Skilled nursing facility · CMS certification number 245621

FOLKESTONE

WAYZATA, Minnesota · Medicare

Certified beds, as filed in Care Compare: 30

Finances, as filed

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

Cost report for 1 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 4 February 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$4,545,665	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$129,850	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,415,815	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$20,356,096	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$15,940,281	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,293,058	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$352,777	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $352,777 (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	30	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	10,980	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	745	CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days	9,316	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	10,061	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	16	CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges	41	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	57	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	176.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403124, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 30 September 2023

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

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$4,158,523	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$20,913	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,137,610	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$20,033,073	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$15,895,463	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,188,852	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,706,611	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,706,611 (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	30	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,184	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	41	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	248.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1372728, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 30 September 2022

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 April 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$3,748,474	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$23,577	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,772,051	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$19,083,365	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$15,311,314	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,525,903	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,785,411	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,785,411 (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	30	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,995	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	71	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	140.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1346089, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 30 September 2021

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

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$3,577,820	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$70,206	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,648,026	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,186,185	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$14,538,159	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,969,247	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$568,912	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$568,912 (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	30	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,428	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	102	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.26	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	92.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313674, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 30 September 2020

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 11 May 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$3,717,813	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$71,336	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,789,149	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$17,438,575	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$13,649,426	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,075,774	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$573,652	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$573,652 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	30	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,213	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	94	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	108.65	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1283669, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 30 September 2019

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,787,600	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$81,323	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,706,277	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$17,886,637	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$14,180,360	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,975,294	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$794,934	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,553,155 (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	30	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,313	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	142	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.78	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	72.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1253566, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 30 September 2018

Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 February 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,573,771	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$22,831	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,550,940	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,429,164	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$14,878,224	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,543,104	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,335,120	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,335,120 (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	30	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,412	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	113	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	92.14	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1220363, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 30 September 2017

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

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,387,459	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$78,977	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,308,482	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,117,133	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$14,808,651	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,412,176	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,396,475	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,396,475 (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	30	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,076	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	120	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	83.97	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188058, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 30 September 2016

Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 March 2017.

None of these figures is carried on this report.

CMS report record 1154372, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 30 September 2015

Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 April 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$3,471,823	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$180,967	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,290,856	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,327,734	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$13,036,878	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$28,949,258	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$15,912,380	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $15,912,380 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	30	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,017	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	53.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	92.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1122602, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 30 September 2014

Cost report for 6 June 2014 to 30 September 2014 — a reporting period of 116 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 16 April 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$445,551	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,788	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$441,763	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,935,760	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$5,493,997	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,864,400	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,629,597	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,629,597 (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	30	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	1,935	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	34	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.7	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	56.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1088408, read from the public cost report file SNF10FY2014.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
PRESBYTERIAN HOMES AND SERVICES	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 05/03/2012
PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC.	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 05/03/2012
COMPUTERSHARE CORPORATE TRUST COMPANY, NA	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 11/01/2021
COMPUTERSHARE CORPORATE TRUST COMPANY, NA	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 11/01/2021
BREHMER, JACOB	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/14/2025
COMPUTERSHARE CORPORATE TRUST COMPANY, NA	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/14/2025
FLETCHER, JONATHAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/01/2025
MEYER, MARK	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/11/2011
MIELKE, JOHN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/14/2025
PETERSON, HEIDI	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2023
PHS MANAGEMENT, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/17/2025
FLETCHER, JONATHAN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/01/2025
PEDERSON, MARK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2023
PETERSON, HEIDI	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2023
FLETCHER, JONATHAN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/01/2025
MEYER, MARK	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 07/30/2007
FLETCHER, JONATHAN	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/16/2025
BREHMER, JACOB	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/23/2023
FLETCHER, JONATHAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/01/2005
MEYER, MARK	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/11/2011
MIELKE, JOHN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/29/2019
PETERSON, HEIDI	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2023
PHS MANAGEMENT, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 05/30/2012

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WAYZATA BAY SENIOR HOUSING INC (enrollment ID O20130813000144).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
PRESBYTERIAN HOMES AND SERVICES	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	5/3/2012	Private equity company: No Real estate investment trust: No Holding company: No
PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC.	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	5/3/2012	Private equity company: No Real estate investment trust: No Holding company: No
COMPUTERSHARE CORPORATE TRUST COMPANY, NA	Organization	5% OR GREATER MORTGAGE INTEREST	67	11/1/2021	Private equity company: No Real estate investment trust: No Holding company: No
COMPUTERSHARE CORPORATE TRUST COMPANY, NA	Organization	5% OR GREATER SECURITY INTEREST	67	11/1/2021	Private equity company: No Real estate investment trust: No Holding company: No
COMPUTERSHARE CORPORATE TRUST COMPANY, NA	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
HEIDI A PETERSON	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.	1/1/2023	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.
JACOB D BREHMER	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.	4/14/2025	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.
JOHN W MIELKE	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.	4/14/2025	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.
JONATHAN DAVID FLETCHER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/1/2025	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.
MARK T MEYER	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.	3/11/2011	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.
PHS MANAGEMENT, LLC	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.	7/17/2025	Private equity company: No Real estate investment trust: No Holding company: No
HEIDI A PETERSON	Individual	CORPORATE DIRECTOR	33	1/1/2023	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.
JONATHAN DAVID FLETCHER	Individual	CORPORATE DIRECTOR	33	2/1/2025	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.
MARK A PEDERSON	Individual	CORPORATE DIRECTOR	33	1/1/2023	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.
JONATHAN DAVID FLETCHER	Individual	CORPORATE OFFICER	50	2/1/2025	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.
MARK T MEYER	Individual	CORPORATE OFFICER	50	7/30/2007	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.
HEIDI A PETERSON	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.	1/1/2023	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.
JACOB D BREHMER	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.	1/23/2023	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.
JOHN W MIELKE	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.	8/29/2019	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.
JONATHAN DAVID FLETCHER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/1/2005	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 T MEYER	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.	3/11/2011	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.
PHS MANAGEMENT, LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	5/30/2012	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: JOHN W MIELKE 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: JOHN W MIELKE 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: JOHN W MIELKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN W MIELKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 February 2026: WELLS FARGO BANK, N.A. no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: WELLS FARGO BANK, N.A. no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DANIEL A LINDH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DANIEL A LINDH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARK T MEYER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARK D SPECHT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: WILLIAM V HAGSTROM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: PRESBYTERIAN HOMES AND SERVICES appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC. appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: HEIDI A PETERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: HEIDI A PETERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: HEIDI A PETERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JACOB D BREHMER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JACOB D BREHMER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: PHS MANAGEMENT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JONATHAN DAVID FLETCHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JONATHAN DAVID FLETCHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JONATHAN DAVID FLETCHER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JONATHAN DAVID FLETCHER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARK PEDERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARK T MEYER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARK T MEYER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: COMPUTERSHARE CORPORATE TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: COMPUTERSHARE CORPORATE TRUST appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: COMPUTERSHARE CORPORATE TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JOHN W MIELKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JOHN W MIELKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv

Recent changes on this record

1 July 2026: JOHN W MIELKE 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: JOHN W MIELKE 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: JOHN W MIELKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN W MIELKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 February 2026: WELLS FARGO BANK, N.A. no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: WELLS FARGO BANK, N.A. no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DANIEL A LINDH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DANIEL A LINDH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARK T MEYER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARK D SPECHT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: WILLIAM V HAGSTROM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: PRESBYTERIAN HOMES AND SERVICES appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC. appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: HEIDI A PETERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: HEIDI A PETERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: HEIDI A PETERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JACOB D BREHMER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JACOB D BREHMER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: PHS MANAGEMENT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JONATHAN DAVID FLETCHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JONATHAN DAVID FLETCHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JONATHAN DAVID FLETCHER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JONATHAN DAVID FLETCHER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARK PEDERSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARK T MEYER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARK T MEYER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: COMPUTERSHARE CORPORATE TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: COMPUTERSHARE CORPORATE TRUST appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: COMPUTERSHARE CORPORATE TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JOHN W MIELKE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JOHN W MIELKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
4 February 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
30 January 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
20 April 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
21 April 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
11 May 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
15 April 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
28 February 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
2 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
14 March 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	20 November 2025	20 November 2025	2	1
2	17 October 2024	17 October 2024	4	9
3	7 December 2023	7 December 2023	3	0

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

Deficiencies cited

9 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
20 November 2025	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	No	Deficient, Provider has date of correction	9 January 2026
20 November 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	9 January 2026
17 October 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	8 November 2024
17 October 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	15 November 2024
17 October 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	No	Deficient, Provider has date of correction	15 November 2024
17 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.	F	No	Deficient, Provider has date of correction	15 November 2024
7 December 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	9 January 2024
7 December 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	9 January 2024
7 December 2023	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	No	Deficient, Provider has date of correction	9 January 2024

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare
Ownership Type	Non profit - Corporation
Legal Business Name	WAYZATA BAY SENIOR HOUSING INC
Date First Approved to Provide Medicare and Medicaid Services	2014-06-06
Provider Resides in Hospital	N
Continuing Care Retirement Community	Y
Urban	Y
County/Parish	Hennepin
Telephone Number	9522492400
Chain Name	PRESBYTERIAN HOMES & SERVICES
Chain ID	412
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	30
Average Number of Residents per Day	27.5
Overall Rating	5
Health Inspection Rating	4
QM Rating	4
Long-Stay QM Rating	3
Short-Stay QM Rating	5
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 FOLKESTONE: 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: JOHN W MIELKE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for FOLKESTONE

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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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 245621.