 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,247,002 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,499,286 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,252,284 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,430 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,237,854 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,237,854 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,345 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 163 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 169.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 136.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1377985, 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 20 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,078,390 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,590,756 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,487,634 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,452,471 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$964,837 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $960,865 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,972 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,972 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,098 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 147 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 159.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332997, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 January 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,210,014 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,487,756 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,722,258 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,721,558 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$999,300 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $408,393 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$590,907 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$590,907 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,500 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 84.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 278.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 188.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309592, 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 2 March 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,440,019 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,431,331 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,008,688 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,006,855 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,833 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,542 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,375 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,375 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,036 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 275.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 182.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280720, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,081,253 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,459,651 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,621,602 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,503,481 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$881,879 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $316,960 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$564,919 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$564,919 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,263 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 205 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 143.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241975, 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 20 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,239,967 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,426,297 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,813,670 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,546,617 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$732,947 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,708 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$731,239 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$731,239 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,246 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 180 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 177.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 123.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1201686, 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 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,882,372 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,287,542 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,594,830 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,290,369 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$695,539 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $191 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$695,348 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$695,348 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,781 | 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 | 38.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 176.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171277, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,207,467 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,383,382 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,824,085 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,110,563 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $713,522 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $91 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $713,613 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $713,613 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,036 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 258.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138868, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,887,408 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,466,316 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,421,092 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,042,060 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,379,032 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,082 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,381,114 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,381,114 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,439 | 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 | 34.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 453.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104641, 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 23 July 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,384,539 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,244,035 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,140,504 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,939,344 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $201,160 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,973 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $236,133 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $126,809 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,942 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 154 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 562.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 161.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1073223, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 30 November 2012
Cost report for 1 January 2012 to 30 November 2012 — a reporting period of 334 days, on form CMS-2540-10, settled, processed by CMS on 8 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,934,369 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,033,237 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,901,132 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,959,805 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$58,673 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,144,705 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,086,032 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,086,032 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,273 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 14,695 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 253.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1045915, 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 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,612,925 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $840,949 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,771,976 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,213,974 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $558,002 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,989 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $559,991 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $559,991 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,284 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 223.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1016373, 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 19 July 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,849,059 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,165,238 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $683,821 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,089 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $363 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $685,547 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,281 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 151 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 6,111 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 187.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 411501, 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 5 August 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,124,907 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,244,966 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $879,941 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,498 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $890,439 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,030 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 162 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 5,187.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 191.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 384834, 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 30 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,091,938 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,946,282 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,145,656 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,921 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,164,577 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,239 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 176 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 5,701.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 200.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 353238, 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 19 August 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,152,796 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,219,658 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $933,138 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,709 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $969,847 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,189 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 191 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 691.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324464, 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 24 April 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,756,749 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,927,556 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $829,193 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,769 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $858,962 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,048 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 360 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 198.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 86.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 307397, 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 27 March 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,769,763 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,852,348 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $917,415 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,257 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $926,672 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,420 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 286 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 351.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 116.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 275906, 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 23 January 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,333,929 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,434,387 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $899,542 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,731 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $182 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $905,091 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,378 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 225 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 672.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 152.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241152, 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 16 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,810,227 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,167,442 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $642,785 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,961 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,249 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $642,497 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,608 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 232 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 384.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 140.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 216908, 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 30 June 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,879,759 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,228,880 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $650,879 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,055 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $503 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $661,431 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,994 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 191 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 532.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 188.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 185930, 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 with audit, processed by CMS on 7 May 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,004,365 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,083,074 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $921,291 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $64,531 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $40,375 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $945,447 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,017 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 162 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 602.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 222.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 143019, 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, settled, processed by CMS on 18 March 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,480,452 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,868,790 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $611,662 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $99,444 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,206 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $706,900 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,499 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 157 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 523.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 232.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 132641, 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 2 May 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,923,239 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,744,193 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $179,046 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $102,130 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $21,468 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $259,708 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,755 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 143 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 236.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 811, 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 17 August 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $272,829 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,985,787 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,712,958 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $98,971 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$2,613,987 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,761 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 138 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.01 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 244.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 810, 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, reopened, processed by CMS on 13 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $281,765 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,212,438 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,930,673 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $92,953 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$2,837,720 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,338 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 655.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 243.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 130900, read from the public cost report file SNFFY1997.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| THE ISAAC DOLE REVOCABLE TRUST U/A/D JANUARY 31, 2017 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 11/03/2025 |
| BETTENDORF PROPERTY, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/03/2025 |
| CAMPBELL STREET SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/05/2025 |
| CYCLONE HOLDCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/03/2025 |
| DOLE, ISAAC | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/03/2025 |
| DOMINGUEZ, KIMBERLY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/03/2025 |
| DUNK, JENNIFER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/03/2025 |
| HOLDCO, IA 5, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/23/2025 |
| KUMAR, POMILLA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/03/2025 |
| SATTERFIELD, BRENDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/03/2025 |
| DOLE, ISAAC | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/03/2025 |
| BIRCHWOOD HEALTHCARE PARTNERS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/03/2025 |
| CAMPBELL STREET SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/03/2025 |
| DOLE, ISAAC | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/03/2025 |
| DOMINGUEZ, KIMBERLY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/03/2025 |
| DUNK, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/03/2025 |
| HOLDCO, IA 5, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/03/2025 |
| KUMAR, POMILLA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/03/2025 |
| SATTERFIELD, BRENDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/03/2025 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of OPCO BETTENDORF, IA, LLC (enrollment ID O20260414001931).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| HOLDCO, IA 5, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 11/3/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BIRCHWOOD HEALTHCARE PARTNERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 11/3/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ISAAC S DOLE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 11/3/2025 | 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. |
| THE ISAAC DOLE REVOCABLE TRUST U/A/D JANUARY 31, 2017 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 11/3/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| BETTENDORF PROPERTY, LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/3/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRENDA S SATTERFIELD | 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. | 11/3/2025 | 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. |
| CAMPBELL STREET SERVICES LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/5/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CYCLONE HOLDCO LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/3/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| HOLDCO, IA 5, LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/23/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ISAAC S DOLE | 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. | 11/3/2025 | 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. |
| JENNIFER DUNK | 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. | 11/3/2025 | 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. |
| KIMBERLY DOMINGUEZ | 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. | 11/3/2025 | 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. |
| POMILLA C KUMAR | 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. | 11/3/2025 | 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. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 11/3/2025 | 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. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/3/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 11/3/2025 | 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. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 11/3/2025 | 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. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 11/3/2025 | 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. |
| ISAAC S DOLE | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/3/2025 | 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. |
| BIRCHWOOD HEALTHCARE PARTNERS LLC | Organization | 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. | 11/3/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BRENDA S SATTERFIELD | 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. | 11/3/2025 | 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. |
| CAMPBELL STREET SERVICES LLC | Organization | 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. | 11/3/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| HOLDCO, IA 5, LLC | Organization | 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. | 11/3/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ISAAC S DOLE | 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. | 11/3/2025 | 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. |
| JENNIFER DUNK | 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. | 11/3/2025 | 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. |
| KIMBERLY DOMINGUEZ | 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. | 11/3/2025 | 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. |
| POMILLA C KUMAR | 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. | 11/3/2025 | 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. |
Changes in ownership
- 1 August 2026: MOSHE SCHREIBER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: JIMMY KOOKEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: JUDAH BIENSTOCK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: JUDAH BIENSTOCK no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: MLS RESOURCES, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: BARUCH JEREMIAS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: POMILLA C KUMAR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: POMILLA C KUMAR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: CAMPBELL STREET SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: CAMPBELL STREET SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: BIRCHWOOD HEALTHCARE PARTNERS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: BIRCHWOOD HEALTHCARE PARTNERS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: CYCLONE HOLDCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: BETTENDORF PROPERTY, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: HOLDCO, IA 5, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: HOLDCO, IA 5, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: HOLDCO, IA 5, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: JENNIFER DUNK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: JENNIFER DUNK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: THE ISAAC DOLE REVOCABLE TRUST U/A/D JANUARY 31, 2017 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: ISAAC S DOLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: ISAAC S DOLE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: ISAAC S DOLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: ISAAC S DOLE appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: BRENDA S SATTERFIELD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: BRENDA S SATTERFIELD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: KIMBERLY DOMINGUEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: KIMBERLY DOMINGUEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 July 2026: MLS RESOURCES, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MLS RESOURCES, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 31 October 2022: BRANDON DAVIDSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: MOSHE SCHREIBER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: JIMMY KOOKEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- 1 August 2026: MOSHE SCHREIBER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: JIMMY KOOKEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: JUDAH BIENSTOCK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: JUDAH BIENSTOCK no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: MLS RESOURCES, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: BARUCH JEREMIAS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: POMILLA C KUMAR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: POMILLA C KUMAR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: CAMPBELL STREET SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: CAMPBELL STREET SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: BIRCHWOOD HEALTHCARE PARTNERS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: BIRCHWOOD HEALTHCARE PARTNERS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: CYCLONE HOLDCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: BETTENDORF PROPERTY, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: HOLDCO, IA 5, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: HOLDCO, IA 5, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: HOLDCO, IA 5, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: JENNIFER DUNK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: JENNIFER DUNK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: THE ISAAC DOLE REVOCABLE TRUST U/A/D JANUARY 31, 2017 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: ISAAC S DOLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: ISAAC S DOLE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: ISAAC S DOLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: ISAAC S DOLE appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: BRENDA S SATTERFIELD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: BRENDA S SATTERFIELD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: KIMBERLY DOMINGUEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: KIMBERLY DOMINGUEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: enrollment_id changed from O20130211000000 to O20260414001931. Skilled_Nursing_Facility_Enrollments_:_2026-08-01.csv
- 1 July 2026: MLS RESOURCES, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MLS RESOURCES, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 10 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 29 April 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 16 May 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 31 October 2022: BRANDON DAVIDSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: MOSHE SCHREIBER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: JIMMY KOOKEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 20 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 28 January 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 11 September 2025 | 11 September 2025 | 17 | 6 |
| 2 | 15 August 2024 | 15 August 2024 | 9 | 12 |
| 3 | 12 October 2023 | 12 October 2023 | 36 | 13 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
62 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 28 April 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 5 June 2026 |
| 28 April 2026 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | Yes | Deficient, Provider has date of correction | 5 June 2026 |
| 28 April 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 | 27 May 2026 |
| 28 April 2026 | 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 | 5 June 2026 |
| 28 April 2026 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | 5 June 2026 |
| 28 April 2026 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | 5 June 2026 |
| 16 February 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 18 March 2026 |
| 15 October 2025 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Yes | Deficient, Provider has date of correction | 23 October 2025 |
| 11 September 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | 1 October 2025 |
| 11 September 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 1 October 2025 |
| 11 September 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 | 1 October 2025 |
| 11 September 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | No | Deficient, Provider has date of correction | 1 October 2025 |
| 11 September 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | 1 October 2025 |
| 11 September 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 | 1 October 2025 |
| 11 September 2025 | Health | F 0838 | Administration Deficiencies | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | No | No revisit needed | |
| 11 September 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 1 October 2025 |
| 11 September 2025 | Health | F 0943 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | No | Deficient, Provider has date of correction | 1 October 2025 |
| 23 January 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. | E | Yes | Deficient, Provider has date of correction | 7 February 2025 |
| 23 January 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Yes | Deficient, Provider has date of correction | 7 February 2025 |
| 23 January 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Yes | Deficient, Provider has date of correction | 7 February 2025 |
| 15 August 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | 12 September 2024 |
| 15 August 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 12 September 2024 |
| 15 August 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | 12 September 2024 |
| 15 August 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 12 September 2024 |
| 15 August 2024 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Yes | Deficient, Provider has date of correction | 12 September 2024 |
| 15 August 2024 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | C | No | Deficient, Provider has date of correction | 12 September 2024 |
| 20 June 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | J | Yes | Past Non-Compliance | 4 June 2024 |
| 20 June 2024 | Health | F 0825 | Quality of Life and Care Deficiencies | Provide or get specialized rehabilitative services as required for a resident. | D | Yes | Deficient, Provider has date of correction | 8 July 2024 |
| 19 March 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Yes | Deficient, Provider has date of correction | 2 April 2024 |
| 19 March 2024 | 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 | Yes | Deficient, Provider has date of correction | 2 April 2024 |
| 19 March 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | 27 March 2024 |
| 5 December 2023 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | Yes | Deficient, Provider has date of correction | 12 December 2023 |
| 5 December 2023 | 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 | Yes | Deficient, Provider has date of correction | 12 December 2023 |
| 5 December 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Yes | Deficient, Provider has date of correction | 12 December 2023 |
| 5 December 2023 | 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 | 12 December 2023 |
| 5 December 2023 | Health | F 0728 | Nursing and Physician Services Deficiencies | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | Yes | Deficient, Provider has date of correction | 12 December 2023 |
| 5 December 2023 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Yes | Deficient, Provider has date of correction | 12 December 2023 |
| 5 December 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Yes | Deficient, Provider has date of correction | 12 December 2023 |
| 12 October 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Yes | Deficient, Provider has date of correction | 7 November 2023 |
| 12 October 2023 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 12 December 2023 |
| 12 October 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 7 November 2023 |
| 12 October 2023 | 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 November 2023 |
| 12 October 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | 7 November 2023 |
| 12 October 2023 | 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 November 2023 |
| 12 October 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 7 November 2023 |
| 12 October 2023 | 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. | E | No | Deficient, Provider has date of correction | 12 December 2023 |
| 12 October 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | Yes | Deficient, Provider has date of correction | 7 November 2023 |
| 12 October 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | 12 December 2023 |
| 12 October 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | 12 December 2023 |
| 12 October 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | 7 November 2023 |
| 12 October 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 7 November 2023 |
| 12 October 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Yes | Deficient, Provider has date of correction | 7 November 2023 |
| 12 October 2023 | 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 | 7 November 2023 |
| 12 October 2023 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 7 November 2023 |
| 12 October 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | 7 November 2023 |
| 12 October 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | Yes | Deficient, Provider has date of correction | 7 November 2023 |
| 12 October 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 7 November 2023 |
| 12 October 2023 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | No | Deficient, Provider has date of correction | 7 November 2023 |
| 12 October 2023 | 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 | 7 November 2023 |
| 12 October 2023 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | D | No | Deficient, Provider has date of correction | 12 December 2023 |
| 12 October 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 7 November 2023 |
| 12 October 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | 12 December 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 20 June 2024 | Fine | $15,966 | 79437 | ||
| 12 October 2023 | Fine | $19,656 | 79097 | ||
| 12 October 2023 | Payment Denial | 9 November 2023 | 33 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | OPCO BETTENDORF, IA, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1996-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Scott |
| Telephone Number | 5633327463 |
| Chain Name | CAMPBELL STREET SERVICES |
| Chain ID | 99 |
| 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 | 86 |
| Average Number of Residents per Day | 58.3 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 4 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 5 |
| 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
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On 1 August 2026: MOSHE SCHREIBER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Bettendorf Health Care Center
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in 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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