Facility record report · CMS certification number 245546
MISSION NURSING HOME
PLYMOUTH, Minnesota · Medicare and Medicaid
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,421,489 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $391,655 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,029,834 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,043,105 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,013,271 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $633,382 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$379,889 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$379,889 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 23,790 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 511 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 17,485 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,824 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 20,820 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 9 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 40 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 77 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 437.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 270.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1437217, read from the public cost report file SNF10FY2024.zip.
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,443,381 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $549,095 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,894,286 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,498,198 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$603,912 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $385,639 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$218,273 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$218,273 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,872 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 82 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 263.99 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 242.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392791, read from the public cost report file SNF10FY2023.zip.
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 June 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,298,945 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $113,951 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,184,994 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,661,123 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$476,129 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,243,682 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $767,553 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $767,553 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,759 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 89.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 322.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 259.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1352823, read from the public cost report file SNF10FY2022.zip.
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,102,226 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $106,324 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,995,902 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,077,060 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,081,158 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $330,269 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$750,889 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$750,889 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,786 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 425 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 335.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1342460, read from the public cost report file SNF10FY2021.zip.
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 November 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,476,027 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $115,293 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,360,734 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,207,950 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$847,216 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,665,347 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $818,131 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $818,131 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,452 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 67 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 380.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 335.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304586, read from the public cost report file SNF10FY2020.zip.
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 September 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,832,606 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $432,484 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,400,122 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,476,112 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$75,990 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $50,237 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$25,753 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$25,753 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,979 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 500.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 381.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1269477, read from the public cost report file SNF10FY2019.zip.
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 May 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,780,935 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $603,583 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,177,352 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,177,389 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$37 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $35,971 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $35,934 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $35,934 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,205 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 479.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 264.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1225106, read from the public cost report file SNF10FY2018.zip.
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 May 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,961,245 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $940,446 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,020,799 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,326,544 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$305,745 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $56,986 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$248,759 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$248,759 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,160 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 112.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 473.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 272.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1223896, read from the public cost report file SNF10FY2017.zip.
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 30 August 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,412,854 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,018,825 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,394,029 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,046,226 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $347,803 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$35,621 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $312,182 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $312,182 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,983 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 450.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 293.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1211093, read from the public cost report file SNF10FY2016.zip.
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,275,386 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $887,353 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,388,033 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,279,394 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $108,639 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,208 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $150,847 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $150,847 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,920 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 427.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 269.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170747, read from the public cost report file SNF10FY2015.zip.
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,546,231 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $657,757 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,888,474 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,898,996 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,522 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $106,396 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $95,874 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $95,874 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,024 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 472.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 262.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1150020, read from the public cost report file SNF10FY2014.zip.
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 November 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,439,473 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $608,195 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,831,278 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,694,839 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $136,439 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,070 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $166,509 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $166,509 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,283 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 436.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 266.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1113103, read from the public cost report file SNF10FY2013.zip.
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 9 December 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,236,336 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $442,132 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,794,204 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,554,688 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $239,516 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,529 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $271,045 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $166,365 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,862 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 453.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 254.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1082036, read from the public cost report file SNF10FY2012.zip.
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 December 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,239,834 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $507,864 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,731,970 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,485,934 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $246,036 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $43,670 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $289,706 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $289,706 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,483 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 386.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 224.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1053228, read from the public cost report file SNF10FY2011.zip.
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 October 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,808,871 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,570,612 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $238,259 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,663 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $24,543 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $254,379 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,191 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 134 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 496.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 255.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 419410, read from the public cost report file SNFFY2010.zip.
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 June 2011.
None of these figures is carried on this report.
CMS report record 405684, read from the public cost report file SNFFY2009.zip.
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 June 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,882,817 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,599,725 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $283,092 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,703 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $321,795 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,112 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 149 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 434.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 242.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 375124, read from the public cost report file SNFFY2008.zip.
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 May 2009.
None of these figures is carried on this report.
CMS report record 340346, read from the public cost report file SNFFY2007.zip.
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 June 2008.
None of these figures is carried on this report.
CMS report record 313844, read from the public cost report file SNFFY2006.zip.
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 May 2007.
None of these figures is carried on this report.
CMS report record 278202, read from the public cost report file SNFFY2005.zip.
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 January 2007.
None of these figures is carried on this report.
CMS report record 270528, read from the public cost report file SNFFY2004.zip.
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 November 2004.
None of these figures is carried on this report.
CMS report record 200605, read from the public cost report file SNFFY2003.zip.
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 May 2004.
None of these figures is carried on this report.
CMS report record 177850, read from the public cost report file SNFFY2002.zip.
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 11 February 2003.
Net income, stated at moderate confidence: −$8,463 (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.
CMS report record 115157, read from the public cost report file SNFFY2000.zip.
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 June 2001.
Net income, stated at moderate confidence: −$537,013 (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.
CMS report record 42793, read from the public cost report file SNFFY1999.zip.
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 November 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,824,718 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,904,918 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$80,200 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $63,004 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$17,196 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,430 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 557.66 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 360.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42792, read from the public cost report file SNFFY1998.zip.
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 November 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,813,527 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,778,618 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $34,909 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,116 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $53,025 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,224 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 82.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 740.51 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 517.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42791, read from the public cost report file SNFFY1997.zip.
Five facilities of a similar size in Minnesota, fiscal year 2024
Chosen for having certified bed counts closest to this facility’s, listed by name. Every one filed for the same fiscal year; the day each year ends differs and is shown. Each figure is that facility’s own filing.
| Facility | Total facility beds | Total patient days | Net patient revenue | Total operating expenses | Net income from service to patients | Period ended |
|---|---|---|---|---|---|---|
| BENEDICTINE LIVING COMMUNTIY OF MORA | 65 | 18,697 | $9,143,531 | $9,254,026 | −$110,495 | 30 June 2024 |
| CHISHOLM HEALTH CENTER | 65 | 20,957 | $9,468,485 | $9,103,825 | $364,660 | 30 September 2024 |
| ECUMEN - VILLAGES OF NORTH BRANCH | 67 | 15,599 | $7,191,655 | $12,324,592 | −$5,132,937 | 31 December 2024 |
| FRIENDSHIP VILLAGE OF BLOOMINGTON | 66 | 23,074 | $35,501,829 | $49,029,058 | −$13,527,229 | 31 December 2024 |
| MISSION FARM NURSING HOME | 65 | 20,820 | $8,029,834 | $9,043,105 | −$1,013,271 | 31 December 2024 |
| THE WATERVIEW WOODS LLC | 65 | 19,207 | $7,300,753 | $6,967,458 | $333,295 | 31 December 2024 |
Where each column comes from, on every filing in this table: Total facility beds: CMS-2540-10 worksheet S300001 line 800 column 100 · Total patient days: CMS-2540-10 worksheet S300001 line 800 column 700 · Net patient revenue: CMS-2540-10 worksheet G300000 line 300 column 100 · Total operating expenses: CMS-2540-10 worksheet G300000 line 400 column 100 · Net income from service to patients: CMS-2540-10 worksheet G300000 line 500 column 100.
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 |
|---|---|---|---|---|
| MISSIONS, INC PROGRAMS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/17/1975 |
| MISSIONS, INC PROGRAMS | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 04/17/1975 |
| COLLINS, LUCAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/05/2018 |
| MISSIONS, INC PROGRAMS | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/17/1975 |
| MONCRIEF, WILLIAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/20/2025 |
| RODRIGUEZ, JENNIFER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/16/2023 |
| SONNTAG, ROBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/02/2025 |
| AURAND, CLAUDIA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2021 |
| BARKER, JOEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2021 |
| BILLY, STACEY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2021 |
| BOBO, CYNTHIA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2023 |
| DANIELS, KATHRYN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2022 |
| DETERMAN, TERESA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2022 |
| FALLON, TAMARA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2021 |
| KIWUS, KELLY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2023 |
| MANNIX, PETER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2023 |
| MEYER, ELLEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2022 |
| MONCRIEF, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2022 |
| NETTLES, ANDREA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2023 |
| SENKBEIL, MARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2020 |
| SONNTAG, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2010 |
| SPAULDING, WENDY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2023 |
| WHITMAN, ANDREW | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2020 |
| WOLD, DENNIS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2022 |
| COLLINS, LUCAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/05/2018 |
| MISSIONS, INC PROGRAMS | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/17/1975 |
| MONCRIEF, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2022 |
| O'BRIEN, LINDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/26/2019 |
| RODRIGUEZ, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/16/2023 |
| SONNTAG, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2010 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MISSION FARM NURSING HOME, INC (enrollment ID O20120201000914).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| MISSIONS, INC PROGRAMS | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/17/1975 | Private equity company: No Real estate investment trust: No Holding company: No |
| MISSIONS, INC PROGRAMS | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 4/17/1975 | Private equity company: No Real estate investment trust: No Holding company: No |
| JENNIFER RODRIGUEZ | 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. | 10/16/2023 | 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. |
| LUCAS COLLINS | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/5/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MISSIONS, INC PROGRAMS | 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. | 4/17/1975 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROBERT GEORGE SONNTAG | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/2/2025 | 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. |
| WILLIAM J MONCRIEF | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/20/2025 | 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. |
| ANDREA NETTLES | Individual | CORPORATE DIRECTOR | 0 | 6/1/2023 | 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. |
| ANDREW WHITMAN | Individual | CORPORATE DIRECTOR | 0 | 6/1/2020 | 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. |
| CLAUDIA AURAND | 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. | 6/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CYNTHIA BOBO | Individual | CORPORATE DIRECTOR | 0 | 6/1/2023 | 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. |
| DENNIS WOLD | 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. | 6/1/2022 | 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. |
| ELLEN MEYER | Individual | CORPORATE DIRECTOR | 100 | 6/1/2022 | 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. |
| JOEL BARKER | 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. | 6/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KATHRYN DANIELS | 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. | 7/1/2022 | 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. |
| KELLY KIWUS | Individual | CORPORATE DIRECTOR | 0 | 6/1/2023 | 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. |
| MARY SENKBEIL | Individual | CORPORATE DIRECTOR | 0 | 6/1/2020 | 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. |
| PETER MANNIX | Individual | CORPORATE DIRECTOR | 0 | 10/1/2023 | 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. |
| ROBERT GEORGE SONNTAG | 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. | 1/1/2010 | 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. |
| STACEY BILLY | 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. | 6/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TAMARA FALLON | 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. | 6/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TERESA DETERMAN | 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. | 6/1/2022 | 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. |
| WENDY SPAULDING | Individual | CORPORATE DIRECTOR | 0 | 6/1/2023 | 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. |
| WILLIAM J MONCRIEF | 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. | 7/1/2022 | 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. |
| JENNIFER RODRIGUEZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/16/2023 | 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. |
| LINDA O'BRIEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/26/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LUCAS COLLINS | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/5/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MISSIONS, INC PROGRAMS | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/17/1975 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROBERT GEORGE SONNTAG | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2010 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WILLIAM J MONCRIEF | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2022 | 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. |
Changes in ownership
- 1 July 2026: JOEL BARKER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOEL BARKER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2025: ANDREW RONNINGEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: WILLIAM J MONCRIEF no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KATHRYN DANIELS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KATHRYN DANIELS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KEVIN ZAHLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ERIC GUSTAFSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ROBERT G SONNTAG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ROBERT G SONNTAG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ROBERT G SONNTAG appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: WENDY SPAULDING appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ANDREA NETTLES appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: WILLIAM J MONCRIEF appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JENNIFER RODRIGUEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JENNIFER RODRIGUEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: PETER MANNIX appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MISSIONS, INC PROGRAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KELLY KIWUS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: LUCAS COLLINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: LUCAS COLLINS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: CYNTHIA BOBO appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: LINDA O'BRIEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 15 May 2023: MICHAEL GOLDSTEIN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: RICHARD CARLQUIST no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: KATHLEEN HOKEMEIR-SEIM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: KEITH ANDERSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: ISABELLE ROBINSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: LEONARD BIGGS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: PATRICIA MURPHY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: REBECCA K. DUVICK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: HARRY MAGHAKIAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: TIMOTHY MEYER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: LOUIS MERCHANT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: TAMARA FALLON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: WILLIAM J MONCRIEF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: WILLIAM J MONCRIEF appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: WILLIAM J MONCRIEF appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: CLAUDIA AURAND appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: TERESA DETERMAN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: DENNIS WOLD appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: MISSIONS, INC PROGRAMS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: MISSIONS, INC PROGRAMS appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: STACEY BILLY appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: KATHRYN DANIELS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: KATHRYN DANIELS appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: KATHRYN DANIELS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: ELLEN MEYER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: KEVIN ZAHLER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: ERIC GUSTAFSON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: JOEL BARKER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 22 May 2026 | 22 May 2026 | 7 | 4 |
| 2 | 12 March 2025 | 12 March 2025 | 9 | 10 |
| 3 | 31 May 2024 | 31 May 2024 | 17 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
33 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 22 May 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | 30 June 2026 |
| 22 May 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 30 June 2026 |
| 22 May 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 30 June 2026 |
| 5 March 2026 | Health | F 0849 | Administration Deficiencies | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Yes | Deficient, Provider has date of correction | 26 March 2026 |
| 25 February 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Past Non-Compliance | 19 February 2026 |
| 11 February 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 4 March 2026 |
| 8 January 2026 | Health | F 0729 | Nursing and Physician Services Deficiencies | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | E | Yes | Deficient, Provider has date of correction | 23 January 2026 |
| 3 July 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 18 August 2025 |
| 3 July 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 18 August 2025 |
| 3 July 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 18 August 2025 |
| 10 April 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | 9 May 2025 |
| 10 April 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 | Yes | Deficient, Provider has date of correction | 9 May 2025 |
| 10 April 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | G | Yes | Past Non-Compliance | 3 April 2025 |
| 12 March 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | 18 April 2025 |
| 12 March 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | 18 April 2025 |
| 12 March 2025 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | No | Deficient, Provider has date of correction | 18 April 2025 |
| 31 May 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 12 July 2024 |
| 31 May 2024 | Health | F 0576 | Resident Rights Deficiencies | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | No | Deficient, Provider has date of correction | 12 July 2024 |
| 31 May 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 12 July 2024 |
| 31 May 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | 12 July 2024 |
| 31 May 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | 12 July 2024 |
| 31 May 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 12 July 2024 |
| 31 May 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 12 July 2024 |
| 31 May 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 | 12 July 2024 |
| 31 May 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 12 July 2024 |
| 31 May 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 12 July 2024 |
| 31 May 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 12 July 2024 |
| 31 May 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 12 July 2024 |
| 31 May 2024 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | F | No | Deficient, Provider has date of correction | 12 July 2024 |
| 31 May 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | 12 July 2024 |
| 24 April 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | 17 May 2024 |
| 13 December 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | Yes | Deficient, Provider has date of correction | 4 January 2024 |
| 13 December 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Yes | Deficient, Provider has date of correction | 4 January 2024 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 11 February 2026 | Fine | $14,015 | 138929 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | MISSION FARM NURSING HOME, INC |
| 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 | Hennepin |
| Telephone Number | 7632315924 |
| 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 | 70 |
| Average Number of Residents per Day | 61.8 |
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| 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.
Every change on this record
- 1 July 2026: JOEL BARKER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOEL BARKER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 May 2025: ANDREW RONNINGEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: WILLIAM J MONCRIEF no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KATHRYN DANIELS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KATHRYN DANIELS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KEVIN ZAHLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ERIC GUSTAFSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ROBERT G SONNTAG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ROBERT G SONNTAG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ROBERT G SONNTAG appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: WENDY SPAULDING appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: ANDREA NETTLES appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: WILLIAM J MONCRIEF appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JENNIFER RODRIGUEZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: JENNIFER RODRIGUEZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: PETER MANNIX appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: MISSIONS, INC PROGRAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: KELLY KIWUS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: LUCAS COLLINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: LUCAS COLLINS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: CYNTHIA BOBO appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 1 May 2025: LINDA O'BRIEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- 21 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 20 June 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 15 May 2023: MICHAEL GOLDSTEIN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: RICHARD CARLQUIST no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: KATHLEEN HOKEMEIR-SEIM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: KEITH ANDERSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: ISABELLE ROBINSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: LEONARD BIGGS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: PATRICIA MURPHY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: REBECCA K. DUVICK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: HARRY MAGHAKIAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: TIMOTHY MEYER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: LOUIS MERCHANT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: TAMARA FALLON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: WILLIAM J MONCRIEF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: WILLIAM J MONCRIEF appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: WILLIAM J MONCRIEF appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: CLAUDIA AURAND appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: TERESA DETERMAN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: DENNIS WOLD appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: MISSIONS, INC PROGRAMS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: MISSIONS, INC PROGRAMS appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: STACEY BILLY appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: KATHRYN DANIELS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: KATHRYN DANIELS appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: KATHRYN DANIELS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: ELLEN MEYER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: KEVIN ZAHLER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: ERIC GUSTAFSON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: JOEL BARKER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 February 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 16 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 24 September 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 23 May 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 8 May 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 30 August 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 26 July 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 23 December 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 20 November 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 9 December 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 24 December 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 25 October 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 20 June 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 16 June 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 27 May 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 13 June 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 8 May 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 16 January 2007: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 24 November 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 25 May 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- 11 February 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- 6 June 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- 8 November 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- 3 November 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
How to read this report
Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.
A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.
This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.
How to cite this report
Velarion Records, MISSION NURSING HOME — facility record report, CMS certification number 245546. https://velarionrecords.com/facility/245546/report.
- Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file
SNF10FY2024.zip. - Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
- Care Compare ownership: CMS file dated 1 August 2026.
- Medicare enrollment ownership: CMS file dated 1 August 2026.
- Nurse staffing: CMS Payroll-Based Journal, quarters 2017Q1 to 2026Q1.
Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 245546. Velarion Records publishes these records as filed.
Nurse staffing, quarter by quarter
Hours this facility reported to CMS’s Payroll-Based Journal, one row per quarter, oldest first, each with how its figures are derived and the file it came from.
| Quarter | Quarter ended | Days reported | Resident days | Registered nurse hours | Licensed practical nurse hours | Nurse aide hours | Total nurse hours |
|---|---|---|---|---|---|---|---|
| 2017Q1 | 31 March 2017 | 90 | 8,305 | 3,780.08 | 3,405.56 | 17,192.77 | 24,378.41 |
| 2017Q2 | 30 June 2017 | 91 | 8,006 | 4,370.75 | 3,300.36 | 15,926.75 | 23,597.86 |
| 2017Q3 | 30 September 2017 | 92 | 8,136 | 4,635.5 | 3,235.82 | 16,144.25 | 24,015.57 |
| 2018Q1 | 31 March 2018 | 90 | 7,660 | 4,710.5 | 3,323.75 | 16,307.25 | 24,341.5 |
| 2018Q2 | 30 June 2018 | 91 | 7,663 | 4,772.5 | 4,015 | 18,137.75 | 26,925.25 |
| 2018Q3 | 30 September 2018 | 92 | 7,538 | 5,061.36 | 3,478.33 | 18,288 | 26,827.69 |
| 2018Q4 | 31 December 2018 | 92 | 7,429 | 5,682.75 | 3,157.67 | 17,678.75 | 26,519.17 |
| 2019Q1 | 31 March 2019 | 90 | 7,273 | 5,803.42 | 3,128.67 | 17,817.75 | 26,749.84 |
| 2019Q2 | 30 June 2019 | 91 | 7,208 | 6,153.25 | 2,652 | 17,412.25 | 26,217.5 |
| 2019Q3 | 30 September 2019 | 92 | 7,197 | 6,128.5 | 2,457.5 | 19,151 | 27,737 |
| 2020Q1 | 31 March 2020 | 91 | 6,179 | 5,831.5 | 2,508.75 | 16,520 | 24,860.25 |
| 2024Q1 | 31 March 2024 | 91 | 4,988 | 5,758.5 | 2,705.5 | 12,398.25 | 20,862.25 |
| 2024Q2 | 30 June 2024 | 91 | 5,203 | 5,227.75 | 2,398.25 | 13,054.25 | 20,680.25 |
| 2024Q3 | 30 September 2024 | 92 | 5,285 | 5,894.5 | 2,920 | 12,979.5 | 21,794 |
| 2024Q4 | 31 December 2024 | 92 | 5,441 | 436 | 251.5 | 897.75 | 1,585.25 |
| 2025Q1 | 31 March 2025 | 90 | 5,154 | 6,858.75 | 2,395.5 | 13,105.75 | 22,360 |
| 2025Q2 | 30 June 2025 | 91 | 5,122 | 6,645.75 | 2,282.5 | 13,386.5 | 22,314.75 |
| 2025Q3 | 30 September 2025 | 92 | 5,152 | 7,284.25 | 1,690 | 13,645.5 | 22,619.75 |
| 2025Q4 | 31 December 2025 | 92 | 5,443 | 6,811.5 | 2,084.25 | 14,930.25 | 23,826 |
| 2026Q1 | 31 March 2026 | 90 | 5,559 | 1,789 | 601 | 3,675.25 | 6,065.25 |
| Quarter | Registered nurse hours per resident day | Licensed practical nurse hours per resident day | Nurse aide hours per resident day | Total nurse hours per resident day |
|---|---|---|---|---|
| 2017Q1 | 0.455157 | 0.410061 | 2.070171 | 2.93539 |
| 2017Q2 | 0.545934 | 0.412236 | 1.989352 | 2.947522 |
| 2017Q3 | 0.569752 | 0.397716 | 1.984298 | 2.951766 |
| 2018Q1 | 0.614948 | 0.43391 | 2.128884 | 3.177742 |
| 2018Q2 | 0.622798 | 0.523946 | 2.366925 | 3.51367 |
| 2018Q3 | 0.671446 | 0.461439 | 2.426108 | 3.558993 |
| 2018Q4 | 0.764941 | 0.425046 | 2.379694 | 3.569682 |
| 2019Q1 | 0.79794 | 0.430176 | 2.449849 | 3.677965 |
| 2019Q2 | 0.85367 | 0.367925 | 2.415684 | 3.637278 |
| 2019Q3 | 0.851535 | 0.341462 | 2.66097 | 3.853967 |
| 2020Q1 | 0.943761 | 0.406012 | 2.673572 | 4.023345 |
| 2024Q1 | 1.154471 | 0.542402 | 2.485615 | 4.182488 |
| 2024Q2 | 1.004757 | 0.460936 | 2.508985 | 3.974678 |
| 2024Q3 | 1.115326 | 0.552507 | 2.455913 | 4.123746 |
| 2024Q4 | 0.080132 | 0.046223 | 0.164997 | 0.291353 |
| 2025Q1 | 1.330763 | 0.464785 | 2.542831 | 4.338378 |
| 2025Q2 | 1.297491 | 0.445627 | 2.61353 | 4.356648 |
| 2025Q3 | 1.413868 | 0.328028 | 2.648583 | 4.390479 |
| 2025Q4 | 1.251424 | 0.382923 | 2.743019 | 4.377365 |
| 2026Q1 | 0.32182 | 0.108113 | 0.661135 | 1.091069 |
How each quarter is derived, and its file
- 2017Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_rn_donadmin, hrs_lpn_admin, hrs_na_trn; they are read as hrs_rndon, hrs_lpnadmin, hrs_natrn.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv - 2017Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin; they are read as hrs_lpnadmin. CMS's file labels its last six hours columns hrs_medaide, hrs_medaide_emp, hrs_rn_donadmin, hrs_na_trn, hrs_natrn_emp, hrs_natrn_ctr; they are read by position as Hrs_MedAide_emp, Hrs_MedAide_ctr, Hrs_NAtrn, Hrs_NAtrn_emp, Hrs_NAtrn_ctr, Hrs_MedAide, the order in which each total equals its employee and contract parts on every row.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv - 2017Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv - 2018Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.csv - 2018Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv - 2018Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv - 2018Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv - 2019Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv - 2019Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv - 2019Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv - 2020Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv - 2024Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv - 2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv - 2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv - 2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv - 2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv - 2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv - 2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv - 2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv - 2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv