Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 245411

SHIRLEY CHAPMAN SHOLOM HOME EAST

SAINT PAUL, Minnesota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 118

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 21 March 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$19,132,454CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,928,928CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$17,203,526CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$25,078,660CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$7,875,134CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,310,841CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$564,293CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$564,293 (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
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components43,188CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,261CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days16,294CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days14,390CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components33,945CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges113CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges40CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges241CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components394CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.86CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days407.35CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days86.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405641, 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 21 March 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$16,694,785CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,577,676CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,117,109CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$22,686,786CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$7,569,677CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,443,164CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,126,513CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,126,513 (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
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,454CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components366CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days731.68CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days91.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375363, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 30 September 2022

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 September 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$14,755,547CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,297,237CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,458,310CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$21,008,538CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$7,550,228CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,606,140CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$944,088CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$944,088 (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
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,297CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components332CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.34CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days929.35CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days97.28CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365464, 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
FigureAs filedWhere it comes from
Total patient revenue$13,753,195CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,265,455CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,487,740CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$19,995,656CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$7,507,916CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,985,771CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$477,855CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $477,855 (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
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,140CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components310CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.94CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days875.59CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days97.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313528, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 30 September 2020

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 April 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$16,020,777CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,444,364CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,576,413CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$20,018,576CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$5,442,163CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,488,463CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,046,300CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,046,300 (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
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,000CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components485CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days451.69CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days76.29CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1282737, 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
FigureAs filedWhere it comes from
Total patient revenue$18,206,830CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,443,955CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,762,875CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$21,270,739CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$5,507,864CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,228,696CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$720,832CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $720,832 (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
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components39,361CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components695CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days147.4CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days56.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254312, 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 20 March 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$17,463,845CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,566,844CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,897,001CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$20,481,717CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$5,584,716CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,348,995CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$235,721CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$235,721 (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
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,972CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components545CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.3CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days556.31CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days71.51CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1221506, 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
FigureAs filedWhere it comes from
Total patient revenue$15,930,806CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,405,704CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,525,102CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$19,837,543CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$6,312,441CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,841,478CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$470,963CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$470,963 (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
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,871CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components620CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.45CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days172.12CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days57.86CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1187944, 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 19 April 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$15,624,482CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,718,719CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,905,763CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$19,343,693CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$6,437,930CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,552,799CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$885,131CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$885,131 (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
FigureAs filedWhere it comes from
Total facility beds, all components108CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,048CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components483CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days20.86CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days797.61CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days72.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1156073, 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
FigureAs filedWhere it comes from
Total patient revenue$15,070,503CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,792,605CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,277,898CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,758,916CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$6,481,018CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,561,545CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$919,473CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$919,473 (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
FigureAs filedWhere it comes from
Total facility beds, all components108CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,673CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components617CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.37CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days451.72CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days59.44CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1124318, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 30 September 2014

Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 February 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$15,248,471CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,277,197CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,971,274CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$19,145,429CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$7,174,155CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,578,783CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$595,372CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$595,372 (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
FigureAs filedWhere it comes from
Total facility beds, all components108CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,679CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components619CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days262.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days59.26CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1119582, 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 13 August 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$14,105,153CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,087,691CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,017,462CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,055,806CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$6,038,344CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,140,307CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$898,037CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$898,037 (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
FigureAs filedWhere it comes from
Total facility beds, all components97CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,240CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components716CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days19.94CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days184.35CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days45.03CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1107653, 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 30 September 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$19,880,963CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$8,496,349CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,384,614CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,649,566CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$6,264,952CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,392,005CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$872,947CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$872,947 (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
FigureAs filedWhere it comes from
Total facility beds, all components92CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,217CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components714CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days19.68CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days342.84CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days45.12CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1078578, 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 15 May 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$11,470,740CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$15,771,679CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$4,300,939CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$8,690,516CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $4,389,577 (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
FigureAs filedWhere it comes from
Total facility beds, all components92CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components31,309CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components705CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days18.65CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days295.36CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days44.41CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 428994, 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 25 May 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$9,749,396CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$18,495,562CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$8,746,166CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,087,864CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$150CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$2,658,452 (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
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components31,277CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components487CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days21.01CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days665.92CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days64.22CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 400450, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 30 September 2009

Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 January 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$8,797,940CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$12,432,568CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$3,634,628CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,774,263CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $139,635 (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
FigureAs filedWhere it comes from
Total facility beds, all components111CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,645CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components296CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days21.09CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days589.88CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days110.29CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 392468, 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 2 December 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$10,012,550CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,853,264CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,840,714CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$839,621CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,001,093 (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
FigureAs filedWhere it comes from
Total facility beds, all components139CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,638CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components327CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days20.69CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days136.51CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 359811, 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 24 April 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$10,016,698CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,729,428CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,712,730CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$892,052CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$820,678 (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
FigureAs filedWhere it comes from
Total facility beds, all components139CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components48,472CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components271CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days27.61CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days178.86CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 307496, 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 12 February 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$9,780,640CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,379,734CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,599,094CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,082,149CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$516,945 (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
FigureAs filedWhere it comes from
Total facility beds, all components139CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components48,248CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components343CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days23.37CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days544.53CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days140.66CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 302114, 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
FigureAs filedWhere it comes from
Net patient revenue$9,828,210CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,111,115CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,282,905CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,060,187CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$222,718 (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
FigureAs filedWhere it comes from
Total facility beds, all components139CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components47,723CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components271CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days29.49CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,492.9CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days176.1CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 270931, 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 7 March 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$9,387,987CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,205,768CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,817,781CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,299,873CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$517,908 (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
FigureAs filedWhere it comes from
Total facility beds, all components139CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components46,995CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components361CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days29.05CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days781.79CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days130.18CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 244409, 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 7 February 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$9,121,346CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,580,819CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,459,473CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,375,647CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$83,826 (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
FigureAs filedWhere it comes from
Total facility beds, all components139CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components47,855CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components436CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days28.71CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days415.45CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days109.76CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 206446, 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 30 January 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$8,584,283CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,838,189CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,253,906CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,148,136CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$105,770 (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
FigureAs filedWhere it comes from
Total facility beds, all components139CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components49,869CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components152CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.94CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,091.52CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days328.09CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 168071, 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 April 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$8,232,525CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,789,760CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$2,557,235CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,195,936CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$361,299 (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
FigureAs filedWhere it comes from
Total facility beds, all components147CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components52,009CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components115CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.86CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days694.51CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days452.25CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 140953, 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 26 March 2002.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$12,526,950CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$14,944,306CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$2,417,356CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$961,773CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,455,583 (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
FigureAs filedWhere it comes from
Total facility beds, all components216CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components88,401CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components317CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.59CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days455.2CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days278.87CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 42362, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 30 September 1999

Cost report for 1 October 1998 to 30 September 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 June 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$13,556,494CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$14,958,962CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,402,468CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$933,057CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$469,411 (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
FigureAs filedWhere it comes from
Total facility beds, all components285CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components99,792CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components291CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.95CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days587.92CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days342.93CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 42360, 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 21 November 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$12,975,164CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$14,145,331CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,170,167CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$752,102CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$418,065 (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
FigureAs filedWhere it comes from
Total facility beds, all components285CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components100,134CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components337CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.84CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days771.55CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days297.13CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 42359, 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 5 August 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$12,932,851CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$13,159,014CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$226,163CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$636,829CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $410,666 (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
FigureAs filedWhere it comes from
Total facility beds, all components285CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components100,891CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components220CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.2CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,078.91CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days458.6CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 28923, 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 15 September 1998.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$12,633,670CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$13,183,478CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$549,808CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$836,858CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $287,050 (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
FigureAs filedWhere it comes from
Total facility beds, all components285CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components101,519CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components268CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days58.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,022.21CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days378.8CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 28921, 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 managerRoleTypeOwnership percentageAssociation
SHOLOM COMMUNITY ALLIANCE5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 07/13/1995
MORTENSON, SAMUELADP OF THE SNFIndividualNOT APPLICABLEsince 02/13/2025
PEDERSON, JANEADP OF THE SNFIndividualNOT APPLICABLEsince 02/13/2025
SHOLOM COMMUNITY ALLIANCEADP OF THE SNFOrganizationNOT APPLICABLEsince 07/13/1995
FURMAN, LISACORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2023
JACOBS, DAVIDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2024
LAMPERT, RENEECORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2021
MEICHES, ROBERTCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/01/2017
MOSOW, DANIELCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2024
NIRENSTEIN, DAVIDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/01/2016
PACKER, FLORENCECORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2024
PIEROTTI, JEREMYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2021
RESIG, MICHAELCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2023
ROSEN, LAYNECORPORATE DIRECTORIndividualNOT APPLICABLEsince 08/01/2018
RUTZICK, SHERYLCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/01/2016
SALITA, MARCCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2023
SCHANFIELD, PAULCORPORATE DIRECTORIndividualNOT APPLICABLEsince 08/01/2018
SEGAL, JUDITHCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2024
SEILER, SCOTTCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/14/2014
STONE, JONATHANCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2021
UNGERMAN, SONIACORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2023
WEISSMAN, DOUGLASCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2023
WOLSON, KIMBERLYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2023
BERRYMAN, DAVIDCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/07/2016
BERRYMAN, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/07/2016
MORTENSON, SAMUELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/08/2024
PEDERSON, JANEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2024
SCHMELING, CORYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/16/2019
WYCKOFF, DOUGLASOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/13/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SHOLOM HOME EAST INC (enrollment ID O20100611000336).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
SHOLOM COMMUNITY ALLIANCEOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1007/13/1995
Private equity company: No
Real estate investment trust: No
Holding company: No
JANE C PEDERSONIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/13/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SAMUEL MORTENSONIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/13/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHOLOM COMMUNITY ALLIANCEOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/13/1995
Private equity company: No
Real estate investment trust: No
Holding company: No
DANIEL MOSOWIndividualCORPORATE DIRECTOR010/1/2024
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.
DAVID JACOBSIndividualCORPORATE DIRECTOR010/1/2024
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.
DAVID NIRENSTEINIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2016
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.
DOUGLAS WEISSMANIndividualCORPORATE DIRECTOR010/1/2023
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.
FLORENCE PACKERIndividualCORPORATE DIRECTOR010/1/2024
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.
JEREMY PIEROTTIIndividualCORPORATE DIRECTOR010/1/2021
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.
JONATHAN STONEIndividualCORPORATE DIRECTOR010/1/2021
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.
JUDITH BEBCHUK SEGALIndividualCORPORATE DIRECTOR010/1/2024
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.
KIMBERLY WOLSONIndividualCORPORATE DIRECTOR010/1/2023
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.
LAYNE ROSENIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2018
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LISA FURMANIndividualCORPORATE DIRECTOR010/1/2023
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.
MARC A SALITAIndividualCORPORATE DIRECTOR010/1/2023
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.
MICHAEL RESIGIndividualCORPORATE DIRECTOR010/1/2023
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.
PAUL M SCHANFIELDIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2018
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RENEE LAMPERTIndividualCORPORATE DIRECTOR010/1/2021
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.
ROBERT MEICHESIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2017
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SCOTT SEILERIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/14/2014
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHERYL RUTZICKIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2016
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.
SONIA UNGERMANIndividualCORPORATE DIRECTOR010/1/2023
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.
DAVID BERRYMANIndividualCORPORATE OFFICER03/7/2016
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.
CORY SCHMELINGIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/16/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID BERRYMANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/7/2016
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.
DOUGLAS WYCKOFFIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/13/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JANE C PEDERSONIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2024
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.
SAMUEL MORTENSONIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/8/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
117 April 202517 April 202590
213 June 202413 June 202499
330 March 202330 March 202381

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

Deficiencies cited

26 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
17 April 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correction27 May 2025
17 April 2025HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DNoDeficient, Provider has date of correction27 May 2025
17 April 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction27 May 2025
17 April 2025HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correction27 May 2025
17 April 2025HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correction27 May 2025
17 April 2025HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correction27 May 2025
17 April 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction27 May 2025
17 April 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction27 May 2025
17 April 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction27 May 2025
25 September 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DYesDeficient, Provider has date of correction22 October 2024
25 September 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction22 October 2024
13 June 2024HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DNoDeficient, Provider has date of correction21 July 2024
13 June 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correction21 July 2024
13 June 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction21 July 2024
13 June 2024HealthF 0685Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.DNoDeficient, Provider has date of correction21 July 2024
13 June 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correction21 July 2024
13 June 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction21 July 2024
13 June 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction21 July 2024
30 March 2023HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DNoDeficient, Provider has date of correction3 May 2023
30 March 2023HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.KNoDeficient, Provider has date of correction3 May 2023
30 March 2023HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.DNoDeficient, Provider has date of correction3 May 2023
30 March 2023HealthF 0660Resident Assessment and Care Planning DeficienciesPlan the resident's discharge to meet the resident's goals and needs.DNoDeficient, Provider has date of correction3 May 2023
30 March 2023HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.FNoDeficient, Provider has date of correction3 May 2023
30 March 2023HealthF 0810Nutrition and Dietary DeficienciesProvide special eating equipment and utensils for residents who need them and appropriate assistance.DNoDeficient, Provider has date of correction3 May 2023
30 March 2023HealthF 0867Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FNoDeficient, Provider has date of correction3 May 2023
30 March 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction3 May 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameSHOLOM HOME EAST INC
Date First Approved to Provide Medicare and Medicaid Services1987-02-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityY
UrbanY
County/ParishRamsey
Telephone Number6513282008
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds118
Average Number of Residents per Day91.7
Overall Rating4
Health Inspection Rating3
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating3
Processing Date2026-08-01

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 SHIRLEY CHAPMAN SHOLOM HOME EAST: 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 June 2025: DAVID VANDERGON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.

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

See a sample

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

The citable document for SHIRLEY CHAPMAN SHOLOM HOME EAST

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 245411.