Skilled nursing facility · CMS certification number 245278

GOOD SAMARITAN SOCIETY - HOWARD LAKE

HOWARD LAKE, Minnesota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 32

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 14 May 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$5,617,430	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$961,313	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,656,117	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,386,110	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$270,007	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$20,273	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$290,280	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $242,703 (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	32	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	11,712	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	534	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	3,770	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	6,321	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	10,625	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	25	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	38	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	104	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	167	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	21.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	99.21	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	63.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1421999, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$5,274,470	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$763,419	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,511,051	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,926,586	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$584,465	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$34,953	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$619,418	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $613,525 (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	32	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,294	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	147	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	107.54	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	70.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1389793, 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 4 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,430,938	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$518,738	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,912,200	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,671,695	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$240,505	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$48,764	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$289,269	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $197,182 (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	32	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,352	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	76	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	139.54	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	136.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361035, 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 July 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,137,454	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$988,760	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,148,694	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,577,815	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$570,879	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$28,934	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$599,813	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $565,853 (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	32	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,144	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	88	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.49	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	316.07	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	115.27	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328242, 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 15 July 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$4,241,332	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$424,309	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,817,023	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,305,132	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$511,891	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$46,605	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$558,496	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $577,724 (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	32	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,152	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	117	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	148.42	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	86.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1288887, 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 24 September 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,659,599	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$438,228	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,221,371	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,240,244	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$18,873	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$33,300	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$14,427	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$48,352 (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	32	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,658	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	106	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	21.8	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	214.68	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	91.11	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1269465, 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 21 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,659,731	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$472,002	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,187,729	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,160,677	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$27,052	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$24,244	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$51,296	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$30,264 (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	32	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,644	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	235	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	19.21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	155.09	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	41.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241574, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,678,395	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$562,127	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,116,268	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,162,973	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$46,705	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$24,781	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$21,924	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$49,361 (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	32	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,899	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	147	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.24	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	240	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	67.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1199694, 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 17 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$3,016,603	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$482,139	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,534,464	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,733,772	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$199,308	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$33,558	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$165,750	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$187,773 (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	32	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	8,691	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	125	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.74	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	402.18	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	69.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169047, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$2,864,180	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$468,567	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,395,613	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,755,332	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$359,719	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$43,489	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$316,230	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$349,955 (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	32	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,211	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	117	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	344.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	87.27	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1136944, 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 4 June 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$2,363,176	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$173,476	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,189,700	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,441,764	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$252,064	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$40,513	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$211,551	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$214,820 (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	35	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,946	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	49	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,332	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	223.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1093379, 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 23 July 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$2,651,248	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$245,375	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,405,873	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,558,163	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$152,290	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$70,930	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$81,360	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$104,909 (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	38	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,187	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	53	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.26	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,054.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	211.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1073352, 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 12 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$2,704,477	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$164,767	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,539,710	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,585,873	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$46,163	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$49,119	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,956	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $8,746 (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	38	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,452	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	143	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	138.15	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	80.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1046113, 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 28 May 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$2,964,756	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$239,809	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,724,947	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,723,205	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,742	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,724	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$21,466	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $33,710 (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	38	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,108	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	167	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.72	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	91.89	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	72.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1030371, 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 10 May 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$2,630,730	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,653,403	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$22,673	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$23,130	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$15,463	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$15,006 (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	40	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	12,412	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	33.25	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	86.4	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	60.55	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 399126, 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 20 August 2010.

None of these figures is carried on this report.

CMS report record 385969, 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 9 June 2010.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$2,787,884	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,721,783	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$66,101	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$44,486	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$6,001	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $104,586 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	40	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,077	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	136	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.78	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	307.65	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	103.51	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 373336, 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 25 August 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$2,433,000	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,657,542	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$224,542	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$36,570	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1,498	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$189,470 (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	40	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	13,119	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	52	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.56	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	449.21	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	252.29	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 324863, 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 29 February 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,475,007	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,606,227	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$131,220	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$58,879	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1,899	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$74,240 (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	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,214	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	49	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.09	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,421.83	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	290.08	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 303322, 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 19 June 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,295,317	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,480,890	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$185,573	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$51,724	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$4,157	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$138,006 (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	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,921	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	49	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.62	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,679	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	304.51	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 285221, 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 31 January 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$2,256,689	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,368,324	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$111,635	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$46,152	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$2,876	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$68,359 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,454	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	50	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.59	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,560.5	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	289.08	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 241814, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 March 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$2,428,082	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,516,003	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$87,921	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$27,713	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$2,942	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$63,150 (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	50	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,557	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	91	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	39.25	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	646.47	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	181.95	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 212189, 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 30 July 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$2,660,665	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,442,198	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$218,467	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$66,525	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$54,417	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $230,575 (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	50	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,290	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	91	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	49.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	644	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	190	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 188882, 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 18 March 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$2,408,799	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,194,289	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$214,510	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$63,582	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $278,092 (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	55	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,452	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	75	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.64	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	2,098.8	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	219.36	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 133027, 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 12 February 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$2,112,226	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,153,628	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$41,402	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$21,974	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$19,428 (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	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,223	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	129	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.38	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	275.93	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	133.51	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 116263, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 31 December 1999

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 August 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$2,122,596	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,287,890	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$165,294	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$24,539	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$140,755 (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	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,526	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	97	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.58	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	486.16	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	201.3	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 1369, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 31 December 1998

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 October 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$2,076,693	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,291,824	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$215,131	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$43,238	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$171,893 (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	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,828	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	77	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	44.2	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	977.81	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	257.51	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 1368, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 December 1997

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 October 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$2,013,048	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,124,333	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$111,285	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$35,317	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$75,968 (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	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,139	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	85	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.05	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	632.05	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	225.16	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 18332, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 31 December 1996

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 27 October 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$2,021,270	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,263,508	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$242,238	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$35,446	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$206,792 (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	73	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,099	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	71	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.98	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,119.36	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	297.17	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 18331, 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
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/2019
SANFORD	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/2019
BROWN, GEORGE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
DTN STAFFING INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/02/2024
DYKHOUSE, DANA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
ENGBRECHT, WESLEY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
FLUIT, JOEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2022
FOCUSONE SOLUTIONS	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/04/2024
GASSEN, WILLIAM	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
GRAPE TREE MEDICAL STAFFING LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/13/2018
GUARDIAN PHARMACY OF MINNESOTA LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 09/26/2024
GULSVIG, NEIL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
HERSETH SANDLIN, STEPHANIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
LEWIS, BRIAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/25/2025
LUNDEEN, MARK	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
MCCAUSLAND, MAUREEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
MIDDLETON, AIMEE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/27/2022
MOLBERT, LAURIS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
MORRISON, TONY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2019
NORTH, ANDREW	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
OLSON, NICHOLAS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/08/2024
SALONEK, LAURA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/08/2008
SANDGREN, DEEANDRA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/16/2023
SANFORD	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2019
SCHEMA, NATHAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2022
SCHIEFFER, KEVIN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
SHULKIN, DAVID	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2020
TEIKEN, BRENT	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2019
VENTLING-HERRMANN, MARNIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
WENZEL, THOMAS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
BROWN, GEORGE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
DYKHOUSE, DANA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
ENGBRECHT, WESLEY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
GASSEN, WILLIAM	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
GULSVIG, NEIL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
HERSETH SANDLIN, STEPHANIE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
LUNDEEN, MARK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
MCCAUSLAND, MAUREEN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
MOLBERT, LAURIS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
NORTH, ANDREW	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
SCHIEFFER, KEVIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
SHULKIN, DAVID	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
TEIKEN, BRENT	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
VENTLING-HERRMANN, MARNIE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
WENZEL, THOMAS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
FLUIT, JOEL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2022
GASSEN, WILLIAM	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/30/2024
MIDDLETON, AIMEE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/27/2022
OLSON, NICHOLAS	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/08/2024
SCHEMA, NATHAN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2022
FLUIT, JOEL	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/03/2026
LEWIS, BRIAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/25/2025
MORRISON, TONY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2019
SALONEK, LAURA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/08/2008
SANDGREN, DEEANDRA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/16/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (enrollment ID O20070907000568).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
SANFORD	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
AIMEE NICOLE MIDDLETON	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.	1/27/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANDREW STEWART NORTH	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.	5/30/2024	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.
BRENT GERARD TEIKEN	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.	5/30/2024	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.
BRIAN LEWIS	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.	8/25/2025	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.
DANA JAMES DYKHOUSE	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.	5/30/2024	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.
DAVID JONATHAN SHULKIN	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.	5/30/2020	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.
DEEANDRA DAWN SANDGREN	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.	7/16/2023	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.
DTN STAFFING INC	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.	8/2/2024	Private equity company: No Real estate investment trust: No Holding company: No
FOCUSONE SOLUTIONS	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.	3/4/2024	Private equity company: No Real estate investment trust: No Holding company: No
GEORGE JOSEPH BROWN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GRAPE TREE MEDICAL STAFFING 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.	4/13/2018	Private equity company: No Real estate investment trust: No Holding company: No
GUARDIAN PHARMACY OF MINNESOTA LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/26/2024	Private equity company: No Real estate investment trust: No Holding company: No
JOEL ADAM FLUIT	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEVIN VICTOR SCHIEFFER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LAURA A SALONEK	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/8/2008	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.
LAURIS NELSON MOLBERT	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.	5/30/2024	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.
MARK ALLEN LUNDEEN	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.	5/30/2024	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.
MARNIE LYNN VENTLING-HERRMANN	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.	5/30/2024	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.
MAUREEN PATRICIA MCCAUSLAND	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NATHAN THOMAS SCHEMA	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.	1/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NEIL LESLIE GULSVIG	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.	5/30/2024	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.
NICHOLAS WAYNE OLSON	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.	4/8/2024	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.
SANFORD	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.	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
STEPHANIE MARIE HERSETH SANDLIN	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.	5/30/2024	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.
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	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.	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
THOMAS RICHARD WENZEL	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TONY LEE MORRISON	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.	1/1/2019	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.
WESLEY OWEN ENGBRECHT	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.	5/30/2024	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.
WILLIAM JOSEPH GASSEN	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.	5/30/2024	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	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.	3/25/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused 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.	4/14/2024	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	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.	2/1/2024	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	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/26/2024	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	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2017	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.	9/26/2024	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	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.	3/12/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused 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.	10/1/2017	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.	10/1/2017	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.	10/1/2017	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.
ANDREW STEWART NORTH	Individual	CORPORATE DIRECTOR	0	5/30/2024	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.
BRENT GERARD TEIKEN	Individual	CORPORATE DIRECTOR	0	5/30/2024	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.
DANA JAMES DYKHOUSE	Individual	CORPORATE DIRECTOR	0	5/30/2024	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.
DAVID JONATHAN SHULKIN	Individual	CORPORATE DIRECTOR	0	5/30/2024	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.
GEORGE JOSEPH BROWN	Individual	CORPORATE DIRECTOR	0	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.
KEVIN VICTOR SCHIEFFER	Individual	CORPORATE DIRECTOR	0	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.
LAURIS NELSON MOLBERT	Individual	CORPORATE DIRECTOR	0	5/30/2024	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.
MARK ALLEN LUNDEEN	Individual	CORPORATE DIRECTOR	0	5/30/2024	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.
MARNIE LYNN VENTLING-HERRMANN	Individual	CORPORATE DIRECTOR	0	5/30/2024	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.
MAUREEN PATRICIA MCCAUSLAND	Individual	CORPORATE DIRECTOR	0	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.
NEIL LESLIE GULSVIG	Individual	CORPORATE DIRECTOR	0	5/30/2024	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.
STEPHANIE MARIE HERSETH SANDLIN	Individual	CORPORATE DIRECTOR	0	5/30/2024	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.
THOMAS RICHARD WENZEL	Individual	CORPORATE DIRECTOR	0	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.
WESLEY OWEN ENGBRECHT	Individual	CORPORATE DIRECTOR	0	5/30/2024	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.
WILLIAM JOSEPH GASSEN	Individual	CORPORATE DIRECTOR	0	5/30/2024	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.
AIMEE NICOLE MIDDLETON	Individual	CORPORATE OFFICER	0	1/27/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL ADAM FLUIT	Individual	CORPORATE OFFICER	0	10/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NATHAN THOMAS SCHEMA	Individual	CORPORATE OFFICER	0	1/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NICHOLAS WAYNE OLSON	Individual	CORPORATE OFFICER	0	4/8/2024	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.
WILLIAM JOSEPH GASSEN	Individual	CORPORATE OFFICER	0	5/30/2024	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.
BRIAN LEWIS	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.	8/25/2025	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.
DEEANDRA DAWN SANDGREN	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.	7/16/2023	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.
LAURA A SALONEK	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/8/2008	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.
TONY LEE MORRISON	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.	1/1/2019	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.

Changes in ownership

1 July 2026: MARK ALLEN LUNDEEN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRIAN LEWIS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRIAN LEWIS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRIAN LEWIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRIAN LEWIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2026: SANFORD no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: SANFORD appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 March 2026: CLEMENCIA RASQUINHA no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: CLEMENCIA RASQUINHA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: NICHOLAS WAYNE OLSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: LAURIS NELSON MOLBERT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: KEVIN VICTOR SCHIEFFER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: GUARDIAN PHARMACY OF MINNESOTA LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: NEIL LESLIE GULSVIG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DEEANDRA DAWN SANDGREN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DEEANDRA DAWN SANDGREN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DAVID JONATHAN SHULKIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: THOMAS RICHARD WENZEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: NATHAN THOMAS SCHEMA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SANFORD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MAUREEN PATRICIA MCCAUSLAND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: WESLEY OWEN ENGBRECHT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: GEORGE JOSEPH BROWN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: WILLIAM JOSEPH GASSEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: GRAPE TREE MEDICAL STAFFING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: STEPHANIE MARIE HERSETH SANDLIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: AIMEE NICOLE MIDDLETON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: ANDREW STEWART NORTH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DTN STAFFING INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DANA JAMES DYKHOUSE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JOEL ADAM FLUIT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: BRENT GERARD TEIKEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: FOCUSONE SOLUTIONS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MARNIE LYNN VENTLING-HERRMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MARK ALLEN LUNDEEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: BRIAN LEWIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: BRIAN LEWIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 June 2025: MICHAEL ROGERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LAURA A RINDFLEISCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CLEMENCIA RASQUINHA no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JAMES EDWARD CAIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TONY LEE MORRISON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TONY LEE MORRISON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KEVIN VICTOR SCHIEFFER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: THOMAS RICHARD WENZEL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MAUREEN PATRICIA MCCAUSLAND appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: GEORGE JOSEPH BROWN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LAURA A RINDFLEISCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LAURA A RINDFLEISCH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CLEMENCIA RASQUINHA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CLEMENCIA RASQUINHA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: TONY LEE MORRISON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 October 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: THOMAS PHILLIP KOOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SANFORD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: LINDA OLAYINKA NORMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT WOOTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT WOOTEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: LAURA A RINDFLEISCH appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: NICHOLAS WAYNE OLSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: LAURIS NELSON MOLBERT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: NEIL LESLIE GULSVIG appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DAVID JONATHAN SHULKIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SANFORD appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: WESLEY OWEN ENGBRECHT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: WILLIAM JOSEPH GASSEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: WILLIAM JOSEPH GASSEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: STEPHANIE MARIE HERSETH SANDLIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: ANDREW STEWART NORTH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: CLEMENCIA RASQUINHA appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DANA JAMES DYKHOUSE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: BRENT GERARD TEIKEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: JAMES EDWARD CAIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MARNIE LYNN VENTLING-HERRMANN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MARK ALLEN LUNDEEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 April 2024: MICHAEL ROGERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: WILLIAM D MARLETTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: MICHAEL ROGERS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: SCOTT WOOTEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: SCOTT WOOTEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 March 2024: DAVID A BRECHTELSBAUER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
2 October 2023: REBECCA MARIE BOLLIG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: KELBY K KRABBENHOFT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: LISA MELBY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JOANN L KUNKEL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JOANN L KUNKEL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: NORVAL BUCKNEBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JAVIER ESPINOSA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JILL SCHUMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: HEATHER LYNN KRZMARZICK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: CHAD JUNGMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: ALAN GARD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: ERIC VANDEN HULL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: ERIC VANDEN HULL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MICHELLE MARIE MICKA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MICHELLE MARIE MICKA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: STEPHANIE MARIE SWENSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: STEPHANIE MARIE SWENSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: LAURA A RINDFLEISCH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: PATRICIA CAMERO no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JOLYN JOY MUNSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JOLYN JOY MUNSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: RANDY BURY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: RANDY BURY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: DINA ROBINSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: KARIN LOUISE DULSKI no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: KARIN LOUISE DULSKI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: TONY LEE MORRISON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: DALE M THOMPSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: DEAN LOUIS BRESCIANI appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: THOMAS PHILLIP KOOP appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MATTHEW RYAN HOCKS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: AIMEE NICOLE MIDDLETON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: AIMEE NICOLE MIDDLETON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MICHAEL ROGERS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JOEL FLUIT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: WILLIAM D MARLETTE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: TONY LEE MORRISON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: LINDA OLAYINKA NORMAN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: HELEN ISABELLA MELLAND appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv

Recent changes on this record

1 July 2026: MARK ALLEN LUNDEEN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRIAN LEWIS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRIAN LEWIS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRIAN LEWIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRIAN LEWIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2026: SANFORD no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: SANFORD appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 March 2026: CLEMENCIA RASQUINHA no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: CLEMENCIA RASQUINHA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: NICHOLAS WAYNE OLSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: LAURIS NELSON MOLBERT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: KEVIN VICTOR SCHIEFFER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: GUARDIAN PHARMACY OF MINNESOTA LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: NEIL LESLIE GULSVIG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DEEANDRA DAWN SANDGREN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DEEANDRA DAWN SANDGREN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DAVID JONATHAN SHULKIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: THOMAS RICHARD WENZEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: NATHAN THOMAS SCHEMA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: SANFORD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: MAUREEN PATRICIA MCCAUSLAND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: WESLEY OWEN ENGBRECHT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: GEORGE JOSEPH BROWN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: WILLIAM JOSEPH GASSEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: GRAPE TREE MEDICAL STAFFING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: STEPHANIE MARIE HERSETH SANDLIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: AIMEE NICOLE MIDDLETON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: ANDREW STEWART NORTH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DTN STAFFING INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: DANA JAMES DYKHOUSE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: JOEL ADAM FLUIT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
1 March 2026: BRENT GERARD TEIKEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	12 February 2026	12 February 2026	8	2
2	9 January 2025	9 January 2025	2	0
3	8 November 2023	8 November 2023	1	2

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

Deficiencies cited

11 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
12 February 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	No	Deficient, Provider has date of correction	31 March 2026
12 February 2026	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	31 March 2026
12 February 2026	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	No	Deficient, Provider has date of correction	31 March 2026
12 February 2026	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	31 March 2026
12 February 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	31 March 2026
12 February 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	31 March 2026
12 February 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.	E	No	Deficient, Provider has date of correction	31 March 2026
12 February 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	31 March 2026
9 January 2025	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	No	Deficient, Provider has date of correction	31 January 2025
9 January 2025	Health	F 0636	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	D	No	Deficient, Provider has date of correction	31 January 2025
8 November 2023	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	29 December 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Date First Approved to Provide Medicare and Medicaid Services	1985-04-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Wright
Telephone Number	3205433800
Chain Name	GOOD SAMARITAN SOCIETY
Chain ID	726
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	32
Average Number of Residents per Day	28.3
Overall Rating	4
Health Inspection Rating	3
QM Rating	3
Long-Stay QM Rating	2
Short-Stay QM Rating	3
Processing Date	2026-08-01

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

Get an email when this record changes

One email a day naming what moved on GOOD SAMARITAN SOCIETY - HOWARD LAKE: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: MARK ALLEN LUNDEEN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

What the alerts are, and what a day of them looks like, is on the alerts page.

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for GOOD SAMARITAN SOCIETY - HOWARD LAKE

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Minnesota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 245278.