Skilled nursing facility · CMS certification number 245479
RESIDENCE ON HUMBOLDT
ST. PAUL, Minnesota
This certification number is not in CMS’s current Care Compare Provider Information file, processed on 1 August 2026.
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 July 2018 to 14 June 2019 — a reporting period of 348 days, on form CMS-2540-10, settled, processed by CMS on 4 February 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,545,124 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,769,767 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,775,357 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,950,098 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,174,741 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,907,630 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$267,111 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$357,924 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 10,470 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,924 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 2,738 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 4,662 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 120 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 152 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 272 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 17.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1250418, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,203,831 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,903,390 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,300,441 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,298,114 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,997,673 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,833,680 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$163,993 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$331,652 (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 | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,293 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 467 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 15.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218289, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 February 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,377,886 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,087,319 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,290,567 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,130,922 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,840,355 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,721,656 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$118,699 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$268,224 (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 | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,605 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 505 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 15.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 15.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1183730, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 January 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,530,788 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,772,392 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,758,396 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,385,618 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,627,222 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,769,523 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $142,301 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $7,238 (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 | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,751 | 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 | 19.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 17.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1152005, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 October 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,033,191 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,039,714 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,993,477 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,360,234 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,366,757 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,244,985 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$121,772 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$271,285 (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 | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,390 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 404 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 18.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144941, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 January 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,050,092 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,884,268 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,165,824 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,275,829 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,110,005 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,185,027 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $75,022 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$98,601 (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 | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,524 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 411 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 18.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084763, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 February 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,919,282 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,286,534 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,632,748 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,420,149 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $212,599 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $133,291 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $345,890 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $180,746 (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 | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,221 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 503 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 16.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055084, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 February 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,342,999 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,483,805 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,859,194 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,365,527 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $493,667 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,118 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $510,785 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $276,380 (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 | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,661 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 566 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 15.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 15.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1025098, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,521,559 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,394,671 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $126,888 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $49,972 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $176,860 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 30 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 8,172 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 583 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 14.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 14.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423166, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 January 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,514,282 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,629,310 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$115,028 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,754 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,204 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$97,478 (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 | 30 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 8,494 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 664 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 13.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 12.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392212, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 January 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,545,061 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,498,872 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,953,811 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,857,419 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,874 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$106,266 (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 | 30 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,095 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 636 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 14.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 14.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362289, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,352,871 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,497,716 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,144,845 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,977,805 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $127,223 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$294,263 (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 | 30 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,345 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 747 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 11.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 12.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333457, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 30 June 2007
Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,889,321 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,280,550 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,391,229 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,747,897 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $51,978 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$695,310 (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 | 30 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 8,735 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 773 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 11.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 11.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 301780, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 August 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,258,582 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,240,058 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,981,476 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,529,290 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $39,053 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $508,761 (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 | 30 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,310 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 823 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 11.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 11.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 292954, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 September 2004 to 30 June 2005 — a reporting period of 302 days, on form CMS-2540-96, settled, processed by CMS on 16 October 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,017,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,020,198 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,198 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,999 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $367,802 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$356,001 (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 | 151 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,627 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 731 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 11.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 50.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264418, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 31 August 2004
Cost report for 1 September 2003 to 31 August 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 January 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,715,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,289,399 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$574,399 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $250,601 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$798,000 (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 | 151 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,265 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 853 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 12.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 51.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241248, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 31 August 2003
Cost report for 1 September 2002 to 31 August 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 May 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,786,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,727,920 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$941,920 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $188,080 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$1,114,000 (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 | 151 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,243 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 390 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 12.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 113.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 216526, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 31 August 2002
Cost report for 1 September 2001 to 31 August 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 May 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,505,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,086,025 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$581,025 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $203,975 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$767,000 (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 | 229 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,630 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 282.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 620.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 175587, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 31 August 2001
Cost report for 1 September 2000 to 31 August 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 July 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,390,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,621,370 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$231,370 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $64,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $181,630 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$349,000 (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 | 229 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,300 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 77 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 871.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 757.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 155379, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 31 August 2000
Cost report for 1 September 1999 to 31 August 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 26 March 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,393,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,406,897 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,013,897 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,781,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $173,000 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$405,897 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 55,851 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 65 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 704.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 859.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42577, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 31 August 1999
Cost report for 1 January 1999 to 31 August 1999 — a reporting period of 242 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 19 November 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,480,594 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,724,921 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$244,327 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $135,087 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$109,240 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,995 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 65 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicaid, in days | 611.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 569.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42575, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 July 1998 to 31 December 1998 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 21 November 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,815,266 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,363,125 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$547,859 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,629 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$525,230 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,576 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 20 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 1,478.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42574, read from the public cost report file SNFFY1998.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
Not yet extracted for this facility.
Medicare enrollment
Not yet extracted for this facility.
Changes in ownership
Not yet extracted for this facility.
Recent changes on this record
- 4 February 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 24 January 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 13 February 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 26 January 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 19 October 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 21 January 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 3 February 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 21 February 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 18 January 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 12 January 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 13 January 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- 12 February 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- 5 February 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- 29 August 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- 16 October 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- 24 January 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- 11 May 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- 7 May 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- 28 July 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- 26 March 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- 19 November 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- 21 November 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
Inspections
Not yet extracted for this facility.
Deficiencies cited
Not yet extracted for this facility.
Penalties
Not yet extracted for this facility.
Care Compare provider information
Not yet extracted for this facility.
Get an email when this record changes
One email a day naming what moved on RESIDENCE ON HUMBOLDT: 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 4 February 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for RESIDENCE ON HUMBOLDT
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 245479.