Skilled nursing facility · CMS certification number 245587

EBENEZER INTEGRATED CARE & REHAB

SAINT PAUL, Minnesota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 62

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 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$12,695,188	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,760,784	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,934,404	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,586,171	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$3,651,767	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,106,366	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$454,599	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $454,599 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	62	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	22,692	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,857	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	10,399	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	8,868	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	21,124	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	33	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	41	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	128	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	202	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	253.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	104.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434455, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 July 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$8,599,868	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,286,207	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,313,661	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,522,792	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,209,131	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$411,704	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,797,427	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,797,427 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	62	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,274	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	172.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	157.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	130.95	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390561, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 1 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$12,966,113	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,876,241	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,089,872	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,778,017	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$688,145	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$486,310	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$201,835	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$201,835 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,432	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	79	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	90.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	435.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1360587, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 April 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$13,879,273	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,208,642	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,670,631	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,862,236	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$191,605	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,257,697	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,066,092	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,066,092 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,227	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	124	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62.19	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	292.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1346249, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 May 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$13,425,307	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,095,388	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,329,919	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,372,681	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,042,762	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$482,164	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$560,598	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$560,598 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,137	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	141	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	58.94	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	256.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1316990, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 March 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$14,967,771	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,572,835	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,394,936	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,418,875	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$23,939	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$593,164	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$569,225	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $569,225 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	42,283	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	170	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	248.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1281098, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

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 2 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$13,381,971	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,997,393	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,384,578	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,782,207	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$397,629	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$427,685	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$30,056	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $30,056 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	141	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	42,640	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	168	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.03	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	253.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1239295, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

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 30 July 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$12,215,862	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,877,655	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,338,207	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,711,281	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,373,074	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$450,177	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$922,897	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$922,897 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	141	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	42,785	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	144	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	297.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1238813, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 July 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$11,155,954	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$655,139	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,500,815	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,777,354	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$276,539	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$266,307	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$10,232	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$10,232 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	141	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	43,360	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	112	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	58.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	387.14	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1197907, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 December 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$10,218,536	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$733,180	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,485,356	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,593,413	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$108,057	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$285,484	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$177,427	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $177,427 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	141	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	43,212	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	103	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	73.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	419.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1179295, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 December 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$9,408,217	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$372,800	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,035,417	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,382,946	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$347,529	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$268,371	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$79,158	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$79,158 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	141	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	43,817	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	108	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	405.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1147679, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 June 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$9,425,176	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$332,393	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,092,783	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,517,420	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$424,637	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$372,105	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$52,532	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$52,532 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	141	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	44,898	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	97	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	77.8	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	462.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1096357, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 December 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$9,470,012	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$306,717	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,163,295	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,445,720	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$282,425	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$298,790	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$16,365	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $16,365 (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%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	138	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	45,697	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	99	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	461.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1082696, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 November 2013.

None of these figures is carried on this report.

CMS report record 1049563, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 May 2012.

None of these figures is carried on this report.

CMS report record 428986, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 April 2011.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$10,294,535	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,288,183	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,006,352	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$67,475	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,073,827 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	140	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	49,354	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	78	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.75	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,259.97	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	632.74	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 397857, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 June 2010.

None of these figures is carried on this report.

CMS report record 377955, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 June 2009.

None of these figures is carried on this report.

CMS report record 341943, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 July 2008.

None of these figures is carried on this report.

CMS report record 322200, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 December 2006.

None of these figures is carried on this report.

CMS report record 269781, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 11 May 2006.

None of these figures is carried on this report.

CMS report record 248997, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 November 2004.

None of these figures is carried on this report.

CMS report record 200606, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 May 2004.

None of these figures is carried on this report.

CMS report record 177853, read from the public cost report file SNFFY2002.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 25 February 2002.

None of these figures is carried on this report.

CMS report record 42898, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 31 December 1999

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 June 2001.

Net income, stated at moderate confidence: $26,846 (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 42896, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 31 December 1998

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 November 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$5,928,431	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,317,600	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$389,169	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$496,497	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $107,328 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	144	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	49,797	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	103	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	78	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,082.27	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	483.47	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 42895, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 December 1997

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.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$5,642,267	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,558,956	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$83,311	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$400,508	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $483,819 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	144	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	50,238	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	64	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	65.89	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,736.52	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	784.97	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 42894, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 31 December 1996

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 6 August 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$5,528,725	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,073,582	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$455,143	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$51,498	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $506,641 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	144	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	50,772	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	68	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	65.19	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,504.85	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	746.65	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 29222, read from the public cost report file SNFFY1996.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
CHEBLI, YASSER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/16/2025
DIGIACOMO, NICOLETTA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/22/2025
EBENEZER MANAGEMENT SERVICES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/30/2025
CARLSON-WEINBERG, SUSAN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/31/2019
FAUST, KIM	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2022
HEREFORD, JAMES	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 08/01/2017
JACOBSON, CAROLYN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/2018
KVENVOLD, GAYLE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/23/2024
LANDREVILLE, MARK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/21/2024
MILIUS, MARGARET	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/21/2024
PIPER, KENNETH	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/31/2022
WALKER, ROBERT	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/31/2022
WORDELMAN, SCOTT	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 08/24/2017
ANDERSON, BRETT	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 09/05/2024
WILLETT, TODD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/24/2016
BELL, BRITTANY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2022
CHEBLI, YASSER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2022
DIGIACOMO, NICOLETTA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2023
EBENEZER MANAGEMENT SERVICES INC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of EBENEZER SOCIETY (enrollment ID O20110823000333).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
EBENEZER MANAGEMENT SERVICES INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/30/2025	Private equity company: No Real estate investment trust: No Holding company: No
NICOLETTA DIGIACOMO	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.	7/22/2025	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.
YASSER CHEBLI	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.	4/16/2025	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.
CAROLYN JACOBSON	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GAYLE KVENVOLD	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.	5/23/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES HEREFORD	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.	8/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KENNETH PIPER	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.	5/31/2022	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.
KIM FAUST	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.	1/1/2022	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.
MARGARET MILIUS	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.	2/21/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK LANDREVILLE	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.	2/21/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBERT WALKER	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.	5/31/2022	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.
SCOTT WORDELMAN	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.	8/24/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SUSAN CARLSON-WEINBERG	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.	5/31/2019	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.
BRETT ANDERSON	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/5/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TODD WILLETT	Individual	CORPORATE OFFICER	0	10/24/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRITTANY BELL	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.	8/1/2022	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.
EBENEZER MANAGEMENT SERVICES INC	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.	8/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
NICOLETTA DIGIACOMO	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.	6/1/2023	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.
YASSER CHEBLI	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.	1/1/2022	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 April 2026: BRITTANY BELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NICOLETTA DIGIACOMO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: EBENEZER SOCIETY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BRENDA JOHNSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ROBB GRUMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: THOMAS HOKR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JONATHAN E LUNDBERG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JONATHAN E LUNDBERG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: AMY KOEHNEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BRITTANY BELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NICOLETTA DIGIACOMO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NICOLETTA DIGIACOMO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: GAYLE KVENVOLD appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MARK LANDREVILLE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MARGARET MILIUS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: EBENEZER MANAGEMENT SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: EBENEZER MANAGEMENT SERVICES INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BRETT ANDERSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: YASSER CHEBLI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: YASSER CHEBLI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 February 2024: ROBERT D BRITAIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: RICHARD HOWARD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: CARL RUNCK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: NICOLETTA DIGIACOMO appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: BRENDA JOHNSON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: KENNETH ASHTON-PIPER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: ROBERT WALKER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv

Recent changes on this record

1 April 2026: BRITTANY BELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NICOLETTA DIGIACOMO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: EBENEZER SOCIETY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BRENDA JOHNSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ROBB GRUMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: THOMAS HOKR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JONATHAN E LUNDBERG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JONATHAN E LUNDBERG no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: AMY KOEHNEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BRITTANY BELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NICOLETTA DIGIACOMO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NICOLETTA DIGIACOMO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: GAYLE KVENVOLD appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MARK LANDREVILLE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MARGARET MILIUS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: EBENEZER MANAGEMENT SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: EBENEZER MANAGEMENT SERVICES INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BRETT ANDERSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: YASSER CHEBLI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: YASSER CHEBLI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
30 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 February 2024: ROBERT D BRITAIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: RICHARD HOWARD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: CARL RUNCK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: NICOLETTA DIGIACOMO appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: BRENDA JOHNSON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: KENNETH ASHTON-PIPER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: ROBERT WALKER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
24 April 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
25 May 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
10 March 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
2 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
30 July 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
2 July 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
5 December 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
7 December 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
12 June 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
15 December 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	1 April 2026	1 April 2026	5	1
2	27 February 2025	27 February 2025	10	5
3	21 March 2024	21 March 2024	5	4

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

Deficiencies cited

20 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
1 April 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	22 May 2026
1 April 2026	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	22 May 2026
1 April 2026	Health	F 0791	Quality of Life and Care Deficiencies	Provide or obtain dental services for each resident.	D	No	Deficient, Provider has date of correction	22 May 2026
5 December 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.	G	Yes	Past Non-Compliance	11 November 2025
5 December 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	17 December 2025
27 February 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	No	Deficient, Provider has date of correction	27 March 2025
27 February 2025	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	27 March 2025
27 February 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	27 March 2025
27 February 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	27 March 2025
27 February 2025	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	27 March 2025
27 February 2025	Health	F 0806	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	J	Yes	Deficient, Provider has date of correction	27 March 2025
27 February 2025	Health	F 0810	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for residents who need them and appropriate assistance.	D	No	Deficient, Provider has date of correction	27 March 2025
27 February 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	27 March 2025
27 February 2025	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	No	Deficient, Provider has date of correction	27 March 2025
1 October 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	Yes	Deficient, Provider has date of correction	1 November 2024
25 July 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	Yes	Deficient, Provider has date of correction	2 September 2024
25 July 2024	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	26 September 2024
21 March 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	10 May 2024
21 March 2024	Health	F 0909	Environmental Deficiencies	Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.	D	No	Deficient, Provider has date of correction	10 May 2024
6 March 2024	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	19 April 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
5 December 2025	Fine	$14,015			138864
27 February 2025	Fine	$17,345			53920

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	EBENEZER SOCIETY
Date First Approved to Provide Medicare and Medicaid Services	1991-06-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Ramsey
Telephone Number	6513264900
Chain Name	EBENEZER SENIOR LIVING
Chain ID	784
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	62
Average Number of Residents per Day	57.2
Overall Rating	4
Health Inspection Rating	3
QM Rating	2
Long-Stay QM Rating	3
Short-Stay QM Rating	1
Processing Date	2026-08-01

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

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One email a day naming what moved on EBENEZER INTEGRATED CARE & REHAB: the field, the value before, the value after, and the date of the file that first showed it.

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On 1 April 2026: BRITTANY BELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for EBENEZER INTEGRATED CARE & REHAB

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

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