Skilled nursing facility · CMS certification number 245612

CORNERSTONE VILLA

BUHL, Minnesota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 43

Finances, as filed

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

Cost report for 1 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 February 2026.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$5,575,891	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$303,955	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,271,936	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,658,599	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$386,663	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$734,053	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$347,390	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $347,390 (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 2025
Figure	As filed	Where it comes from
Total facility beds, all components	43	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	15,695	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	963	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	8,424	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	4,855	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	14,242	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	23	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	13	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	64	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.87	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	648	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	222.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1447237, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended 30 June 2024

Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 30 December 2024.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$5,307,087	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$163,439	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,143,648	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,228,502	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$84,854	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$627,108	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$542,254	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $542,254 (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	43	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,126	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	65	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	875.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	201.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1401665, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2023, ended 30 June 2023

Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 January 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$4,865,522	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$87,507	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,778,015	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,856,157	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$78,142	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$391,176	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$313,034	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $313,034 (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	43	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,935	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	42	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,861	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	331.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1372283, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended 30 June 2022

Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 January 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,568,479	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$183,759	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,384,720	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,622,228	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,237,508	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,123,661	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$113,847	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$113,847 (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%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	44	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,144	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	125	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	320.59	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	113.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1341015, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2021, ended 30 June 2021

Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 March 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$3,664,346	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$164,607	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,499,739	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,055,941	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,556,202	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,411,824	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$144,378	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$144,378 (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	44	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,730	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	58	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	767.69	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	219.48	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1311565, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended 30 June 2020

Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 January 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$4,137,335	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$243,908	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,893,427	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,673,883	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$780,456	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$824,580	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$44,124	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $44,124 (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	44	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,388	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	18.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	408.16	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	117.93	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1279175, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended 30 June 2019

Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,989,038	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$355,939	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,633,099	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,152,086	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$518,987	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$330,684	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$188,303	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$188,303 (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	44	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,113	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	100	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	482.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	141.13	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1249467, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2018, ended 30 June 2018

Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,866,117	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$175,011	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,691,106	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,689,390	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,716	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$25,832	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$27,548	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $27,548 (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	44	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,825	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	72	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,090.11	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	205.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1218365, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended 30 June 2017

Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 February 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$4,006,707	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$318,712	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,687,995	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,615,556	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$72,439	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$21,357	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$93,796	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $93,796 (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	44	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,579	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	104	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.8	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	850.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	140.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1183734, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2016, ended 30 June 2016

Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 January 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$3,789,173	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$247,669	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,541,504	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,420,477	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$121,027	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$123,262	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$244,289	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $244,289 (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	44	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,693	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	129	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	347.54	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	113.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1151900, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2015, ended 30 June 2015

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

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$3,606,591	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$105,346	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,501,245	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,510,877	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$9,632	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$296,082	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$286,450	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $286,450 (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	44	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,805	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	28.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	569.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	119.4	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1124328, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2014, ended 30 June 2014

Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 September 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$3,645,820	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$119,033	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,526,787	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,527,424	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$637	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$20,262	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$19,625	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $19,625 (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	44	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,897	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	119	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	949.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	125.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1109887, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2013, ended 30 June 2013

Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 1 May 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$3,500,032	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$112,786	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,387,246	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,577,947	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$190,701	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$18,524	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$172,177	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$172,177 (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	44	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,887	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	28.12	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	336.82	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	120.06	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1089664, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2012, ended 30 June 2012

Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 6 December 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$3,488,388	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$106,962	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,381,426	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,556,365	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$174,939	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$31,335	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$143,604	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$143,604 (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	44	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,982	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	24.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	510.58	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	100.55	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1051759, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2011, ended 30 June 2011

Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 December 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$3,470,899	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,497,321	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$26,422	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$27,230	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$5,658	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$4,850 (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 2011
Figure	As filed	Where it comes from
Total facility beds, all components	44	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,295	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	123	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.56	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	402.59	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	124.35	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 433889, read from the public cost report file SNFFY2010.zip.

Fiscal year 2010, ended 30 June 2010

Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 February 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$3,359,725	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,479,293	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$119,568	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$55,890	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$63,678 (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 2010
Figure	As filed	Where it comes from
Total facility beds, all components	44	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,898	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	139	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	47.55	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	283.17	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	107.18	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 393822, read from the public cost report file SNFFY2009.zip.

Fiscal year 2009, ended 30 June 2009

Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 January 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$3,132,436	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,457,306	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$324,870	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$161,799	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$163,071 (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	44	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,638	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	92	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.06	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,331.71	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	159.11	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 362863, read from the public cost report file SNFFY2008.zip.

Fiscal year 2008, ended 30 June 2008

Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$2,937,989	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,240,384	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$302,395	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$39,420	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$262,975 (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 2008
Figure	As filed	Where it comes from
Total facility beds, all components	44	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,489	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	95	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.85	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	557.88	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	152.52	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 333458, read from the public cost report file SNFFY2007.zip.

Fiscal year 2007, ended 30 June 2007

Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 February 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$3,056,990	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,367,622	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$310,632	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$65,529	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$245,103 (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 2007
Figure	As filed	Where it comes from
Total facility beds, all components	44	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,021	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	58.76	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,201.63	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	214.59	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 301776, read from the public cost report file SNFFY2006.zip.

Fiscal year 2006, ended 30 June 2006

Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 August 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,921,543	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,340,266	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$418,723	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$26,172	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$392,551 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	44	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,124	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	98	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.61	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	719.23	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	154.33	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 292957, read from the public cost report file SNFFY2005.zip.

Fiscal year 2005, ended 30 June 2005

Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 October 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,715,320	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,019,579	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$304,259	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,563	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$291,696 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	44	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,326	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	74	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.88	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	960.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	193.59	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 265383, read from the public cost report file SNFFY2004.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
CARLSON, DONALD	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2010
CHAMBERLIN, KETTI	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/01/2022
DOBSON, JEFF	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/01/2004
EDSTROM, RINA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/01/2023
FOX, DEAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/01/2022
KUNKEL, CASSIDIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/25/2022
SAUTER, LEA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2022
CARLSON, DONALD	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2010
CHAMBERLIN, KETTI	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 07/01/2022
EDSTROM, RINA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 07/01/2023
KUNKEL, CASSIDIE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 07/25/2022
CHAMBERLIN, KETTI	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/14/2022
KUNKEL, CASSIDIE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 07/25/2022
EDSTROM, RINA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 07/01/2023
CARLSON, DONALD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2010
CHAMBERLIN, KETTI	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2022
DOBSON, JEFF	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2004
EDSTROM, RINA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2023
FOX, DEAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2022
KUNKEL, CASSIDIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/25/2022
SAUTER, LEA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of FOREST HEALTH SERVICES INC (enrollment ID O20040322001030).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
CASSIDIE R KUNKEL	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.	7/25/2022	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.
DEAN M FOX	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.	7/1/2022	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.
DONALD CARLSON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2010	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.
JEFF DOBSON	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.	7/1/2004	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.
KETTI CHAMBERLIN	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.	7/1/2022	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.
LEA SAUTER	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.	10/1/2022	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.
RINA EDSTROM	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.	7/1/2023	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.
CASSIDIE R KUNKEL	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.	7/25/2022	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.
DONALD CARLSON	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.
KETTI CHAMBERLIN	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.
RINA EDSTROM	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.	7/1/2023	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.
CASSIDIE R KUNKEL	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.	7/25/2022	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.
KETTI CHAMBERLIN	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.	2/14/2022	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.
RINA EDSTROM	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CASSIDIE R KUNKEL	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.	7/25/2022	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.
DEAN M FOX	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.
DONALD CARLSON	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.
JEFF DOBSON	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.	7/1/2004	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.
KETTI CHAMBERLIN	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.
LEA SAUTER	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.	10/1/2022	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.
RINA EDSTROM	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.	7/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: JEFF DOBSON no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFF DOBSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFF DOBSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFF DOBSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 June 2025: DON CARLSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RINA EDSTROM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LEA SAUTER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LEA SAUTER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DONALD CARLSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DONALD CARLSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DONALD CARLSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RINA EDSTROM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RINA EDSTROM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RINA EDSTROM appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DEAN M FOX appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DEAN M FOX appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CASSIDIE R KUNKEL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KETTI CHAMBERLIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KETTI CHAMBERLIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KETTI CHAMBERLIN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JEFF DOBSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JEFF DOBSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 May 2025: RINA EDSTROM 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: ANNE ERICKSON 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: ANNE ERICKSON 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: ANNE ERICKSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RINA EDSTROM appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CASSIDIE R KUNKEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CASSIDIE R KUNKEL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CASSIDIE R KUNKEL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv

Recent changes on this record

1 July 2026: JEFF DOBSON no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFF DOBSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFF DOBSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFF DOBSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
2 February 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
1 June 2025: DON CARLSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RINA EDSTROM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LEA SAUTER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: LEA SAUTER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DONALD CARLSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DONALD CARLSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DONALD CARLSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RINA EDSTROM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RINA EDSTROM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RINA EDSTROM appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DEAN M FOX appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: DEAN M FOX appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: CASSIDIE R KUNKEL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KETTI CHAMBERLIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KETTI CHAMBERLIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KETTI CHAMBERLIN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JEFF DOBSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: JEFF DOBSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 May 2025: RINA EDSTROM 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: ANNE ERICKSON 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: ANNE ERICKSON 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: ANNE ERICKSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RINA EDSTROM appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CASSIDIE R KUNKEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CASSIDIE R KUNKEL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CASSIDIE R KUNKEL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
30 December 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
19 January 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
26 January 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
8 March 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
28 January 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
16 January 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
24 January 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
13 February 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
26 January 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	4 December 2025	4 December 2025	4	0
2	31 October 2024	31 October 2024	7	0
3	17 November 2023	17 November 2023	9	1

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
4 December 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	12 January 2026
4 December 2025	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 January 2026
4 December 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	12 January 2026
4 December 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	12 January 2026
7 January 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	Yes	Past Non-Compliance	20 December 2024
31 October 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	20 December 2024
31 October 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	20 December 2024
31 October 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	20 December 2024
31 October 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	20 December 2024
31 October 2024	Health	F 0851	Administration Deficiencies	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.	F	No	Deficient, Provider has date of correction	20 December 2024
31 October 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	20 December 2024
17 November 2023	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	E	Yes	Deficient, Provider has date of correction	6 January 2024
17 November 2023	Health	F 0637	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D	No	Deficient, Provider has date of correction	6 January 2024
17 November 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	6 January 2024
17 November 2023	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	6 January 2024
17 November 2023	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F	No	Deficient, Provider has date of correction	6 January 2024
17 November 2023	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	6 January 2024
17 November 2023	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	6 January 2024
17 November 2023	Health	F 0801	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	F	No	Deficient, Provider has date of correction	6 January 2024
17 November 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	6 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
7 January 2025	Fine	$8,420			53882
28 August 2023	Fine	$2,823			53388

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	FOREST HEALTH SERVICES INC
Date First Approved to Provide Medicare and Medicaid Services	2004-07-16
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	St. Louis
Telephone Number	2182583253
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Both
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	43
Average Number of Residents per Day	37.5
Overall Rating	3
Health Inspection Rating	3
QM Rating	3
Long-Stay QM Rating	3
Processing Date	2026-08-01

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

Get an email when this record changes

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

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

On 1 July 2026: JEFF DOBSON no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

What the alerts are, and what a day of them looks like, is on the alerts page.

See a sample

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

The citable document for CORNERSTONE VILLA

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

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 245612.