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Skilled nursing facility · CMS certification number 165619

Fieldstone of Dewitt

De Witt, Iowa · Medicare and Medicaid

Certified beds, as filed in Care Compare: 70

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 28 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$9,759,321CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,059,480CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,699,841CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,168,285CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,468,444CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,402,590CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$65,854CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$65,854 (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%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components70CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components25,620CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,269CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days6,265CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days16,020CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components24,554CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges60CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges3CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges100CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components163CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,088.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days150.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433873, 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 24 September 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$8,706,686CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,235,977CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,470,709CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,902,058CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,431,349CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,427,078CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,004,271CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,004,271 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,602CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components144CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.97CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days7,782CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days170.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395642, 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.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$7,425,401CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,362,212CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,063,189CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,389,345CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,326,156CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$517,362CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$808,794CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$808,794 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,971CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components140CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days381CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days171.22CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1364112, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 September 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$6,859,552CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,100,232CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,759,320CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,921,337CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$162,017CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$489,274CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$327,257CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $327,257 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components77CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,724CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components3,431CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days95.23CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days6.91CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1333346, 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 30 November 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$6,280,255CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$808,117CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,472,138CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,667,342CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$804,796CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$198,518CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$606,278CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $606,278 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components77CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,471CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components91CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days602.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days257.92CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305677, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 July 2019 to 31 December 2019 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 6 August 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$2,872,114CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$321,122CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,550,992CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,524,803CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$26,189CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,066CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$31,255CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $31,255 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components77CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,801CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components11CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,236CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days1,163.73CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1262546, read from the public cost report file SNF10FY2019.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
GENESIS HEALTH SYSTEM5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization40%since 02/21/2019
WESLEYLIFE5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization60%since 02/21/2019
CROPPER, DOUGLASCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2021
HOEKSEMA, NICOLECORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/02/2021
KRETZINGER, ROBERTCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/21/2019
MALAS, JOSEPHCORPORATE DIRECTORIndividualNOT APPLICABLEsince 11/16/2021
VANDERWIEL, KRISTYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/21/2019
FLANAGAN, CRAIGCORPORATE OFFICERIndividualNOT APPLICABLEsince 08/01/2020
HOEKSEMA, NICOLEW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 03/01/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WELLSPIRE LLC (enrollment ID O20190520002779).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
GENESIS HEALTH SYSTEMOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST402/21/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
WESLEYLIFEOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST602/21/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
DOUGLAS CROPPERIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2021
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.
KRISTY VANDERWIELIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/21/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NICOLE LYNN HOEKSEMAIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/2/2021
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.
ROBERT WILLIAM KRETZINGERIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/21/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CRAIG FLANAGANIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOSEPH MALASIndividualDIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/16/2021
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.
NICOLE LYNN HOEKSEMAIndividualW-2 MANAGING EMPLOYEE03/1/2021
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.

Changes in ownership

No change in ownership appears in the CMS files on record since 20 September 2022.

Recent changes on this record

  • 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • 24 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • 9 September 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • 21 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • 30 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • 6 August 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
121 May 202621 May 202643
217 July 202517 July 202502
322 August 202422 August 202422

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 dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
21 May 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction19 June 2026
21 May 2026HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EYesDeficient, Provider has date of correction19 June 2026
21 May 2026HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correction19 June 2026
21 May 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction19 June 2026
22 August 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction15 September 2024
22 August 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction15 September 2024

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

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Other
Legal Business NameWELLSPIRE LLC
Date First Approved to Provide Medicare and Medicaid Services2017-08-04
Provider Resides in HospitalN
Continuing Care Retirement CommunityY
UrbanN
County/ParishClinton
Telephone Number5632217110
Chain NameWESLEYLIFE
Chain ID561
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasData Not Available
Number of Certified Beds70
Average Number of Residents per Day65.7
Overall Rating4
Health Inspection Rating4
QM Rating3
Long-Stay QM Rating2
Short-Stay QM Rating4
Processing Date2026-08-01

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

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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 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

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The citable document for Fieldstone of Dewitt

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.

Read the citable document for this facility →

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 165619.