Skilled nursing facility · CMS certification number 245545

FAIR MEADOW NURSING HOME

FERTILE, Minnesota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 42

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2025.

None of these figures is carried on this report.

CMS report record 1422004, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 30 September 2023

Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 June 2024.

None of these figures is carried on this report.

CMS report record 1386999, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 30 September 2022

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 March 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$6,157,821	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$112,253	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,045,568	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,428,586	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$383,018	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$269,701	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$113,317	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$148,685 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	42	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,926	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	31	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	741.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	449.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344111, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 30 September 2021

Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,705,209	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$196,055	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,509,154	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,703,991	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$194,837	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$719,860	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$525,023	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $521,559 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	42	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,848	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	33	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	896.9	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	419.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313531, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 30 September 2020

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 12 May 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$5,581,797	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$103,368	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,478,429	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,822,413	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$343,984	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$96,096	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$247,888	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$247,888 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	42	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,444	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	30	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	822.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	481.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1283731, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 30 September 2019

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 March 2020.

None of these figures is carried on this report.

CMS report record 1253101, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 30 September 2018

Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 April 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$5,364,905	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$279,822	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,085,083	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,063,252	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$21,831	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$35,622	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$57,453	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $57,453 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	42	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,653	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	43	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	842.62	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	340.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1222322, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 30 September 2017

Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.

None of these figures is carried on this report.

CMS report record 1188346, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 30 September 2016

Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2017.

None of these figures is carried on this report.

CMS report record 1155810, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 30 September 2015

Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 May 2016.

None of these figures is carried on this report.

CMS report record 1124313, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 30 September 2014

Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 April 2015.

None of these figures is carried on this report.

CMS report record 1088204, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 30 September 2013

Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 April 2014.

None of these figures is carried on this report.

CMS report record 1058816, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 30 September 2012

Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 April 2013.

None of these figures is carried on this report.

CMS report record 1027136, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 30 September 2011

Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 June 2013.

None of these figures is carried on this report.

CMS report record 434796, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended 30 September 2010

Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 January 2012.

None of these figures is carried on this report.

CMS report record 424239, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 30 September 2009

Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 November 2010.

None of these figures is carried on this report.

CMS report record 389754, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 30 September 2008

Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 21 December 2009.

None of these figures is carried on this report.

CMS report record 361417, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 30 September 2007

Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 March 2009.

None of these figures is carried on this report.

CMS report record 334518, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 30 September 2006

Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 March 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,115,534	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,412,351	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$296,817	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$170,251	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$126,566 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,790	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	39	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	60.95	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	689.5	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	533.08	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 305992, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 30 September 2005

Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 22 February 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$3,042,460	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,189,227	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$146,767	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$184,131	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$61	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $37,303 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,834	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	52	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	49.4	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	810.53	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	400.65	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 243395, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 30 September 2004

Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 18 November 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$3,004,709	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,365,803	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$361,094	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$128,034	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$559	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$233,619 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	66	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,527	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	60	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	47.57	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	956.25	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	358.78	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 237117, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 30 September 2003

Cost report for 1 October 2002 to 30 September 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 November 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$3,231,743	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,623,065	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$391,322	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$64,880	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$326,442 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	76	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,641	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	46	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	60.71	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	768.68	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	513.93	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 200570, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 30 September 2002

Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 September 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$3,260,165	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,438,631	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$178,466	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$123,765	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$18,590	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$73,291 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	76	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,354	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	45	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	78.13	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	771	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	563.42	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 194005, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 30 September 2001

Cost report for 1 October 2000 to 30 September 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 February 2004.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$3,400,830	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,127,024	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$273,806	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$103,277	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$4,748	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $372,335 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	76	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,706	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	33	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	112.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,484.75	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	809.27	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 168359, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 30 September 2000

Cost report for 1 October 1999 to 30 September 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 27 March 2002.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$2,831,189	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,881,020	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$49,831	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$56,215	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$16,104	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$9,720 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,657	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	40	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	91.86	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,063	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	641.43	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 42789, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 30 September 1999

Cost report for 1 October 1998 to 30 September 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 21 April 2000.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$2,750,878	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,713,765	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$37,113	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$67,235	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$12,190	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $92,158 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	79	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,203	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	43	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	66.08	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,196.36	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	609.37	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 42788, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 30 September 1998

Cost report for 1 October 1997 to 30 September 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 2 May 2001.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$2,631,575	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,570,183	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$61,392	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$54,535	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $115,927 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	79	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,967	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	42	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	59.61	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,131.69	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	642.07	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 42786, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 30 September 1997

Cost report for 1 October 1996 to 30 September 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 May 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$2,474,405	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,403,254	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$71,151	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$45,799	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $116,950 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	79	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,914	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	41	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	63.24	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,317.25	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	656.44	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 29168, 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, as submitted, processed by CMS on 21 April 1997.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$2,304,377	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,298,958	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$5,419	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$40,755	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $46,174 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	81	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,492	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	54	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	77.11	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	690.14	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	472.07	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 29167, read from the public cost report file SNFFY1996.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
VILLAGE OF FERTILE	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/1991
LARSON, SANDRA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/06/2025
VILLAGE OF FERTILE	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/06/2025
WHITE, CHERYL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/06/2025
LARSON, SANDRA	CONTRACTED MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 04/29/2024
WHITE, CHERYL	CONTRACTED MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 07/01/2023
BOSMAN, AMANDA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/12/2022
KIEFERT, MARY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/11/2021
MASSMANN, MATTHEW	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 06/08/2020
TODAHL, EILEEN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/10/2024
WILKENS, DANIEL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2017
LIDEN, LISA	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 06/21/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of VILLAGE OF FERTILE (enrollment ID O20100205000148).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
VILLAGE OF FERTILE	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	1/1/1991	Private equity company: No Real estate investment trust: No Holding company: No
CHERYL L WHITE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/6/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SANDRA LARSON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/6/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VILLAGE OF FERTILE	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/6/2025	Private equity company: No Real estate investment trust: No Holding company: No
CHERYL L WHITE	Individual	CONTRACTED MANAGING EMPLOYEE	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.	7/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SANDRA LARSON	Individual	CONTRACTED MANAGING EMPLOYEE	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/29/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AMANDA MAUREE BOSMAN	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/12/2022	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.
DANIEL WILKENS	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
EILEEN TODAHL	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/10/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARY KIEFERT	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/11/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MATTHEW S MASSMANN	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/8/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LISA JOY LIDEN	Individual	W-2 MANAGING EMPLOYEE	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/21/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 February 2025: SANDRA LARSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: SANDRA LARSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: EILEEN TODAHL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MARY KIEFERT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: LISA JOY LIDEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: AMANDA MAUREE BOSMAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: VILLAGE OF FERTILE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: VILLAGE OF FERTILE appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: DANIEL WILKENS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MATTHEW S MASSMANN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: CHERYL L WHITE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: CHERYL L WHITE appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 November 2024: VILLAGE OF FERTILE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: KALIE ANNA CRAYTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: KALIE ANNA CRAYTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: KALIE ANNA CRAYTON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: SANDRA LARSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: SANDRA LARSON appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 March 2024: ANGELA MAE LEITING no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: ANGELA MAE LEITING no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: KALIE ANNA CRAYTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: KALIE ANNA CRAYTON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: KALIE ANNA CRAYTON appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
15 May 2023: BRIAN GENE NEPHEW no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: DANIELLE PETERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: TANNER JOHN LEHMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: LINDA SUSAN WIDRIG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: KATHLEEN MARIE LINDBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: LISA JOY LIDEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: DOROTHY EVELYN HARSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: CAROLYN LOUISE CHRISTIAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: ELISSA MICHELE RAAEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: TODD ARTHUR WISE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: DENNIS HOWARD HASLER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: KEITH OWEN BOLSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: JOHN EMIL SWANSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: ANGELA MAE LEITING appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv

Recent changes on this record

2 May 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 February 2025: SANDRA LARSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: SANDRA LARSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: EILEEN TODAHL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MARY KIEFERT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: LISA JOY LIDEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: AMANDA MAUREE BOSMAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: VILLAGE OF FERTILE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: VILLAGE OF FERTILE appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: DANIEL WILKENS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MATTHEW S MASSMANN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: CHERYL L WHITE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: CHERYL L WHITE appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 November 2024: VILLAGE OF FERTILE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: KALIE ANNA CRAYTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: KALIE ANNA CRAYTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: KALIE ANNA CRAYTON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: SANDRA LARSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: SANDRA LARSON appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
27 June 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 March 2024: ANGELA MAE LEITING no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: ANGELA MAE LEITING no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: KALIE ANNA CRAYTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: KALIE ANNA CRAYTON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: KALIE ANNA CRAYTON appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
15 May 2023: BRIAN GENE NEPHEW no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: DANIELLE PETERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: TANNER JOHN LEHMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: LINDA SUSAN WIDRIG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: KATHLEEN MARIE LINDBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: LISA JOY LIDEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: DOROTHY EVELYN HARSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: CAROLYN LOUISE CHRISTIAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: ELISSA MICHELE RAAEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: TODD ARTHUR WISE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: DENNIS HOWARD HASLER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: KEITH OWEN BOLSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: JOHN EMIL SWANSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
15 May 2023: ANGELA MAE LEITING appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
9 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	10 September 2025	10 September 2025	8	2
2	27 August 2024	27 August 2024	5	8
3	14 June 2023	14 June 2023	1	7

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

Deficiencies cited

14 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
10 September 2025	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	31 October 2025
10 September 2025	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D	No	Deficient, Provider has date of correction	31 October 2025
10 September 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.	D	No	Deficient, Provider has date of correction	31 October 2025
10 September 2025	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	31 October 2025
10 September 2025	Health	F 0711	Nursing and Physician Services Deficiencies	Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.	B	No	Deficient, Provider has date of correction	18 November 2025
10 September 2025	Health	F 0712	Nursing and Physician Services Deficiencies	Ensure that the resident and his/her doctor meet face-to-face at all required visits.	D	No	Deficient, Provider has date of correction	18 November 2025
10 September 2025	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	31 October 2025
10 September 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	31 October 2025
21 October 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	30 October 2024
27 August 2024	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D	No	Deficient, Provider has date of correction	3 October 2024
27 August 2024	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.	D	No	Deficient, Provider has date of correction	3 October 2024
27 August 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	3 October 2024
27 August 2024	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	No	Deficient, Provider has date of correction	3 October 2024
14 June 2023	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D	No	Deficient, Provider has date of correction	5 July 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Other
Legal Business Name	VILLAGE OF FERTILE
Date First Approved to Provide Medicare and Medicaid Services	1991-02-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Polk
Telephone Number	2189456194
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	42
Average Number of Residents per Day	39.2
Overall Rating	4
Health Inspection Rating	4
QM Rating	2
Long-Stay QM Rating	2
Processing Date	2026-08-01

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

Get an email when this record changes

One email a day naming what moved on FAIR MEADOW NURSING HOME: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 2 May 2025: A cost report was filed for fiscal year 2024, 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.

See a sample

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

The citable document for FAIR MEADOW NURSING HOME

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Minnesota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 245545.