Skilled nursing facility · CMS certification number 245434
BETHANY ON THE LAKE LLC
ALEXANDRIA, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 83
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 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,569,874 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,303,003 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,266,871 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,551,044 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $715,827 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $516,824 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,232,651 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,232,651 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 30,378 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,675 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 14,223 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,245 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 26,143 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 99 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 14 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 164 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 277 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,015.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1437199, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,092,438 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,099,591 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,992,847 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,817,948 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,174,899 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $663,304 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,838,203 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,838,203 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,717 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 116.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1393186, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,089,772 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,465,757 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,624,015 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,881,566 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$257,551 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $70,228 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$187,323 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$47,983 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,990 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 282 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,517.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1359767, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,586,626 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,842,778 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,743,848 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,366,477 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $377,371 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,322,905 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,700,276 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,700,276 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,215 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 323 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 471 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332495, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 November 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,404,303 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,846,826 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,557,477 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,131,757 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$574,280 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,007,631 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $433,351 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $433,351 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,199 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 320 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 879.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303695, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 May 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,793,104 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,753,309 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,039,795 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,741,281 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$701,486 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,260,174 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $558,688 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $558,688 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,225 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 395 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 568.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1284579, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 29 December 2017 to 31 December 2018 — a reporting period of 367 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,715,193 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,875,260 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,839,933 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,996,574 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$156,641 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,161,209 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,004,568 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,004,568 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,706 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 402 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 685.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238093, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 28 December 2017
Cost report for 1 January 2017 to 28 December 2017 — a reporting period of 361 days, on form CMS-2540-10, settled, processed by CMS on 28 June 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,426,564 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,852,221 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,574,343 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,736,411 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$162,068 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,584,492 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $9,422,424 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $9,421,480 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,247 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 460 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 746.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 61.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1196890, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,319,483 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,519,553 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,799,930 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,113,724 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$313,794 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,352,221 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,038,427 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,036,347 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,609 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 486 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 514.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1173570, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,259,636 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,146,540 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,113,096 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,695,954 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,582,858 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,220,609 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$362,249 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$368,660 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,770 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 527 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 328.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142470, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 May 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,909,477 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,045,079 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,864,398 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,018,908 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,154,510 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,155,721 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,211 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $181 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,334 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 383 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 712.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1124342, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,810,503 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,866,884 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,943,619 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,844,369 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$900,750 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $966,160 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $65,410 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $63,910 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,096 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 524 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 219.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111722, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 January 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,229,961 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,744,375 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,485,586 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,175,213 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$689,627 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $957,372 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $267,745 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $260,071 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,978 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 459 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 326.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084377, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 December 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,063,767 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $421,059 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,642,708 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,066,989 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$424,281 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $441,919 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $17,638 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $16,702 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,643 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 412 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 380.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1053411, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 April 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,978,522 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,043,317 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$64,795 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $569,719 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,221 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $495,703 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,950 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 490 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 190.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 61.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 427427, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 June 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,916,945 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,678,598 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $238,347 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income, stated at moderate confidence: $238,347 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,814 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 335 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 613.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 103.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 405679, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 June 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,853,831 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,677,443 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $176,388 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $131,993 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $308,381 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 113 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,250 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 322 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 894.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 118.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 377949, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 April 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,262,752 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,398,704 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$135,952 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $395,714 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $259,762 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 113 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,107 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 528 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 266.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 72.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 337977, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 June 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,970,323 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,025,855 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$55,532 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $285,676 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $230,144 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 113 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,722 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 518 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 292.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 74.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 315741, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 May 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,464,255 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,952,432 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$488,177 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $143,185 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$344,992 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,254 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 476 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 426.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 84.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 279701, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 May 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,122,697 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,614,740 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$492,043 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $281,745 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$210,298 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,554 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 442 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 564.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 249357, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,557,509 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,119,367 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$561,858 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $711,155 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $149,297 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,224 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 306 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 452.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 217811, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,442,886 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,833,045 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$390,159 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $120,471 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$269,688 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 123 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,356 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 295 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 424.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 136.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 191830, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 January 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,148,699 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,028,357 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $120,342 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $212,117 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $332,459 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,902 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 393 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 390.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 124.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 168072, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 25 February 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,909,735 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,189,144 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$279,409 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $240,439 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$38,970 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,115 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 318 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 439.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 160.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42437, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 August 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,420,392 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,644,730 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$224,338 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $347,566 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $123,228 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,266 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 241 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 526.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 216.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42436, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 November 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,627,602 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,741,829 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$114,227 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $718,555 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $604,328 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,121 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 258 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 570.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 209.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42435, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 30 September 1997
Cost report for 1 October 1996 to 30 September 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 November 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,322,450 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,532,627 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$210,177 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $641,988 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $431,811 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,647 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 360 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 258.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 157.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42434, 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 30 November 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,477,379 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,697,958 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$220,579 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $534,036 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $313,457 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 181 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,703 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 375 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 415.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 167.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28972, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| JCA HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 15% | since 12/29/2017 |
| NIJ LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 10% | since 12/29/2017 |
| SPARTAN HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 28% | since 12/29/2017 |
| WBS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 19% | since 12/29/2017 |
| YAZOMA HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 28% | since 12/29/2017 |
| HALPERT, MARC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 28% | since 12/29/2017 |
| JAFFA, NOAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 10% | since 12/29/2017 |
| LEGUM, JOSHUA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 28% | since 12/29/2017 |
| STERN, WILLIAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 19% | since 12/29/2017 |
| LEGUM, JOSHUA | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 12/29/2017 |
| JAFFA, NOAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/29/2017 |
| HALPERT, MARC | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/29/2017 |
| STERN, WILLIAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/29/2017 |
| MONARCH HEALTHCARE OPERATING V LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/29/2017 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BETHANY ON THE LAKE LLC (enrollment ID O20171208000247).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| JCA HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15 | 12/29/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| NIJ LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10 | 12/29/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| SPARTAN HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 28 | 12/29/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| WBS HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 19 | 12/29/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| YAZOMA HOLDINGS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 28 | 12/29/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| JEFFREY AREM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15 | 12/29/2017 | 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. |
| JOSHUA LEGUM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 28 | 12/29/2017 | 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. |
| MARC HALPERT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 28 | 12/29/2017 | 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. |
| NOAM JAFFA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10 | 12/29/2017 | 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. |
| WILLIAM STERN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 19 | 12/29/2017 | 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. |
| JOSHUA LEGUM | Individual | CONTRACTED MANAGING EMPLOYEE | 28 | 12/29/2017 | 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. |
| NOAM JAFFA | Individual | CORPORATE DIRECTOR | 10 | 12/29/2017 | 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. |
| MARC HALPERT | Individual | CORPORATE OFFICER | 28 | 12/29/2017 | 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. |
| WILLIAM STERN | Individual | CORPORATE OFFICER | 19 | 12/29/2017 | 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. |
| MONARCH HEALTHCARE OPERATING V LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 12/29/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
No change in ownership appears in the CMS files on record since 20 September 2022.
Recent changes on this record
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 27 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 25 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 16 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 10 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 25 May 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 24 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 28 June 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 17 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 24 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 20 May 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 20 October 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 14 January 2015: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 28 December 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 17 April 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 20 June 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 24 June 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 29 April 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 19 June 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 29 May 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 16 May 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 24 May 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 1 September 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- 30 January 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- 25 February 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- 14 August 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- 8 November 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- 3 November 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- 5 August 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1998.zip
- 30 November 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 13 August 2025 | 13 August 2025 | 4 | 5 |
| 2 | 5 June 2024 | 5 June 2024 | 5 | 2 |
| 3 | 27 April 2023 | 27 April 2023 | 1 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
10 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 26 March 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | I | Yes | Past Non-Compliance | 13 March 2026 |
| 26 March 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 15 April 2026 |
| 13 August 2025 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | No | Deficient, Provider has date of correction | 3 September 2025 |
| 13 August 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | 3 September 2025 |
| 10 January 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Past Non-Compliance | 7 January 2025 |
| 12 December 2024 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Yes | Deficient, Provider has date of correction | 26 December 2024 |
| 5 June 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 26 June 2024 |
| 5 June 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | 26 June 2024 |
| 5 June 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 26 June 2024 |
| 27 April 2023 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | No | Deficient, Provider has date of correction | 10 May 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 26 March 2026 | Fine | $19,330 | 138537 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | BETHANY ON THE LAKE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1987-02-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Douglas |
| Telephone Number | 3207621567 |
| Chain Name | MONARCH HEALTHCARE MANAGEMENT |
| Chain ID | 361 |
| 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 | 83 |
| Average Number of Residents per Day | 80.0 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-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
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for BETHANY ON THE LAKE LLC
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Minnesota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 245434.