Skilled nursing facility · CMS certification number 245229
FRIENDSHIP VILLAGE OF BLOOMINGTON
BLOOMINGTON, Minnesota · Medicare
Certified beds, as filed in Care Compare: 66
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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $43,707,155 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,205,326 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $35,501,829 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $49,029,058 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,527,229 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,348,286 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,178,943 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,245,430 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 24,156 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,635 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 20,439 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 23,074 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 80 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 202 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 282 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 81.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1434423, 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 | $37,965,515 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,195,785 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $29,769,730 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $43,473,347 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,703,617 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$4,145,241 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$17,848,858 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$17,851,486 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,980 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 286 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 80.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1393448, 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 | $32,280,388 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,956,889 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $26,323,499 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $39,638,591 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,315,092 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,615,433 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$11,699,659 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$11,699,659 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,617 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 217 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 99.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364035, 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 | $25,407,926 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,592,598 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,815,328 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $35,184,808 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$14,369,480 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,004,619 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,364,861 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,365,603 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,216 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 371 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 51.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334456, 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 September 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,186,172 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,319,520 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,866,652 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,478,081 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,611,429 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,216,363 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,604,934 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,553,696 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,898 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 440 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 45.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1300596, 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 28 July 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,399,499 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,292,094 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,107,405 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,767,433 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$19,660,028 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,805,011 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $6,144,983 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $5,998,168 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,697 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 208 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 181.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1261645, 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 22 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,441,438 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,325,963 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,115,475 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,633,104 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$19,517,629 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,870,227 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,647,402 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,752,543 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,448 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 488 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 78.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237823, 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 | $8,991,174 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,956,131 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,035,043 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,215,703 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$18,180,660 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,276,454 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,095,794 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,988,032 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,416 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 546 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 70.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1199690, 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 28 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,394,824 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,062,995 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,331,829 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,556,716 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$15,224,887 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,180,455 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,955,568 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,765,753 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,014 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 664 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 58.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171176, 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 25 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,817,561 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,403,887 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,413,674 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,509,676 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$15,096,002 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,897,947 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,198,055 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,583,360 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,874 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 581 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 68.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1137833, 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 30 June 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,074,584 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,158,344 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,916,240 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,758,539 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$14,842,299 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,535,780 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $693,481 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $577,787 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,017 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 382 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 102.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1100965, 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 5 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,196,545 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $342,047 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,854,498 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,946,191 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,091,693 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,837,781 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,253,912 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,253,912 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,770 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 317 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 122.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1075058, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,249,134 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,983,163 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,265,971 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,634,502 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$14,368,531 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,211,783 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,843,252 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,843,252 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,664 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 191 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 207.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1041535, 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 | $9,709,223 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,082,393 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,626,830 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,943,390 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,316,560 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,364,264 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,047,704 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,047,704 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,022 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 187 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 214.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1013816, 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 25 July 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,078,553 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,369,544 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$12,290,991 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,803,958 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $4,512,967 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,029 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 174 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 235.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 412641, 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 21 July 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,587,970 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,479,068 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$11,891,098 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,448,025 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $3,556,927 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,660 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 203.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 382967, 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 23 June 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,427,474 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,792,537 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$12,365,063 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,598,227 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,233,164 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,757 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 265.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 346742, 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 18 August 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,088,760 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,976,646 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$11,887,886 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,569,400 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,681,514 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,999 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 135 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 296.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324332, 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 19 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,027,146 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,662,799 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$11,635,653 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,282,239 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,646,586 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,178 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 253 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 135.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302566, 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 4 June 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,718,210 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,123,251 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$8,405,041 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,361,388 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $956,347 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,770 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 238 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 150.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 280798, 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 2 June 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,466,167 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,862,898 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$9,396,731 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,983,899 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$412,832 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,743 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 221 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 148.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 250941, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,070,970 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,768,881 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$7,697,911 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,440,344 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$257,567 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,017 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 224 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 134 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 217342, 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 16 July 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,034,662 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,834,431 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,799,769 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,304,029 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $504,260 (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 | 105 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,235 | 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 | 21.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 134.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 187057, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,249,518 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,668,722 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$9,419,204 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,123,853 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$295,351 (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 | 105 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,337 | 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 | 17.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 139.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 126201, 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 22 March 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,229,093 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,653,619 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$8,424,526 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,859,885 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $435,359 (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 | 105 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,187 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 247 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 134.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 1347, 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 17 August 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,186,822 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,334,456 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$8,147,634 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,775,054 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $627,420 (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 | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,402 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 240 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 135.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 1345, 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, reopened, processed by CMS on 18 March 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,151,552 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,250,232 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$7,098,680 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,914,626 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $815,946 (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 | 105 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,175 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 206 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 151.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 132921, 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 18 March 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,866,760 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,883,903 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,017,143 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,355,724 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,338,581 (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 | 105 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,945 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 373 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 91.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 132947, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 27 October 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,959,306 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,019,920 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,939,386 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,961,112 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $4,900,498 (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 | 105 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,988 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 259 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 127.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 18311, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
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 |
|---|---|---|---|---|
| LIFESPACE COMMUNITIES INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 07/09/2009 |
| BLACKFORD, GARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2021 |
| DARKEY-HRINYA, JOYCE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/15/2018 |
| DUTRA, ANA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/18/2016 |
| FIELDS, VENITA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/15/2018 |
| JENSEN, CLAUS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/26/2023 |
| MCDONOUGH, AMY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/26/2023 |
| SALAMINO, JENIFER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/26/2023 |
| SOKEYE, JONATHAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2021 |
| SPANGLER, PATRICK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/18/2016 |
| STRETCH, CLYDE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/26/2023 |
| WILLIAMS, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2021 |
| YANOFSKY, NEAL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/18/2016 |
| GORMAN, JOSEPH | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/26/2022 |
| HAMM, SARA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/30/2015 |
| HARSHFIELD, NICHOLAS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/01/2020 |
| JANTZEN, JESSE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/22/2021 |
| KRESSE, NIKKI | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/19/2021 |
| POPE, ERIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/25/2022 |
| LIFESPACE COMMUNITIES INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/08/2009 |
| BEVER, JENNIFER | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 11/09/2015 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LIFESPACE COMMUNITIES INC (enrollment ID O20051118000666).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| LIFESPACE COMMUNITIES INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/9/2009 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMY MCDONOUGH | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/26/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ANA DUTRA | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/18/2016 | 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. |
| CLAUS JENSEN | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/26/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CLYDE STRETCH | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/26/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DAVID SOLOMON WILLIAMS | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2021 | 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. |
| GARY D BLACKFORD | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2021 | 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. |
| JENIFER SALAMINO | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/26/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JONATHAN SOKEYE | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/1/2021 | 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. |
| JOYCE DARKEY-HRINYA | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/15/2018 | 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. |
| NEAL YANOFSKY | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/18/2016 | 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. |
| PATRICK SPANGLER | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/18/2016 | 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. |
| VENITA E FIELDS | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/15/2018 | 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. |
| ERIN POPE | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/25/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JESSE JANTZEN | Individual | CORPORATE OFFICER | 0 | 6/22/2021 | 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. |
| JOSEPH T GORMAN | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/26/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| NICHOLAS HARSHFIELD | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2020 | 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. |
| NIKKI KAY KRESSE | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/19/2021 | 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. |
| SARA ELIZABETH HAMM | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/30/2015 | 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. |
| LIFESPACE COMMUNITIES INC | 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. | 7/8/2009 | Private equity company: No Real estate investment trust: No Holding company: No |
| JENNIFER BEVER | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/9/2015 | 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. |
Changes in ownership
- 1 July 2026: CLAUS JENSEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CLAUS JENSEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 15 September 2023: EDWIN EPP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: SCOTT COLLIER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: SUSAN DELVAUX no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: KENNETH ELIJAH POINSETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: CLYDE STRETCH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: AMY MCDONOUGH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: JENNIFER SALAMINO appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: CLAUS JENSEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 17 July 2023: EDWARD FENOGLIO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: PAULA J. SHIVES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: LAURIE DOTTER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: ROBERT KEHM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: JOSEPH T GORMAN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: ERIN POPE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
Recent changes on this record
- 1 July 2026: CLAUS JENSEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CLAUS JENSEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 29 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 15 September 2023: EDWIN EPP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: SCOTT COLLIER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: SUSAN DELVAUX no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: KENNETH ELIJAH POINSETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: CLYDE STRETCH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: AMY MCDONOUGH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: JENNIFER SALAMINO appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: CLAUS JENSEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 9 September 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 17 July 2023: EDWARD FENOGLIO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: PAULA J. SHIVES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: LAURIE DOTTER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: ROBERT KEHM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: JOSEPH T GORMAN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 17 July 2023: ERIN POPE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- 28 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 20 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 28 July 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 22 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 19 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 28 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 25 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 30 June 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 5 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 23 July 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 25 July 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 21 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 23 June 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 18 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 19 February 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 4 June 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 2 June 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 19 May 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 16 July 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- 18 March 2003: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 7 May 2026 | 7 May 2026 | 10 | 3 |
| 2 | 27 March 2025 | 27 March 2025 | 4 | 1 |
| 3 | 2 May 2024 | 2 May 2024 | 9 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
23 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 7 May 2026 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | 10 June 2026 |
| 7 May 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 10 June 2026 |
| 7 May 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 10 June 2026 |
| 7 May 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 10 June 2026 |
| 7 May 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 10 June 2026 |
| 7 May 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 10 June 2026 |
| 7 May 2026 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 10 June 2026 |
| 7 May 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 10 June 2026 |
| 7 May 2026 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | 10 June 2026 |
| 7 May 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 10 June 2026 |
| 27 March 2025 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | 22 April 2025 |
| 27 March 2025 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Yes | Deficient, Provider has date of correction | 22 April 2025 |
| 27 March 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 22 April 2025 |
| 27 March 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 22 April 2025 |
| 2 May 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | No | Deficient, Provider has date of correction | 29 May 2024 |
| 2 May 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | K | No | Deficient, Provider has date of correction | 29 May 2024 |
| 2 May 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | No | Deficient, Provider has date of correction | 29 May 2024 |
| 2 May 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 | 29 May 2024 |
| 2 May 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 29 May 2024 |
| 2 May 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 29 May 2024 |
| 2 May 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 | No | Deficient, Provider has date of correction | 29 May 2024 |
| 2 May 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 29 May 2024 |
| 2 May 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 29 May 2024 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 2 May 2024 | Fine | $99,500 | 53824 |
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 |
| Ownership Type | Non profit - Other |
| Legal Business Name | LIFESPACE COMMUNITIES INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1980-01-29 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Hennepin |
| Telephone Number | 9528309400 |
| Chain Name | LIFESPACE COMMUNITIES |
| Chain ID | 315 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 66 |
| Average Number of Residents per Day | 63.5 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| 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.
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On 1 July 2026: CLAUS JENSEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for FRIENDSHIP VILLAGE OF BLOOMINGTON
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 Minnesota 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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