Skilled nursing facility · CMS certification number 245300
CERENITY CARE CENTER WHITE BEAR LAKE
WHITE BEAR LAKE, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 132
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 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 January 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,868,330 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,551,901 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,316,429 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,053,697 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$737,268 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,183,448 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $16,446,180 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $16,445,796 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 50,370 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,377 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 15,931 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 23,135 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 43,443 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 162 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 45 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 526 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 733 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 354.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446862, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 30 June 2024
Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 December 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,803,668 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,043,382 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,760,286 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,554,945 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$794,659 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,112,620 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,317,961 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,317,961 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,378 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 708 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 267.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 57.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401370, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 30 June 2023
Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,257,995 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,286,166 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,971,829 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,479,297 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,507,468 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,375,643 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $868,175 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $868,172 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,805 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 635 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 702.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 50.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371523, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 30 June 2022
Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,870,348 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,667,747 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,202,601 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,511,749 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,309,148 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,023,685 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$285,463 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$285,490 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,296 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 621 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 808.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 61.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340815, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 30 June 2021
Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 January 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,123,216 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,590,732 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,532,484 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,197,236 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,664,752 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,526,720 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $861,968 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $613,933 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,801 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 843 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 244.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 47.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309143, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 30 June 2020
Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 January 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,010,276 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,688,502 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,321,774 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,192,557 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$870,783 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,490,558 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,619,775 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,619,751 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,425 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 868 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 568.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278743, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 30 June 2019
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 February 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,701,567 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,198,144 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,503,423 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,883,293 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,379,870 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,945,382 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $565,512 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $565,412 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,883 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,181 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 15.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 247.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 39.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1250837, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,188,925 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,302,486 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,886,439 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,369,120 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,482,681 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,760,018 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $277,337 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $269,403 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,292 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,603 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 244.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 29.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217090, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 February 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,649,855 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,151,644 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,498,211 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,435,248 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,937,037 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,627,847 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$309,190 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$318,611 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,700 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,111 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 15.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 276.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 40.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1183404, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,774,273 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,965,726 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,808,547 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,915,659 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,107,112 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,741,908 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$365,204 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$382,746 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,447 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 966 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 14.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 310.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151812, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 May 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,726,419 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,761,322 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,965,097 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,307,883 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,342,786 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,965,280 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $622,494 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $622,493 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,330 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 868 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 490.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1124317, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 March 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,543,667 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,784,070 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,759,597 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,974,865 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,215,268 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,045,695 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,169,573 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,169,573 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,754 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 695 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 382.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1120356, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 1 May 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,905,790 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,757,685 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,148,105 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,291,035 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,142,930 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,885,348 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$257,582 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$257,584 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 178 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,307 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 736 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 349.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089662, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 30 May 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,790,260 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,926,954 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,863,306 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,186,119 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,322,813 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,668,203 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $345,390 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $339,907 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 187 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 59,875 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 729 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 385.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 82.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1061371, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 May 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,076,534 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,087,114 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,010,580 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,683,409 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $421 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $672,408 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 187 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,062 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 766 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 340.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 79.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434621, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 September 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,089,725 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,978,407 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$888,682 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,673,364 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $899 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $783,783 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 184 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,452 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 628 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 554.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 101.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417814, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 September 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,988,154 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,805,095 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$816,941 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,468,695 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $651,754 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 184 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,995 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 650 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 628.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 98.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 387966, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,281,660 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,743,746 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $537,914 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $80,455 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $618,369 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 184 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,067 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 797 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 494.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 80.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 350464, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 30 June 2007
Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 September 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,896,735 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,916,813 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,020,078 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $209,712 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $21,710 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$832,076 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 184 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,468 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 688 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 571.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 92.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 325598, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 7 March 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,342,471 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,298,911 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$956,440 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,000,871 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $31,870 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $12,561 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 185 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,749 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 658 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 574.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 93.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 303864, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 September 2004 to 30 June 2005 — a reporting period of 302 days, on form CMS-2540-96, settled, processed by CMS on 16 January 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,705,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,522,494 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $182,506 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $48,493 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,126,000 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$895,001 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 187 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,224 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 213 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 882.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 245.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 270518, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 31 August 2004
Cost report for 1 September 2003 to 31 August 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 January 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,613,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,615,588 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,588 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $333,412 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$316,000 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 67,226 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 157 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,006.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 428.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241240, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 31 August 2003
Cost report for 1 September 2002 to 31 August 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 January 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,493,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,567,675 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$74,675 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,675 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$57,000 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 191 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 67,318 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 209 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 759.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 322.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 204950, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 31 August 2002
Cost report for 1 September 2001 to 31 August 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 May 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,125,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,876,135 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $248,865 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $56,135 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $451,000 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$146,000 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 201 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,845 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 8,200.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 882.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 175575, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 31 August 2001
Cost report for 1 September 2000 to 31 August 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 July 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,827,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,165,870 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $661,130 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $61,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $147,130 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $575,000 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 201 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 69,944 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 137 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 849.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 510.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 154503, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 31 August 2000
Cost report for 1 September 1999 to 31 August 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,520,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,636,908 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$116,908 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $61,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $52,092 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$108,000 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 201 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,022 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 104 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,095.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 682.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 117064, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 31 August 1999
Cost report for 1 September 1998 to 31 August 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 18 March 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,172,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,958,567 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $213,433 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $104,567 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $370,000 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$52,000 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 201 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,365 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 106 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 141.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,140.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 673.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133070, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 August 1997
Cost report for 1 September 1996 to 31 August 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 November 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,041,474 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,563,445 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $478,029 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $92,725 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $394,810 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $175,944 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 201 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 72,374 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 253 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 679.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 286.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42037, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended 31 August 1996
Cost report for 1 September 1995 to 31 August 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 12 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,480,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,132,791 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $347,209 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $109,263 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $315,055 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $141,417 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 201 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 72,621 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 94.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,459.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 981.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 117083, read from the public cost report file SNFFY1995.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| HEALTHEAST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 50% | since 07/01/2005 |
| MILLER, ARIEL | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 07/18/2022 |
| CARLEY, GERALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/02/2018 |
| FOUSSARD, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/24/2010 |
| GRZYWINSKI, JOAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/13/2014 |
| KSEPKA, DAWN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/13/2013 |
| LUNDBERG, JONATHAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2018 |
| BERGIEN, TRICIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2017 |
| BRUHN, JENNIFER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/25/2019 |
| RYMANOWSKI, KEVIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2008 |
| BENEDICTINE HEALTH SYSTEM | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/01/2005 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CERENITY CARE CENTER-WHITE BEAR LAKE (enrollment ID O20051108000254).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| BENEDICTINE HEALTH SYSTEM | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 7/1/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
| HEALTHEAST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 7/1/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
| ARIEL MAE MILLER | Individual | CONTRACTED MANAGING EMPLOYEE | 0 | 7/18/2022 | 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. |
| DAWN MARIE KSEPKA | Individual | CORPORATE DIRECTOR | 0 | 6/13/2013 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| GERALD CARLEY | Individual | CORPORATE DIRECTOR | 0 | 1/2/2018 | 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. |
| JOAN GRZYWINSKI | Individual | CORPORATE DIRECTOR | 0 | 6/13/2014 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JONATHAN E LUNDBERG | Individual | CORPORATE DIRECTOR | 0 | 3/1/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WILLIAM FOUSSARD | Individual | CORPORATE DIRECTOR | 0 | 6/24/2010 | 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. |
| JENNIFER BRUHN | Individual | CORPORATE OFFICER | 0 | 11/25/2019 | 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. |
| KEVIN J RYMANOWSKI | Individual | CORPORATE OFFICER | 0 | 1/1/2008 | 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. |
| TRICIA BERGIEN | Individual | CORPORATE OFFICER | 0 | 1/1/2017 | 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. |
| BENEDICTINE HEALTH SYSTEM | Organization | OPERATIONAL/MANAGERIAL CONTROL | 50 | 7/1/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: JOAN GRZYWINSKI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOAN GRZYWINSKI appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 August 2023: PATRICK C MCDONALD no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: ARIEL MAE MILLER appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
Recent changes on this record
- 1 July 2026: JOAN GRZYWINSKI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOAN GRZYWINSKI appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 22 January 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 20 December 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 16 January 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 1 August 2023: PATRICK C MCDONALD no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: ARIEL MAE MILLER appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 24 January 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 20 January 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 21 January 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 12 February 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 27 December 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 6 February 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 24 January 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 20 May 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 10 March 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 1 May 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 30 May 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 15 May 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 15 September 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 21 September 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- 14 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- 9 September 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- 7 March 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- 16 January 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- 24 January 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- 21 January 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- 7 May 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- 28 July 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- 18 March 2003: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- 12 February 2003: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1995.zip
- 12 February 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- 22 November 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 11 December 2025 | 11 December 2025 | 7 | 1 |
| 2 | 21 November 2024 | 21 November 2024 | 5 | 3 |
| 3 | 16 February 2024 | 16 February 2024 | 15 | 11 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
27 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 2 February 2026 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Yes | Past Non-Compliance | |
| 11 December 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 28 January 2026 |
| 11 December 2025 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | No | Deficient, Provider has date of correction | 28 January 2026 |
| 11 December 2025 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | No | Deficient, Provider has date of correction | 28 January 2026 |
| 11 December 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 28 January 2026 |
| 11 December 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 28 January 2026 |
| 11 December 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 28 January 2026 |
| 21 November 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 31 December 2024 |
| 21 November 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 31 December 2024 |
| 21 November 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 31 December 2024 |
| 21 November 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 31 December 2024 |
| 21 November 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 31 December 2024 |
| 16 February 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 11 March 2024 |
| 16 February 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 11 March 2024 |
| 16 February 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 11 March 2024 |
| 16 February 2024 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | 11 March 2024 |
| 16 February 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | 11 March 2024 |
| 16 February 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 11 March 2024 |
| 16 February 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 11 March 2024 |
| 16 February 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 11 March 2024 |
| 16 February 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | 11 March 2024 |
| 16 February 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 11 March 2024 |
| 16 February 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | 11 March 2024 |
| 25 August 2023 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Yes | Deficient, Provider has date of correction | 2 October 2023 |
| 25 August 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | 2 October 2023 |
| 25 August 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 2 October 2023 |
| 25 August 2023 | Health | F 0802 | Nutrition and Dietary Deficiencies | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Yes | Deficient, Provider has date of correction | 2 October 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 2 February 2026 | Fine | $17,345 | 137100 | ||
| 16 February 2024 | Fine | $19,645 | 53770 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | CERENITY CARE CENTER-WHITE BEAR LAKE |
| Date First Approved to Provide Medicare and Medicaid Services | 1985-12-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Ramsey |
| Telephone Number | 6512321818 |
| 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 | 132 |
| Average Number of Residents per Day | 125.9 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| 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 CERENITY CARE CENTER WHITE BEAR 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: JOAN GRZYWINSKI no longer appears as CORPORATE DIRECTOR 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.
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 CERENITY CARE CENTER WHITE BEAR 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.
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 245300.