Skilled nursing facility · CMS certification number 245264
APPLE VALLEY VILLAGE HEALTH CARE CENTER
APPLE VALLEY, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 162
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,193,776 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,446,758 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $28,747,018 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,854,153 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,892,865 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,191,265 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,084,130 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,084,130 (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 | 162 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 59,292 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 6,529 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 26,018 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 21,472 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 54,019 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 243 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 61 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 456 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 760 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 426.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1437182, 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 19 November 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,300,990 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,646,226 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $25,654,764 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,735,013 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,919,751 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $539,840 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,459,591 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,459,591 (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 | 162 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,271 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 734 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 350.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1399117, 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 23 January 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,674,353 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,342,049 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,332,304 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,920,352 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,588,048 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,137,339 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$450,709 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$450,739 (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 | 162 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,655 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 622 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 342.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372410, 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 23 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,444,732 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,067,067 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,377,665 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,339,673 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$962,008 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,692,293 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,730,285 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,730,282 (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 | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,443 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 645 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 263.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343019, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 June 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,777,661 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,802,016 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,975,645 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,325,694 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$350,049 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,570,381 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,220,332 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,220,330 (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 | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,130 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 466 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 701.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1323335, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 30 September 2019
Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 May 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,470,241 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,240,630 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,229,611 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,028,617 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,200,994 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $126,433 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,327,427 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,327,424 (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 | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,848 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 695 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 499.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283449, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 30 September 2018
Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 May 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,204,214 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,343,252 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,860,962 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,811,976 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,048,986 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $92,125 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,141,111 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,141,111 (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 | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,770 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 916 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 269.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1225101, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 30 September 2017
Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,620,619 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,829,817 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,790,802 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,325,806 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $464,996 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $133,703 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $598,699 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $598,699 (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 | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,653 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 737 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 417.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218122, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 30 September 2016
Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 December 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,925,734 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,871,828 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,053,906 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,465,874 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $588,032 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $141,282 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $729,314 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $57,124 (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 | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 55,484 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 986 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 257.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1181242, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 September 2015
Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 May 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,249,845 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,640,118 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,609,727 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,683,600 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $926,127 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $361,704 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,287,831 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,287,831 (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 | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,858 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 852 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 429 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1158634, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 30 September 2014
Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 January 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,431,874 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,578,198 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,853,676 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,146,308 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $707,368 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $393,611 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,100,979 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,100,979 (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 | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,745 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,016 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 427.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117798, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 30 September 2013
Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,133,745 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,377,163 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,756,582 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,785,488 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$28,906 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $335,390 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $306,484 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $306,484 (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 | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,978 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,019 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 312.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103512, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 30 September 2012
Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 September 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,615,220 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,438,585 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,176,635 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,639,733 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$463,098 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $434,026 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$29,072 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$29,072 (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 | 188 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,457 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 997 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 256.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1078303, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 30 September 2011
Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,741,722 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,561,377 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $180,345 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $445,395 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $625,740 (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 | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 65,849 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 925 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 324.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 71.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 435153, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended 30 September 2010
Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,823,292 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,083,780 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $739,512 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $243,187 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $982,699 (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 | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 69,911 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 853 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 359.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 81.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423158, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 30 September 2009
Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 February 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,890,094 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,940,416 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $949,678 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $552,540 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,502,218 (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 | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,089 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 779 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 346.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 91.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 394371, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 30 September 2008
Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 2 December 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,051,966 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,955,440 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $96,526 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $206,545 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $303,071 (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 | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 70,832 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 700 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 349.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 101.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 359807, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 30 September 2007
Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 February 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,878,335 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,584,634 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $293,701 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $233,927 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $527,628 (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 | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 70,578 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 569 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 344.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 124.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333764, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 30 September 2006
Cost report for 25 January 2006 to 30 September 2006 — a reporting period of 248 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 26 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,867,237 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,595,375 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $271,862 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $89,048 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $360,910 (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 | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,258 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 530 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 321.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 91.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302955, read from the public cost report file SNFFY2006.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, reopened, processed by CMS on 20 March 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,219,868 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,682,297 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $537,571 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $395,553 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $933,124 (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 | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,111 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 273 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 845.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 260.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 275304, 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 24 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,214,411 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,172,452 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,041,959 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $205,243 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,247,202 (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 | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 72,109 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 212 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,004.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 340.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 217801, 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 12 May 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,540,899 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,568,647 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $972,252 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $205,191 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,177,443 (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 | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 72,066 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 207 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 785.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 348.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 176068, 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 17 November 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,787,338 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,460,392 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $326,946 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $193,618 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $520,564 (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 | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,160 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 246 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 753.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 289.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 163226, 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 25 February 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,561,042 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,066,803 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $494,239 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $169,740 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $663,979 (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 | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 70,398 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 218 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 620.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 322.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41938, 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 14 August 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,916,071 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,516,503 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $399,568 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $126,839 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $60,487 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $465,920 (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 | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,255 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,124.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 459.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41936, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 November 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,335,095 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,912,699 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $422,396 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $231,394 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $653,790 (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 | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 70,934 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,680.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 716.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41935, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 November 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,149,764 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,505,077 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $644,687 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $243,884 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $888,571 (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 | 200 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 72,022 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 82.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,078.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 742.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41934, read from the public cost report file SNFFY1997.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| AUGUSTANA CARE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/2018 |
| ELLINGSON, ERIK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2018 |
| NYE, GERALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2018 |
| PARKS, CHARLES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2018 |
| RAMSDALE, SCOTT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2018 |
| WILKERSON, GARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2018 |
| DAHL, ROBERT | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2018 |
| KERN, MATTHEW | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2018 |
| STADTHERR, SEELOCHANI | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2018 |
| YOUNGQUIST, KATHRYN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2018 |
| CASSIA | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2018 |
| SHAW, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2018 |
| SHAW, DAVID | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/01/2018 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of AUGUSTANA HEALTH CARE CENTER OF APPLE VALLEY (enrollment ID O20060131000389).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| AUGUSTANA CARE | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHARLES THOMAS PARKS | 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. | 1/1/2018 | 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. |
| ERIK J ELLINGSON | 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. | 1/1/2018 | 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. |
| GARY ALBERT WILKERSON | 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. | 1/1/2018 | 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. |
| GERALD THOMAS NYE | 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. | 1/1/2018 | 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. |
| SCOTT GERALD RAMSDALE | 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. | 1/1/2018 | 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. |
| KATHRYN LEE YOUNGQUIST | 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. | 1/1/2018 | 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. |
| MATTHEW RAY KERN | 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. | 1/1/2018 | 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. |
| ROBERT MAHLON DAHL | 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. | 1/1/2018 | 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. |
| SEELOCHANI NMN STADTHERR | 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. | 1/1/2018 | 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. |
| CASSIA | 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. | 1/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID G SHAW | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2018 | 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. |
| DAVID G SHAW | 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. | 1/1/2018 | 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. |
Changes in ownership
- 1 July 2026: SEELOCHANI NMN STADTHERR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SEELOCHANI NMN STADTHERR appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- 1 July 2026: SEELOCHANI NMN STADTHERR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SEELOCHANI NMN STADTHERR appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 19 November 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 23 January 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 23 February 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 28 June 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 6 May 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 23 November 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2020.zip
- 23 May 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 24 January 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 21 December 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 31 May 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 21 January 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 24 July 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 23 September 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 29 July 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- 18 January 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 24 February 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 2 December 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 19 February 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 26 February 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 1 August 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- 20 March 2007: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 24 May 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 12 May 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- 17 November 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- 25 February 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- 14 August 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- 8 November 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- 3 November 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 25 June 2025 | 25 June 2025 | 5 | 1 |
| 2 | 18 July 2024 | 18 July 2024 | 7 | 5 |
| 3 | 10 August 2023 | 10 August 2023 | 9 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
21 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 6 March 2026 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | Yes | Deficient, Provider has date of correction | 8 April 2026 |
| 25 June 2025 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | No | Deficient, Provider has date of correction | 4 August 2025 |
| 25 June 2025 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | 4 August 2025 |
| 25 June 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 | 4 August 2025 |
| 25 June 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 4 August 2025 |
| 18 July 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | No | Deficient, Provider has date of correction | 4 September 2024 |
| 18 July 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 4 September 2024 |
| 18 July 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 | 4 September 2024 |
| 18 July 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | 4 September 2024 |
| 18 July 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 | 4 September 2024 |
| 18 July 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 4 September 2024 |
| 18 July 2024 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | No | Deficient, Provider has date of correction | 4 September 2024 |
| 10 August 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 20 October 2023 |
| 10 August 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 20 October 2023 |
| 10 August 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | 20 October 2023 |
| 10 August 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 20 October 2023 |
| 10 August 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 20 October 2023 |
| 10 August 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | 20 October 2023 |
| 10 August 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 20 October 2023 |
| 10 August 2023 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | 20 October 2023 |
| 10 August 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | 20 October 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | AUGUSTANA HEALTH CARE CENTER OF APPLE VALLEY |
| Date First Approved to Provide Medicare and Medicaid Services | 1983-07-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Dakota |
| Telephone Number | 9522362000 |
| Chain Name | CASSIA |
| Chain ID | 120 |
| 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 | 162 |
| Average Number of Residents per Day | 146.2 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on APPLE VALLEY VILLAGE HEALTH CARE CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: SEELOCHANI NMN STADTHERR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for APPLE VALLEY VILLAGE HEALTH CARE CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in 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.
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 245264.