Skilled nursing facility · CMS certification number 245393

GOOD SHEPHERD LUTHERAN HOME

RUSHFORD, Minnesota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 65

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 7 January 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$7,325,770	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$29,836	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,295,934	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,508,122	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$212,188	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$652,581	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$440,393	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $440,393 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	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	690	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	9,596	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	6,750	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	17,036	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	10	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	10	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	24	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	44	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	959.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	387.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1401904, 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 7 March 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,830,912	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$33,358	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,797,554	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,325,748	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$528,194	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$321,139	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$207,055	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$207,055 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,115	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	49	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.91	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	871.36	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	369.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1374575, 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 21 March 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$6,759,612	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$22,284	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,737,328	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,155,322	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$417,994	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$226,951	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$191,043	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$191,043 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,184	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	42	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	61.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,262.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	480.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344660, 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.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$6,765,809	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$29,889	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,735,920	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,331,680	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$595,760	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$805,549	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$209,789	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $209,789 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,996	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	41	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	86.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,541.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	512.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313467, 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 26 May 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$7,110,164	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$34,171	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,075,993	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,441,629	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$365,636	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,061,321	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$695,685	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $695,685 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,029	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	52	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	64.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,049	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	442.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1284695, 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 21 April 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$7,249,995	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$31,761	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,218,234	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,096,281	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$121,953	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$147,952	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$269,905	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $269,905 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,107	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	56	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,675.57	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	430.48	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254311, 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 17 April 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$6,846,224	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$20,724	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,825,500	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,983,181	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$157,681	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$145,033	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$12,648	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$12,648 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
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	24,179	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	69	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	305.22	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	350.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1222318, 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.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$5,823,200	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$162,984	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,986,184	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,576,920	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$590,736	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$175,093	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$415,643	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$415,643 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
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	23,140	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	36	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	61.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	3,027.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	642.78	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188216, 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 18 April 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$5,824,477	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$358,981	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,183,458	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,141,193	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$42,265	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$150,303	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$192,568	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $192,568 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,628	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	58	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,739.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	424.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1155871, 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 20 May 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$5,305,763	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$311,535	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,617,298	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,708,038	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$90,740	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$87,497	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$3,243	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,243 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,517	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	74	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.24	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,720.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	344.82	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1124341, 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 4 February 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$5,260,918	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$239,111	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,500,029	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,533,950	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$33,921	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$91,346	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$57,425	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $57,425 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,369	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	56	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.77	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,084.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	453.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118631, 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 6 August 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$5,217,022	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$294,213	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,511,235	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,421,660	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$89,575	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$118,671	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$208,246	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $208,246 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,375	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	55	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,251.73	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	479.55	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1106853, 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 23 September 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$5,330,234	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$330,755	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,660,989	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,565,900	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$95,089	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$110,430	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$205,519	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $205,519 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,420	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	84	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	60.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,361.22	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	302.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1078304, 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 19 June 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$5,430,949	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,405,631	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$25,318	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$111,862	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $137,180 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,117	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	71	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	55.88	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,333.36	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	353.76	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 434864, 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 13 December 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$5,349,714	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,379,551	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$29,837	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$143,075	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $113,238 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,325	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	68	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	64.45	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,971.43	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	387.13	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 421551, 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 9 December 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$5,465,649	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,320,602	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$145,047	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$110,444	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$43,366	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $212,125 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,234	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	73	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	62.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	632.71	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	359.37	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 390787, 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 21 April 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$5,002,191	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,085,013	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$82,822	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$95,704	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $12,882 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,105	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	50	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	63.29	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,198.38	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	502.1	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 337532, 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 23 April 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$4,870,863	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,875,952	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$5,089	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$114,472	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $109,383 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,646	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	59	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	52.72	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,305.92	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	451.63	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 306275, 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.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$4,582,244	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,043,648	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$461,404	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$230,326	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$815	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$231,893 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	79	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,209	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	89	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	49.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	998.27	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	305.72	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 300614, 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 24 January 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$4,703,780	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,710,059	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$6,279	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$157,794	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $151,515 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	79	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,909	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	67.83	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	859	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	436.08	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 270929, 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 14 February 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$4,438,579	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,557,650	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$119,071	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$119,559	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $488 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	79	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,506	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	75	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.18	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	947.26	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	366.75	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 242778, 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.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$4,286,127	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,191,167	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$94,960	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$103,287	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $198,247 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	79	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,749	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	48	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	60.35	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,381.29	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	578.1	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 205363, 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 7 May 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$4,006,314	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,984,971	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$21,343	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$66,775	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $88,118 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	79	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,992	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	49	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	60.52	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,189.47	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	571.27	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 175582, 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 7 May 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$3,909,918	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,841,110	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$68,808	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$111,935	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $180,743 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	79	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,321	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	73	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	62.33	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	717.64	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	374.26	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 144457, 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 22 January 2002.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$3,488,196	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,838,464	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$350,268	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$94,780	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$255,488 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	85	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,461	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	51.81	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	670.65	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	356.64	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 42309, 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 14 August 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$3,456,328	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,699,401	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$243,073	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$132,809	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$110,264 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	85	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,017	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	52.68	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	588.71	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	363.86	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 42307, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 30 September 1998

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

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$3,509,336	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,673,669	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$164,333	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$167,160	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $2,827 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	85	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	29,220	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	136	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	212.78	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	368.16	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	214.85	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 42306, 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 May 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$3,484,405	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,449,812	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$34,593	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$102,708	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $137,301 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,509	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	107	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	289.75	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	697.19	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	303.82	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 28888, 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 9 March 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$3,332,316	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,262,773	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$69,543	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$82,657	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $152,200 (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.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	98	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,521	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	161	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	261	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	559.17	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	208.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 28886, read from the public cost report file SNFFY1996.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
USDA DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 10/01/2024
A & H PHARMACIST CONSULTANT SERVICE	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2024
CLIFTONLARSONALLEN LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2025
COLBENSON, SAMANTHA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/11/2021
GRAPE TREE MEDICAL STAFFING LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2024
MODJESKI, NICHOLAS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2024
ONESTAFF MEDICAL	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2024
PRIME TIME HEALTHCARE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2024
SPECE, RHONDA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/12/2018
TRIAGE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2024
BENSON, RANDY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
COOK, SONJA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/01/2023
CULHANE, JOHN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
DVORAK, LUANNE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2021
EBNER, WENDY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
HATLEVIG, DEAN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
INGRAM, KATHRYN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2023
PRONK, JUDITH	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
SNYDER, NANCY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2021
ZOELLE-JOHNSON, BARBARA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/01/2023
CULHANE, JOHN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2024
SNYDER, NANCY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2021
SPECE, RHONDA	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/12/2018
ZOELLE-JOHNSON, BARBARA	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2024
COLBENSON, SAMANTHA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/11/2021
SPECE, RHONDA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/18/2000

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of GOOD SHEPHERD LUTHERAN HOME (enrollment ID O20070227000687).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
USDA DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT	Organization	5% OR GREATER MORTGAGE INTEREST	11	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
A & H PHARMACIST CONSULTANT SERVICE	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.	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
CLIFTONLARSONALLEN LLP	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.	10/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
GRAPE TREE MEDICAL STAFFING LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
NICHOLAS MODJESKI	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2024	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.
ONESTAFF MEDICAL	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.	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
PRIME TIME HEALTHCARE 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.	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
RHONDA S SPECE	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.	2/12/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SAMANTHA J COLBENSON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/11/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TRIAGE 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.	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
BARBARA J ZOELLE-JOHNSON	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2023	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.
DEAN HATLEVIG	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2024	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.
JOHN M CULHANE	Individual	CORPORATE DIRECTOR	0	4/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JUDITH C PRONK	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2024	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.
KATHRYN J INGRAM	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2023	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.
LUANNE K DVORAK	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NANCY L SNYDER	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RANDY BENSON	Individual	CORPORATE DIRECTOR	5	4/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SONJA A COOK	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2023	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.
WENDY EBNER	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2024	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.
BARBARA J ZOELLE-JOHNSON	Individual	CORPORATE OFFICER	0	4/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN M CULHANE	Individual	CORPORATE OFFICER	0	4/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NANCY L SNYDER	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RHONDA S SPECE	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/12/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RHONDA S SPECE	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.	2/18/2000	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.
SAMANTHA J COLBENSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/11/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 April 2026: LUANNE K DVORAK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RHONDA S SPECE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RHONDA S SPECE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NANCY L SNYDER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 May 2025: RHONDA S SPECE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RHONDA S SPECE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SAMANTHA J COLBENSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SAMANTHA J COLBENSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: LUANNE K DVORAK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: NICHOLAS MODJESKI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RHONDA S SPECE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SAMANTHA J COLBENSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: GRAPE TREE MEDICAL STAFFING, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ONESTAFF MEDICAL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: PRIME TIME HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: USDA DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: TRIAGE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: A & H PHARMACIST CONSULTANT SERVICE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RANDY BENSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CLIFTONLARSENALLEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: NICHOLAS MODJESKI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 August 2024: KAREN EICH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: RICHARD J JOHNSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: LOUIS BOEHMKE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: DEAN HATLEVIG appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: WENDY EBNER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JUDITH C PRONK appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: BARBARA J ZOELLE-JOHNSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JOHN CULHANE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: NICHOLAS MODJESKI appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
17 July 2023: DARLENE CHIOLO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: LINDA A PAULSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: MARVIN D HOSCH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: DAVID U'REN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: SONJA COOK appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: KATHERYN INGRAM appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: BARBARA ZOELLE-JOHNSON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: JOHN CULHANE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv

Recent changes on this record

1 April 2026: LUANNE K DVORAK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RHONDA S SPECE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RHONDA S SPECE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NANCY L SNYDER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 May 2025: RHONDA S SPECE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RHONDA S SPECE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SAMANTHA J COLBENSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SAMANTHA J COLBENSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: LUANNE K DVORAK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: NICHOLAS MODJESKI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RHONDA S SPECE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SAMANTHA J COLBENSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: GRAPE TREE MEDICAL STAFFING, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ONESTAFF MEDICAL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: PRIME TIME HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: USDA DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: TRIAGE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: A & H PHARMACIST CONSULTANT SERVICE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RANDY BENSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CLIFTONLARSENALLEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: NICHOLAS MODJESKI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
7 January 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 August 2024: KAREN EICH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: RICHARD J JOHNSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: LOUIS BOEHMKE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: DEAN HATLEVIG appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: WENDY EBNER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JUDITH C PRONK appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: BARBARA J ZOELLE-JOHNSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JOHN CULHANE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: NICHOLAS MODJESKI appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
7 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
17 July 2023: DARLENE CHIOLO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: LINDA A PAULSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: MARVIN D HOSCH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: DAVID U'REN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: SONJA COOK appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: KATHERYN INGRAM appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: BARBARA ZOELLE-JOHNSON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: JOHN CULHANE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	12 May 2026	12 May 2026	2	0
2	12 March 2025	12 March 2025	1	3
3	25 January 2024	25 January 2024	2	7

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

Deficiencies cited

5 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
12 May 2026	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	C	No	Deficient, Provider has date of correction	26 June 2026
12 May 2026	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	26 June 2026
12 February 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	6 March 2025
25 January 2024	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	29 February 2024
25 January 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	29 February 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 - Other
Legal Business Name	GOOD SHEPHERD LUTHERAN HOME
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	Fillmore
Telephone Number	5078647714
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	65
Average Number of Residents per Day	50.2
Overall Rating	5
Health Inspection Rating	5
QM Rating	4
Long-Stay QM Rating	4
Processing Date	2026-08-01

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

Get an email when this record changes

One email a day naming what moved on GOOD SHEPHERD LUTHERAN HOME: 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 April 2026: LUANNE K DVORAK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

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

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The citable document for GOOD SHEPHERD LUTHERAN HOME

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.

Read the citable document for this facility →

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 245393.