Skilled nursing facility · CMS certification number 245339
BENEDICTINE LIVING COMMUNITY MOTHER OF MERCY
ALBANY, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 76
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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 April 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,634,499 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $551,613 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,082,886 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,118,538 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$35,652 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $377,825 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $342,173 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $342,173 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 23,790 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 740 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 10,878 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,304 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 19,922 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 33 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 161 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 88 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 282 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 67.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1420406, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 30 September 2023
Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 April 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,189,568 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $463,069 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,726,499 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,990,135 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,263,636 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,168,748 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,905,112 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,905,112 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,195 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,131.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 224.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376170, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 30 September 2022
Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 March 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,446,930 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $589,730 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,857,200 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,807,170 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,949,970 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $679,172 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,270,798 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,270,798 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,254 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 622 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 250.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345023, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 30 September 2021
Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,751,452 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $182,234 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,569,218 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,629,166 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,059,948 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,352,762 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $292,814 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $292,814 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,831 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 165.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314503, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 30 September 2020
Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 June 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,391,752 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $404,084 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,987,668 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,825,664 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,837,996 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,455,370 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$382,626 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$382,626 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,148 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 206 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 322.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 102.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1285120, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 30 September 2019
Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,452,754 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $452,943 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,999,811 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,816,065 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,816,254 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,568,784 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$247,470 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$247,470 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,354 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 202 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 422.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253722, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 30 September 2018
Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 March 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,539,700 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $432,430 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,107,270 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,744,327 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,637,057 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,618,759 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$18,298 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,494 (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 | 73 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,059 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 259 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 281.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221944, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 30 September 2017
Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,125,668 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $393,755 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,731,913 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,948,820 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,216,907 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,952,936 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$263,971 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$248,821 (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 | 73 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,014 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 217 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 447.21 | 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 1189549, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 30 September 2016
Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 9 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,638,957 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $359,905 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,279,052 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,899,094 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,620,042 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,791,871 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $171,829 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $196,818 (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 | 73 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,050 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 206 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 379.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189548, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 September 2015
Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,380,492 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $243,312 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,137,180 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,436,926 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,299,746 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,689,632 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$610,114 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$927,684 (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 | 76 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,123 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 163 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 323.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1123068, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 30 September 2014
Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,617,968 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $178,509 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,439,459 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,229,517 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,790,058 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,912,604 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $122,546 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,510 (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 | 76 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,917 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 139 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 676.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 193.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1137040, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 30 September 2013
Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 September 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,537,566 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $204,456 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,333,110 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,871,938 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,538,828 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,356,869 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$181,959 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$366,806 (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 | 76 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,594 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,421.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 305.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1110611, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 30 September 2012
Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 September 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,807,098 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $246,385 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,560,713 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,819,878 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,259,165 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,440,654 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $181,489 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $170,409 (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 | 76 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,714 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,426.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 272.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1078487, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 30 September 2011
Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,856,921 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,799,058 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$942,137 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,315,775 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $23,250 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $350,388 (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 | 76 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,331 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,727.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 302.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 435046, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended 30 September 2010
Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 April 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,441,882 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,667,484 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,225,602 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,481,697 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $49,932 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $206,163 (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 | 76 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,469 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 143 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 267 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 192.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 397849, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 30 September 2009
Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 January 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,155,672 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,176,092 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,020,420 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,293,472 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $34,352 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $238,700 (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 | 76 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,705 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 233 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 308.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 114.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392466, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 30 September 2008
Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 20 January 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,309,228 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,136,741 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$827,513 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,237,373 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $409,860 (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 | 76 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,598 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,137.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 277.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362636, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 30 September 2007
Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 February 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,805,387 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,468,114 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$662,727 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,067,638 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $404,911 (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 | 76 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,633 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,031.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 280.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333765, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 30 September 2006
Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 January 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,474,443 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,966,586 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$492,143 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,005,908 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $513,765 (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 | 76 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,871 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 134 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 859.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 193.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 300609, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 30 September 2005
Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 January 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,141,910 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,007,386 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$865,476 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,061,153 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $195,677 (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 | 76 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,463 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 111 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 893 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 238.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 270520, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 30 September 2004
Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 21 March 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,151,386 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,868,551 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$717,165 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,154,228 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $437,063 (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 | 84 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,454 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 115 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,483 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 247.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 245581, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 30 September 2003
Cost report for 1 October 2002 to 30 September 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 January 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,941,291 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,681,051 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$739,760 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,038,863 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $299,103 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,093 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 64 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 649.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 438.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205353, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 30 September 2002
Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 March 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,895,273 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,452,206 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$556,933 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $971,494 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $414,561 (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 | 76 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,025 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 132 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 577.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 170715, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 30 September 2001
Cost report for 1 October 2000 to 30 September 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 May 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,623,313 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,305,676 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$682,363 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $993,230 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $310,867 (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 | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,621 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,673.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 289.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 146334, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 30 September 2000
Cost report for 1 October 1999 to 30 September 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 25 February 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,521,784 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,878,942 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$357,158 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $686,358 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $329,200 (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 | 84 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,888 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,576.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 489.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42122, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 30 September 1999
Cost report for 1 October 1998 to 30 September 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 June 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,283,140 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,450,853 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$167,713 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $389,895 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $222,182 (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 | 84 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,058 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 64 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 880.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 469.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42120, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 30 September 1998
Cost report for 1 October 1997 to 30 September 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 October 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,016,932 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,178,587 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$161,655 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $444,934 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $283,279 (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 | 84 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,364 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 62 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 975.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 473.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42119, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 30 September 1997
Cost report for 1 October 1996 to 30 September 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 November 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,906,036 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,070,676 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$164,640 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $397,035 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $294,040 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$61,645 (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 | 84 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,472 | 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 | 52.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 821.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 382.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42118, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 30 September 1996
Cost report for 1 October 1995 to 30 September 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 20 July 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,132,539 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,090,516 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $42,023 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $95,735 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $137,758 (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 | 84 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,246 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 44 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 82.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,393.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 687.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28754, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BENEDICTINE HEALTH SYSTEM | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2026 |
| KUHN, JENNIFER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2026 |
| LEWIS, BRIAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2026 |
| CARLEY, GERALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/22/1969 |
| KNAPP, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/26/2012 |
| KOOP, STEVEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| PAULSEN, RONALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| PETERSON, ANNELIESE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| TOMCZIK, PAUL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/23/2015 |
| VEBELUN, EDWARD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| BERGIEN, TRICIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2026 |
| RYMANOWSKI, KEVIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2026 |
| KUHN, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2026 |
| LEWIS, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2026 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MOTHER OF MERCY (enrollment ID O20040930000568).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| BENEDICTINE HEALTH SYSTEM | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| BENEDICTINE HEALTH SYSTEM | 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. | 1/1/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| 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. | 1/1/2026 | 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 KUHN | 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. | 1/21/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/4/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2026 | 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. |
| ANNELIESE PETERSON | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | 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. |
| EDWARD VEBELUN | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | 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 | 1/22/1969 | 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 KNAPP | Individual | CORPORATE DIRECTOR | 0 | 9/26/2012 | 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. |
| PAUL TOMCZIK | Individual | CORPORATE DIRECTOR | 0 | 9/23/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RONALD PAULSEN | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | 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. |
| STEVEN KOOP | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | 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 | 1/1/2026 | 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 | 1/1/2026 | 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. | 1/1/2026 | 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 KUHN | 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. | 1/1/2026 | 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: 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: ANNELIESE PETERSON 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 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 July 2026: ANNELIESE PETERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2026: TOM BAUMGARTNER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TERRY OEHRLEIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DEAN ANTHONY MCDEVITT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BRADLEY JENNIGES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JACKIE ATKINSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BENEDICTINE HEALTH SYSTEM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BENEDICTINE HEALTH SYSTEM 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: STEVEN KOOP appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: GERALD CARLEY appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: EDWARD VEBELUN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JENNIFER KUHN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JENNIFER KUHN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: RONALD PAULSEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TRICIA BERGIEN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: KEVIN J RYMANOWSKI appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BRIAN LEWIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BRIAN LEWIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ANNELIESE PETERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 September 2024: TOM VOSS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- 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: ANNELIESE PETERSON 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 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 July 2026: ANNELIESE PETERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2026: TOM BAUMGARTNER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TERRY OEHRLEIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DEAN ANTHONY MCDEVITT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BRADLEY JENNIGES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JACKIE ATKINSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BENEDICTINE HEALTH SYSTEM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BENEDICTINE HEALTH SYSTEM 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: STEVEN KOOP appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: GERALD CARLEY appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: EDWARD VEBELUN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JENNIFER KUHN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JENNIFER KUHN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: RONALD PAULSEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TRICIA BERGIEN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: KEVIN J RYMANOWSKI appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BRIAN LEWIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: BRIAN LEWIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ANNELIESE PETERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 29 April 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 September 2024: TOM VOSS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 10 April 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 28 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 21 April 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 2 June 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 15 April 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 27 March 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 9 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 9 May 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 25 July 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 2 May 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 22 September 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 27 September 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 23 July 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 26 February 2026 | 26 February 2026 | 8 | 2 |
| 2 | 20 December 2024 | 20 December 2024 | 14 | 7 |
| 3 | 26 October 2023 | 26 October 2023 | 9 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
31 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 4 June 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 | Yes | Deficient, Provider has date of correction | 29 June 2026 |
| 4 June 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Past Non-Compliance | 15 May 2026 |
| 12 May 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Past Non-Compliance | 21 April 2026 |
| 26 February 2026 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | 2 April 2026 |
| 26 February 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 2 April 2026 |
| 26 February 2026 | 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 | 2 April 2026 |
| 26 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. | F | No | Deficient, Provider has date of correction | 2 April 2026 |
| 26 February 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 2 April 2026 |
| 20 December 2024 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Yes | Deficient, Provider has date of correction | 30 January 2025 |
| 20 December 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 | 30 January 2025 |
| 20 December 2024 | 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 | Yes | Deficient, Provider has date of correction | 30 January 2025 |
| 20 December 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | 30 January 2025 |
| 20 December 2024 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | 30 January 2025 |
| 20 December 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | 30 January 2025 |
| 20 December 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | 30 January 2025 |
| 20 December 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | F | No | Deficient, Provider has date of correction | 30 January 2025 |
| 20 December 2024 | Health | F 0838 | Administration Deficiencies | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | No | Deficient, Provider has date of correction | 30 January 2025 |
| 20 December 2024 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | F | No | Deficient, Provider has date of correction | 30 January 2025 |
| 20 December 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 30 January 2025 |
| 20 December 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | 30 January 2025 |
| 10 October 2024 | 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 | Yes | Deficient, Provider has date of correction | 21 November 2024 |
| 10 October 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 | Yes | Deficient, Provider has date of correction | 21 November 2024 |
| 19 July 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 23 August 2024 |
| 19 July 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | Yes | Deficient, Provider has date of correction | 23 August 2024 |
| 24 January 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | Yes | Deficient, Provider has date of correction | 9 February 2024 |
| 24 January 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 16 February 2024 |
| 26 October 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 4 December 2023 |
| 26 October 2023 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | No | Deficient, Provider has date of correction | 4 December 2023 |
| 26 October 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 | 4 December 2023 |
| 26 October 2023 | Health | F 0851 | Administration Deficiencies | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | No | Deficient, Provider has date of correction | 4 December 2023 |
| 23 August 2023 | 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 | Yes | Deficient, Provider has date of correction | 26 September 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 |
|---|---|---|---|---|---|
| 4 June 2026 | Fine | $27,378 | 140435 | ||
| 20 December 2024 | Fine | $70,618 | 53932 | ||
| 20 December 2024 | Payment Denial | 31 January 2025 | 5 |
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 - Church related |
| Legal Business Name | MOTHER OF MERCY |
| Date First Approved to Provide Medicare and Medicaid Services | 1986-07-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Stearns |
| Telephone Number | 3208452195 |
| Chain Name | BENEDICTINE HEALTH SYSTEM |
| Chain ID | 75 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 76 |
| Average Number of Residents per Day | 55.1 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
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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: BRIAN LEWIS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for BENEDICTINE LIVING COMMUNITY MOTHER OF MERCY
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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