Skilled nursing facility · CMS certification number 165613
Northridge Village
Ames, Iowa · Medicare and Medicaid
Certified beds, as filed in Care Compare: 38
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,156,047 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $894,312 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,261,735 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,832,242 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,429,493 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $40,702 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,470,195 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,407,666 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 13,908 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 919 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 1,139 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,187 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 13,245 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 18 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 2 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 38 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 569.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 228.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436818, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,428,837 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,087,198 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,341,639 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,422,992 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $918,647 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,848 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $932,495 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $877,696 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,502 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 43 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 327.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 314 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1393432, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 September 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,157,713 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $904,270 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,253,443 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,091,046 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $162,397 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,027 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $170,424 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $146,069 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,047 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 526.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 186.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364111, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,130,347 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $756,900 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,373,447 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,701,123 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$327,676 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $152,032 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$175,644 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$198,217 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,393 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 513.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 179.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334406, 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 20 October 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,750,873 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $785,399 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,965,474 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,876,080 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $89,394 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $754,485 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $843,879 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $840,655 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,935 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 56 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,351 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 230.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1302146, 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 10 September 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,264,671 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $960,636 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,304,035 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,968,163 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $335,872 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,259 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $348,131 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $346,933 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,374 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 394.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1266977, 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 12 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,550,733 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $776,740 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,773,993 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,662,768 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $111,225 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,441 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $121,666 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $109,418 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,489 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 104 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,800 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1236698, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,602,608 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $331,065 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,271,543 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,480,566 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$209,023 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,448 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$203,575 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$213,415 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,473 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 421.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 86.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200742, 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 27 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,145,817 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $511,318 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,634,499 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,136,950 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$502,451 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,996 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$494,455 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$494,455 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,765 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 153 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170925, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 16 November 2015 to 31 December 2015 — a reporting period of 45 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 9 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $547,271 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $37,660 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $509,611 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $711,965 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$202,354 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,454 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$198,900 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$198,900 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 503 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 4 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 125.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1140256, read from the public cost report file SNF10FY2016.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 |
|---|---|---|---|---|
| DOOLITTLE, GRANT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2025 |
| GULLEDGE, SCOTT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2015 |
| GULLEDGE, TRAVIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| MCFARLAND CLINIC PC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2015 |
| PIVOTAL HEALTH CARE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/14/2025 |
| SUMMIT CARE, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2015 |
| ZELLMER, KAYLA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2021 |
| SCENIC DEVELOPMENT LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/2015 |
| SCENIC HOLDINGS LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 12/31/2018 |
| 3RK, LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2021 |
| 5 R CATTLE, LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/2015 |
| ANDERSON, JORDAN | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 10/01/2021 |
| ANDERSON, MARLENE | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 09/01/2015 |
| ANDERSON, WAYNE | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 09/01/2015 |
| CADET INVESTMENT LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/2015 |
| GULLEDGE, SCOTT | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 09/01/2015 |
| GULLEDGE, TRAVIS | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 10/01/2021 |
| HOWARD, STEVEN | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 09/01/2015 |
| LMRAY, LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/2015 |
| POKY - 5R LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 12/31/2018 |
| POKY FEEDERS INC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/2015 |
| WOOD, GILBERT | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 09/01/2015 |
| WSG LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/01/2015 |
| ANDERSON, JORDAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| DOOLITTLE, GRANT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2025 |
| GULLEDGE, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2015 |
| GULLEDGE, TRAVIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| PIVOTAL HEALTH CARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2015 |
| SCENIC DEVELOPMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2015 |
| WOOD, GILBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2025 |
| ZELLMER, KAYLA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2021 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CCRC OF AMES LLC (enrollment ID O20150819006326).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| GRANT D DOOLITTLE | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KAYLA S ZELLMER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MCFARLAND CLINIC PC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| PIVOTAL HEALTH CARE 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. | 5/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SCOTT E GULLEDGE | 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. | 9/1/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SUMMIT CARE, 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. | 9/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRAVIS S GULLEDGE | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2025 | 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. | 5/14/2025 | 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. | 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. | 5/14/2025 | 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. | 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. | 5/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SCENIC DEVELOPMENT LLC | Organization | DIRECT OWNERSHIP INTEREST | 23.26 | 9/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| SCENIC HOLDINGS LLC | Organization | DIRECT OWNERSHIP INTEREST | 76.74 | 12/31/2018 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| 3RK, LLC | Organization | INDIRECT OWNERSHIP INTEREST | 6.17 | 1/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| 5 R CATTLE, LLC | Organization | INDIRECT OWNERSHIP INTEREST | 6.19 | 9/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| CADET INVESTMENT LLC | Organization | INDIRECT OWNERSHIP INTEREST | 11.11 | 9/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| GILBERT R WOOD | Individual | INDIRECT OWNERSHIP INTEREST | 2.37 | 9/1/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JORDAN R ANDERSON | Individual | INDIRECT OWNERSHIP INTEREST | 1.9 | 10/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LMRAY, LLC | Organization | INDIRECT OWNERSHIP INTEREST | 6.19 | 9/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARLENE A ANDERSON | Individual | INDIRECT OWNERSHIP INTEREST | 6.46 | 9/1/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| POKY - 5R LLC | Organization | INDIRECT OWNERSHIP INTEREST | 12.37 | 12/31/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| POKY FEEDERS INC | Organization | INDIRECT OWNERSHIP INTEREST | 6.19 | 9/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| SCOTT E GULLEDGE | Individual | INDIRECT OWNERSHIP INTEREST | 3.32 | 9/1/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| STEVEN M HOWARD | Individual | INDIRECT OWNERSHIP INTEREST | 11.26 | 9/1/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TRAVIS S GULLEDGE | Individual | INDIRECT OWNERSHIP INTEREST | 0.94 | 10/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WAYNE C ANDERSON | Individual | INDIRECT OWNERSHIP INTEREST | 6.46 | 9/1/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WSG LLC | Organization | INDIRECT OWNERSHIP INTEREST | 17.45 | 9/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| GILBERT R WOOD | 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. | 9/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GRANT D DOOLITTLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JORDAN R ANDERSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2025 | 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. |
| KAYLA S ZELLMER | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PIVOTAL HEALTH CARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 9/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| SCENIC DEVELOPMENT 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. | 9/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| SCOTT E GULLEDGE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 75 | 9/1/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TRAVIS S GULLEDGE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2025 | 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 July 2026: STEVEN M HOWARD no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GRANT D DOOLITTLE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GRANT D DOOLITTLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: POKY FEEDERS INC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STEVEN M HOWARD appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: POKY FEEDERS INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GRANT D DOOLITTLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GRANT D DOOLITTLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 August 2025: SCENIC DEVELOPMENT LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GILBERT R WOOD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GILBERT R WOOD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: MARILYN HOWARD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: POKY-5R LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WSG LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: MARLENE A ANDERSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: CADET INVESTMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SCENIC HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SCOTT E GULLEDGE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WAYNE C ANDERSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: KAYLA S ZELLMER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: STEVEN M HOWARD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SCENIC DEVELOPMENT LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SCENIC DEVELOPMENT LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: JORDAN R ANDERSON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: JORDAN R ANDERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: 3RK, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SUMMIT CARE, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: TRAVIS S GULLEDGE appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: TRAVIS S GULLEDGE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: TRAVIS S GULLEDGE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GILBERT R WOOD appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GILBERT R WOOD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: LMRAY, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: POKY-5R LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WSG LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: MARLENE A ANDERSON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: 5 R CATTLE, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: CADET INVESTMENT LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SCENIC HOLDINGS LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SCOTT E GULLEDGE appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SCOTT E GULLEDGE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: PIVOTAL HEALTH CARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WAYNE C ANDERSON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: KAYLA S ZELLMER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: KAYLA S ZELLMER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: MCFARLAND CLINIC PC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: STEVEN M HOWARD appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GRANT D DOOLITTLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GRANT D DOOLITTLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: POKY FEEDERS INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Recent changes on this record
- 1 July 2026: STEVEN M HOWARD no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GRANT D DOOLITTLE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GRANT D DOOLITTLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: POKY FEEDERS INC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STEVEN M HOWARD appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: POKY FEEDERS INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GRANT D DOOLITTLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GRANT D DOOLITTLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 August 2025: SCENIC DEVELOPMENT LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GILBERT R WOOD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GILBERT R WOOD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: MARILYN HOWARD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: POKY-5R LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WSG LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: MARLENE A ANDERSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: CADET INVESTMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SCENIC HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SCOTT E GULLEDGE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WAYNE C ANDERSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: KAYLA S ZELLMER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: STEVEN M HOWARD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SCENIC DEVELOPMENT LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SCENIC DEVELOPMENT LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: JORDAN R ANDERSON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: JORDAN R ANDERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: 3RK, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: SUMMIT CARE, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: TRAVIS S GULLEDGE appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: TRAVIS S GULLEDGE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: TRAVIS S GULLEDGE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GILBERT R WOOD appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: GILBERT R WOOD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: LMRAY, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: POKY-5R LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: WSG LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: MARLENE A ANDERSON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- 1 August 2025: 5 R CATTLE, LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 29 January 2026 | 29 January 2026 | 0 | 4 |
| 2 | 9 January 2025 | 9 January 2025 | 2 | 3 |
| 3 | 2 November 2023 | 2 November 2023 | 4 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
6 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 9 January 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 14 January 2025 |
| 9 January 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 14 January 2025 |
| 20 June 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Past Non-Compliance | 30 April 2024 |
| 2 November 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 |
| 2 November 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 |
| 2 November 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 7 November 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | CCRC OF AMES LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2015-11-16 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Story |
| Telephone Number | 5152321000 |
| Chain Name | PIVOTAL HEALTH CARE |
| Chain ID | 404 |
| 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 | 38 |
| Average Number of Residents per Day | 37.0 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on Northridge Village: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: STEVEN M HOWARD no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Northridge Village
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.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 165613.