Skilled nursing facility · CMS certification number 245271

PROVIDENCE PLACE

MINNEAPOLIS, Minnesota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 190

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 6 November 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$19,032,181	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$332,884	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$18,699,297	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$20,228,827	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,529,530	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$848,440	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$681,090	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$682,298 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	190	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	69,160	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,548	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	38,125	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	10,712	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	50,385	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	28	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	55	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	70	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	153	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	693.18	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	329.31	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1442013, 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 7 November 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$19,942,065	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$497,157	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$19,444,908	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$19,269,957	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$174,951	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$144,460	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$319,411	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $319,411 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	190	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	54,483	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	183	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	442.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	297.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1398735, 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 25 January 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$20,149,394	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$710,991	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$19,438,403	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$19,248,861	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$189,542	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$468,751	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$658,293	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $658,293 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	190	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	53,945	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	172	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	64.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	555.99	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	313.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1372575, 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 June 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$20,624,438	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$612,077	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$20,012,361	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$20,219,536	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$207,175	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,874,405	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,667,230	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,667,230 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	190	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	59,926	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	199	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.84	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,541	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	301.14	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1355233, 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 13 January 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$21,416,534	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$627,382	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$20,789,152	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$21,276,021	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$486,869	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,238,674	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$751,805	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $751,805 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	190	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	62,218	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	269	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	624.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	231.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1308757, 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 5 May 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$20,868,474	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,285,038	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$19,583,436	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$19,013,401	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$570,035	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$42,709	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$612,744	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $612,744 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	190	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	62,534	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	319	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	404.71	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	196.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1283363, 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 24 October 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$20,169,036	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,184,206	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$18,984,830	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,821,020	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$163,810	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$124,616	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$288,426	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $288,426 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	190	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	62,880	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	260	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.84	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	479.89	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	241.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1244847, 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 2 May 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$18,383,152	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$871,278	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$17,511,874	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,058,952	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$547,078	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$98,290	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$448,788	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$448,788 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	190	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	62,385	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	368	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	408.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	169.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1223613, 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 14 December 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$18,482,557	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$987,775	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$17,494,782	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,257,850	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$763,068	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$67,091	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$695,977	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$701,136 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	190	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	61,857	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	437	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	309.76	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	141.55	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1215840, 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 9 November 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$17,020,279	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$415,346	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,604,933	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,964,338	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$359,405	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$496,461	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$137,056	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $137,056 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	190	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	64,859	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	309	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.28	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	749.02	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	209.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1178196, 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 3 August 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$17,957,188	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,159,419	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,797,769	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,512,019	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$285,750	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$30,898	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$316,648	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $316,648 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	190	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	65,157	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	313	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,179.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	208.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1139636, 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 11 December 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$17,513,334	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,134,817	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,378,517	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,067,232	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$311,285	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$23,285	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$334,570	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $334,570 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	190	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	116,659	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	478	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	968.66	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	244.06	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1114779, 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 4 December 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$18,025,956	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,353,513	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,672,443	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,475,763	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$196,680	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$32,613	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$229,293	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $223,643 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	210	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	67,835	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	461	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	578.51	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	147.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1081575, 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 19 December 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$17,083,439	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$667,360	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,416,079	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,443,382	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$27,303	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$26,884	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$419	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$419 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	204	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	68,333	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	540	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	458.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	126.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1052867, 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 7 March 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$16,033,997	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$15,991,075	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$42,922	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$15,126	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $58,048 (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.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	210	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	68,947	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	467	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.73	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	639.78	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	147.64	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 425606, 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 29 June 2011.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$16,885,117	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$16,674,587	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$210,530	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$15,825	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $226,355 (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.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	218	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	71,815	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	518	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.87	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	589.85	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	138.64	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 408844, 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 26 September 2010.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$16,976,638	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$16,861,040	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$115,598	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$101,941	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$127	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $217,412 (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.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	211	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	71,882	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	617	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22.51	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	593.89	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	116.5	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 388097, 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 29 April 2009.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$16,604,706	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$17,625,654	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,020,948	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$165,383	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1,706	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$857,271 (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.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	211	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	72,460	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	595	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.05	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	381.94	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	121.78	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 337969, 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 8 May 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$15,343,466	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$15,597,923	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$254,457	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$163,459	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$90,998 (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.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	210	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	71,545	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	609	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.57	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	424.8	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	117.48	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 308444, 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 29 May 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$14,251,180	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$14,917,697	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$666,517	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$287,147	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$379,370 (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.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	210	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	71,979	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	454	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.78	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	504.08	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	158.54	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 279698, 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 16 May 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$11,575,455	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$12,772,261	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,196,806	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$109,147	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,087,659 (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.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	218	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	65,390	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	211	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	48.69	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	496.8	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	309.91	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 249350, 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 27 July 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$10,974,581	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$12,567,906	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,593,325	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$174,218	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,419,107 (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.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	190	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	66,342	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	202	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	44.98	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	621.37	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	328.43	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 228989, 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 1 September 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$13,150,549	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$13,248,834	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$98,285	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$106,271	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $7,986 (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.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	256	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	73,323	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	267	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.2	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	677.84	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	274.62	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 191837, 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 22 January 2004.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$12,891,344	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$13,882,256	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$990,912	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$108,833	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$882,079 (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.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	231	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	78,824	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	381	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.53	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	647.23	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	206.89	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 166533, 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 26 March 2002.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$13,032,829	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$12,518,964	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$513,865	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$158,073	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $671,938 (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.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	231	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	76,678	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	254	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.78	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	2,180.05	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	301.88	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 41965, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 31 December 1999

Cost report for 1 May 1999 to 31 December 1999 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 29 June 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$7,000,145	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,276,009	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$275,864	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$98,963	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$176,901 (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.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	256	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	45,988	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	144	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.8	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	746.5	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	319.36	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 41963, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 30 September 1998

Cost report for 1 October 1997 to 30 September 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 November 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$9,846,112	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,132,012	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$285,900	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$495,792	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$93,618	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $116,274 (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.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	256	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	67,355	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	231	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	48.27	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	967.05	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	291.58	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 41961, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 30 September 1997

Cost report for 1 October 1996 to 30 September 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 August 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$9,822,542	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,966,641	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$144,099	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$383,402	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$112,506	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $126,797 (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.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	256	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	70,582	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	205	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.18	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	677.49	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	344.3	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 28649, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 30 September 1996

Cost report for 1 October 1995 to 30 September 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 15 September 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$8,967,351	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,366,364	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$399,013	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$203,856	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$195,157 (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.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	256	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	64,369	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	191	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	54.23	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	690.05	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	337.01	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 28647, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
FAIRBAIRN, SCOTT	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/28/2019
KING, RYAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2025
LOVAS, NOEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2021
SENIOR CARE COMMUNITIES	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2007
SIEBENALER, ELLEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/26/2021
TWSL. LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/17/2026
MARSHALL, SUSAN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 12/07/2011
MARTIN, RICHARD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 12/07/2011
SENIOR CARE COMMUNITIES	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 03/01/2007
TWSL. LLC	GENERAL PARTNERSHIP INTEREST	Organization	NOT APPLICABLE	since 06/30/2020
LIFESPARK MANAGEMENT SERVICES	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 06/30/2020
LIFESPRK HOLDINGS, INC.	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 06/30/2020
FAIRBAIRN, SCOTT	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/28/2019
KING, RYAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2025
LIFESPARK MANAGEMENT SERVICES	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 06/30/2020
LOVAS, NOEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2021
SIEBENALER, ELLEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2024
TWSL. LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2015
SENIOR CARE COMMUNITIES	TRUSTEE OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2007

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SENIOR CARE PROVIDENCE, LLC (enrollment ID O20080206000538).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
SENIOR CARE COMMUNITIES	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	4/26/1999	Private equity company: No Real estate investment trust: No Holding company: No
ELLEN SIEBENALER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/26/2021	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.
NOEL LOVAS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/2021	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.
RYAN KING	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SCOTT JOHN FAIRBAIRN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SENIOR CARE COMMUNITIES	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2007	Private equity company: No Real estate investment trust: No Holding company: No
TWSL. LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/17/2026	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/17/2026	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2023	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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2009	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/17/2026	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/17/2026	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2009	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2009	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2020	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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2023	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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2023	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.
RICHARD MARTIN	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.	12/7/2011	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.
SUSAN LANDWEHR MARSHALL	Individual	CORPORATE OFFICER	100	12/7/2011	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.
SENIOR CARE COMMUNITIES	Organization	DIRECT OWNERSHIP INTEREST	100	3/1/2007	Private equity company: No Real estate investment trust: No Holding company: No
TWSL. LLC	Organization	GENERAL PARTNERSHIP INTEREST	100	6/30/2020	Private equity company: No Real estate investment trust: No Holding company: No
LIFESPARK MANAGEMENT SERVICES	Organization	INDIRECT OWNERSHIP INTEREST	100	6/30/2020	Private equity company: No Real estate investment trust: No Holding company: No
LIFESPRK HOLDINGS, INC.	Organization	INDIRECT OWNERSHIP INTEREST	100	6/30/2020	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	INDIRECT OWNERSHIP INTEREST	100	1/1/2009	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	INDIRECT OWNERSHIP INTEREST	100	12/1/2023	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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	INDIRECT OWNERSHIP INTEREST	100	12/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	INDIRECT OWNERSHIP INTEREST	100	12/6/2022	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	INDIRECT OWNERSHIP INTEREST	100	1/1/2020	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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	INDIRECT OWNERSHIP INTEREST	100	7/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	LIMITED PARTNERSHIP INTEREST	100	1/1/2024	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.
ELLEN SIEBENALER	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.	1/1/2024	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.
LIFESPARK MANAGEMENT SERVICES	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.	6/30/2020	Private equity company: No Real estate investment trust: No Holding company: No
NOEL LOVAS	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/2021	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.
RYAN KING	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SCOTT JOHN FAIRBAIRN	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.	2/28/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TWSL. LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
SENIOR CARE COMMUNITIES	Organization	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2007	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: TYLER DONOHUE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SANDRA HESSE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MOLLY TOULOUSE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MOLLY TOULOUSE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JIM THOMAS MONTEZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SENIOR CARE COMMUNITIES no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN NELSON MARSHALL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TWSL. LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TWSL. LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TWSL. LLC appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LIFESPRK HOLDINGS, INC. appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LIFESPARK MANAGEMENT SERVICES appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LIFESPARK MANAGEMENT SERVICES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ELLEN SIEBENALER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ELLEN SIEBENALER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RYAN KING appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RYAN KING appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SENIOR CARE COMMUNITIES appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SENIOR CARE COMMUNITIES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SENIOR CARE COMMUNITIES appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SENIOR CARE COMMUNITIES appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under LIMITED PARTNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NOEL LOVAS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NOEL LOVAS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SCOTT JOHN FAIRBAIRN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SCOTT JOHN FAIRBAIRN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under TRUSTEE OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Recent changes on this record

1 July 2026: TYLER DONOHUE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SANDRA HESSE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MOLLY TOULOUSE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MOLLY TOULOUSE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JIM THOMAS MONTEZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SENIOR CARE COMMUNITIES no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN NELSON MARSHALL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TWSL. LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TWSL. LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TWSL. LLC appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LIFESPRK HOLDINGS, INC. appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LIFESPARK MANAGEMENT SERVICES appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LIFESPARK MANAGEMENT SERVICES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ELLEN SIEBENALER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ELLEN SIEBENALER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RYAN KING appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RYAN KING appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SENIOR CARE COMMUNITIES appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SENIOR CARE COMMUNITIES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SENIOR CARE COMMUNITIES appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SENIOR CARE COMMUNITIES appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under LIMITED PARTNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NOEL LOVAS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NOEL LOVAS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SCOTT JOHN FAIRBAIRN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SCOTT JOHN FAIRBAIRN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under TRUSTEE OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
6 November 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
7 November 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
25 January 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
28 June 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
13 January 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
5 May 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
24 October 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
2 May 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
14 December 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
9 November 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
3 August 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	14 May 2026	14 May 2026	18	3
2	27 February 2025	27 February 2025	14	2
3	4 April 2024	4 April 2024	19	7

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

51 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
29 June 2026	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	Yes	Deficient, Provider has no plan of correction
14 May 2026	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Deficient, Provider has date of correction	10 July 2026
14 May 2026	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	D	No	Deficient, Provider has date of correction	10 July 2026
14 May 2026	Health	F 0576	Resident Rights Deficiencies	Ensure residents have reasonable access to and privacy in their use of communication methods.	E	No	Deficient, Provider has date of correction	10 July 2026
14 May 2026	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	10 July 2026
14 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 July 2026
14 May 2026	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	10 July 2026
14 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 July 2026
14 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 July 2026
14 May 2026	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	No	Deficient, Provider has date of correction	10 July 2026
14 May 2026	Health	F 0745	Quality of Life and Care Deficiencies	Provide medically-related social services to help each resident achieve the highest possible quality of life.	D	No	Deficient, Provider has date of correction	10 July 2026
14 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 July 2026
14 May 2026	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	E	No	Deficient, Provider has date of correction	10 July 2026
14 May 2026	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	Yes	Deficient, Provider has date of correction	10 July 2026
14 May 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	10 July 2026
14 May 2026	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	E	No	Deficient, Provider has date of correction	10 July 2026
14 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 July 2026
12 January 2026	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	Yes	Deficient, Provider has date of correction	27 February 2026
23 May 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	9 June 2025
30 April 2025	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	Yes	Deficient, Provider has date of correction	15 May 2025
14 April 2025	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.	J	Yes	Deficient, Provider has date of correction	12 May 2025
27 February 2025	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.	B	Yes	Deficient, Provider has date of correction	31 March 2025
27 February 2025	Health	F 0577	Resident Rights Deficiencies	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	C	No	Deficient, Provider has date of correction	31 March 2025
27 February 2025	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	J	No	Deficient, Provider has date of correction	31 March 2025
27 February 2025	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	B	No	Deficient, Provider has date of correction	31 March 2025
27 February 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	Yes	Deficient, Provider has date of correction	31 March 2025
27 February 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	31 March 2025
27 February 2025	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	31 March 2025
27 February 2025	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	31 March 2025
27 February 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	31 March 2025
1 October 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	25 October 2024
1 October 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	25 October 2024
4 April 2024	Health	F 0553	Resident Rights Deficiencies	Allow resident to participate in the development and implementation of his or her person-centered plan of care.	D	No	Deficient, Provider has date of correction	12 May 2024
4 April 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	Yes	Deficient, Provider has date of correction	12 May 2024
4 April 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	12 May 2024
4 April 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	No	Deficient, Provider has date of correction	12 May 2024
4 April 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.	E	No	Deficient, Provider has date of correction	12 May 2024
4 April 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	12 May 2024
4 April 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	12 May 2024
4 April 2024	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	12 May 2024
4 April 2024	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	12 May 2024
4 April 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	12 May 2024
4 April 2024	Health	F 0791	Quality of Life and Care Deficiencies	Provide or obtain dental services for each resident.	E	No	Deficient, Provider has date of correction	12 May 2024
4 April 2024	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	No	Deficient, Provider has date of correction	12 May 2024
4 April 2024	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	D	No	Deficient, Provider has date of correction	12 May 2024
16 November 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	Yes	Deficient, Provider has date of correction	19 December 2023
30 October 2023	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	1 December 2023
30 October 2023	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	1 December 2023
30 October 2023	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	1 December 2023
2 October 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	G	Yes	Deficient, Provider has date of correction	25 October 2023
3 August 2023	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	G	Yes	Deficient, Provider has date of correction	25 August 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Fine ID
14 April 2025	Fine	$75,459	53935
27 February 2025	Fine	$19,140	53919
2 October 2023	Fine	$21,801	53697

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	SENIOR CARE PROVIDENCE, LLC
Date First Approved to Provide Medicare and Medicaid Services	1984-05-29
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Hennepin
Telephone Number	6122382545
Chain Name	LIFESPARK
Chain ID	316
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	190
Average Number of Residents per Day	152.4
Overall Rating	1
Health Inspection Rating	1
QM Rating	2
Long-Stay QM Rating	2
Short-Stay QM Rating	2
Processing Date	2026-08-01

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

Get an email when this record changes

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On 1 July 2026: TYLER DONOHUE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for PROVIDENCE PLACE

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