Skilled nursing facility · CMS certification number 245389
LANGTON SHORES
ROSEVILLE, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 50
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 5 February 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,494,171 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,982,556 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,511,615 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,083,308 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$571,693 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $689,035 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $117,342 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $117,342 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 18,300 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,583 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 2,668 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,055 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 16,306 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 150 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 12 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 373 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 535 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 222.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 30.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403208, 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 13 February 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,280,978 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $767,195 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,513,783 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,897,129 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,383,346 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,145,408 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$237,938 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$237,938 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,257 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 410 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 61.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 29.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373312, 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 26 April 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,031,708 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $46,352 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $985,356 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,315,485 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,330,129 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,166,767 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$163,362 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$163,362 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 2,586 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 521 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1346362, 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 | $8,080,252 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,129,722 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,950,530 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,346,978 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,396,448 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,010,365 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,386,083 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,386,083 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,342 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 560 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 42.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 22.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313960, 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 22 April 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,265,703 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $668,129 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,597,574 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,059,370 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,461,796 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,594,143 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $11,132,347 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $11,132,347 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,417 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 743 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 18.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282736, 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 23 April 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,873,569 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $573,774 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,299,795 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,262,478 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$962,683 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $219,837 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$742,846 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$742,846 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,156 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 904 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 18.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254491, 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 February 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,661,375 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $465,630 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,195,745 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,284,244 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,088,499 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$2,928,425 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,016,924 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,016,924 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,156 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 810 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 27.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1220262, 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 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,604,332 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $931,709 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,672,623 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,684,211 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$11,588 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $233,370 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $221,782 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $221,782 (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 | 99 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,001 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 988 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 28.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189075, 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 28 February 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,861,570 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,475,604 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,385,966 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,573,660 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$187,694 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $244,943 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $57,249 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $57,249 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,456 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,136 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 26.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153662, 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 5 May 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,531,416 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,405,595 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,125,821 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,573,366 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $552,455 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $103,923 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $656,378 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $656,378 (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 | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,849 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,123 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 28.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1123312, 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 16 April 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,668,959 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,507,839 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,161,120 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,435,255 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $725,865 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $94,609 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $820,474 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $820,474 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,771 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,096 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 29.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088662, 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 23 April 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,485,264 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,735,381 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,749,883 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,844,181 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$94,298 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $617,124 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $522,826 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $522,826 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,991 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,087 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 32.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058813, 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 19 April 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,482,379 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,907,456 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,574,923 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,353,404 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $221,519 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $77,115 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $298,634 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $298,634 (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 | 119 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,469 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,276 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 28.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1027519, 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 27 June 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $17,594,153 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,417,906 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $176,247 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $170,852 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $347,099 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,914 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,079 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 33.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434980, 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 19 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $21,639,580 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,683,349 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$43,769 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $211,919 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $168,150 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,839 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 860 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 46.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423536, 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 8 March 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $22,419,416 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,065,739 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $353,677 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $202,183 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $555,860 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,182 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,238 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 35.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 395185, 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 19 May 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $20,020,168 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,214,127 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $806,041 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $177,877 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $983,918 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,955 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,154 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 42.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 339555, 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 25 February 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,957,991 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,352,963 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $605,028 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $200,657 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,240 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $804,445 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,226 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,116 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 44.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 334181, 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 7 March 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,878,819 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,467,989 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $410,830 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $339,618 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,287 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $747,161 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,907 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,366 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 35.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 303867, 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 13 March 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,371,056 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,922,560 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $448,496 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $144,775 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $593,271 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,760 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,322 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 36.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 274762, 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 | $12,983,556 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,915,308 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $68,248 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $811,659 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $513 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $879,394 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,295 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,502 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 32.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 245584, 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 | $12,594,070 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,917,478 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$323,408 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $169,346 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$154,062 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,663 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,432 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 35.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205362, 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 25 June 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,107,247 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,182,904 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$75,657 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $288,729 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $213,072 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,687 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,197 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 42.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 184294, 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 19 June 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,065,819 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,660,747 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$594,928 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $198,806 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$396,122 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,629 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,253 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 38.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 150055, 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 18 March 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,900,270 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,345,202 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $4,555,068 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $81,873 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,623,131 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$986,190 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,171 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,188 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 44.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133002, 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, as submitted, processed by CMS on 15 June 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,497,448 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,521,762 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $3,975,686 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $190,877 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,263,996 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$1,097,433 (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 | 165 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,526 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,220 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 43.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42299, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 30 September 1998
Cost report for 1 October 1997 to 30 September 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 November 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,135,860 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,921,350 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $4,214,510 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $147,673 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,482,873 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$120,690 (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 | 165 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,356 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 891 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 13.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 61.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42298, 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, reopened, processed by CMS on 6 January 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,763,772 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,924,280 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$160,508 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $406,118 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $245,610 (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 | 165 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,982 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 466 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 124.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42296, 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 6 November 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,772,666 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,816,602 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$43,936 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $238,422 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $194,486 (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 | 165 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,089 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 341 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 173.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28877, 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 |
|---|---|---|---|---|
| PRESBYTERIAN HOMES AND SERVICES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/2020 |
| ASSOCIATED BANK, NATIONAL ASSOCIATION | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 12/06/2018 |
| ASSOCIATED BANK, NATIONAL ASSOCIATION | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 12/06/2018 |
| FLETCHER, JONATHAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| GAGNON, ALLISON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/18/2024 |
| MEYER, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/11/2011 |
| MIELKE, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/28/2023 |
| PETERSON, HEIDI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2023 |
| PHS MANAGEMENT, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/20/2025 |
| FLETCHER, JONATHAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/01/2025 |
| PEDERSON, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2023 |
| PETERSON, HEIDI | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/01/2025 |
| FLETCHER, JONATHAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2025 |
| MEYER, MARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/11/2011 |
| FLETCHER, JONATHAN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/14/2026 |
| FLETCHER, JONATHAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2025 |
| GAGNON, ALLISON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/18/2024 |
| MEYER, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/11/2011 |
| MIELKE, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/29/2019 |
| PEDERSON, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2023 |
| PETERSON, HEIDI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2023 |
| PHS MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/11/2011 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PRESBYTERIAN HOME CARE CENTERS INC (enrollment ID O20100323000350).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PRESBYTERIAN HOMES AND SERVICES | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| ASSOCIATED BANK, NATIONAL ASSOCIATION | Organization | 5% OR GREATER MORTGAGE INTEREST | 75 | 12/6/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| ASSOCIATED BANK, NATIONAL ASSOCIATION | Organization | 5% OR GREATER SECURITY INTEREST | 75 | 12/6/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALLISON GAGNON | 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. | 6/18/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| HEIDI A PETERSON | 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. | 1/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN W MIELKE | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/28/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JONATHAN DAVID FLETCHER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK T MEYER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/11/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PHS MANAGEMENT, LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/20/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| HEIDI A PETERSON | Individual | CORPORATE DIRECTOR | 33 | 2/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JONATHAN DAVID FLETCHER | Individual | CORPORATE DIRECTOR | 33 | 2/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK A PEDERSON | Individual | CORPORATE DIRECTOR | 33 | 1/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JONATHAN DAVID FLETCHER | Individual | CORPORATE OFFICER | 50 | 2/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK T MEYER | Individual | CORPORATE OFFICER | 50 | 3/11/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ALLISON GAGNON | 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. | 6/18/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| HEIDI A PETERSON | 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. | 1/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN W MIELKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/29/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JONATHAN DAVID FLETCHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK A PEDERSON | 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. | 1/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK T MEYER | 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. | 3/11/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PHS MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 3/11/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: JOHN W MIELKE 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: JOHN W MIELKE 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: JOHN W MIELKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN W MIELKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2026: DUANE W LARSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DANIEL A LINDH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DANIEL A LINDH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: AMY K FLOY 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: MARK T MEYER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: PRESBYTERIAN HOMES AND SERVICES 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: HEIDI A PETERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: HEIDI A PETERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: HEIDI A PETERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: PHS MANAGEMENT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JONATHAN DAVID FLETCHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JONATHAN DAVID FLETCHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JONATHAN DAVID FLETCHER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JONATHAN DAVID FLETCHER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ALLISON GAGNON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ALLISON GAGNON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MARK A PEDERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MARK A PEDERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MARK T MEYER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MARK T MEYER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JOHN W MIELKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JOHN W MIELKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
Recent changes on this record
- 1 July 2026: JOHN W MIELKE 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: JOHN W MIELKE 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: JOHN W MIELKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHN W MIELKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2026: DUANE W LARSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DANIEL A LINDH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DANIEL A LINDH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: AMY K FLOY 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: MARK T MEYER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: PRESBYTERIAN HOMES AND SERVICES 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: HEIDI A PETERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: HEIDI A PETERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: HEIDI A PETERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: PHS MANAGEMENT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JONATHAN DAVID FLETCHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JONATHAN DAVID FLETCHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JONATHAN DAVID FLETCHER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JONATHAN DAVID FLETCHER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ALLISON GAGNON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ALLISON GAGNON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MARK A PEDERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MARK A PEDERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MARK T MEYER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MARK T MEYER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JOHN W MIELKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JOHN W MIELKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 5 February 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 13 February 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 26 April 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
- 22 April 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 23 April 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 27 February 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 2 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 28 February 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 5 May 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 16 April 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 23 April 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 27 June 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- 19 April 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 15 January 2026 | 15 January 2026 | 0 | 1 |
| 2 | 21 November 2024 | 21 November 2024 | 1 | 1 |
| 3 | 31 January 2024 | 31 January 2024 | 1 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
2 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 21 November 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 | 19 December 2024 |
| 23 May 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 14 June 2024 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | PRESBYTERIAN HOME CARE CENTERS INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1986-12-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Ramsey |
| Telephone Number | 6516316200 |
| Chain Name | PRESBYTERIAN HOMES & SERVICES |
| Chain ID | 412 |
| 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 | 50 |
| Average Number of Residents per Day | 44.7 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| 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
One email a day naming what moved on LANGTON SHORES: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: JOHN W MIELKE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for LANGTON SHORES
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Minnesota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 245389.