Skilled nursing facility · CMS certification number 265546

GASCONADE MANOR NURSING HOME

OWENSVILLE, Missouri · Medicare and Medicaid

Certified beds, as filed in Care Compare: 79

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$5,542,219	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$320,111	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,222,108	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,571,475	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$349,367	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$249,114	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$100,253	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$100,253 (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	79	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	28,914	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	594	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	11,856	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	9,543	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	21,993	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	14	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	31	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	87	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	132	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	382.45	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	166.61	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434556, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$5,037,834	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$261,878	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,775,956	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,313,368	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$537,412	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$350,897	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$186,515	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$186,515 (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	79	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,465	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	148	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.03	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	251.41	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	145.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390311, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

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

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,389,483	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$304,572	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,084,911	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,810,478	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$725,567	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$913,107	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$187,540	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $187,540 (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	79	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,705	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	213	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.16	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	167.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	92.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1360422, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$3,821,105	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$373,387	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,447,718	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,608,347	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,160,629	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,223,727	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$63,098	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $63,098 (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	79	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,172	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	18.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	260.19	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	120.93	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1332767, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 June 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$5,077,392	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$961,916	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,115,476	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,742,456	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$626,980	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$682,234	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$55,254	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $55,254 (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 2020
Figure	As filed	Where it comes from
Total facility beds, all components	79	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,579	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	148	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	14.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	411.42	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	145.8	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1286146, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 May 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$5,071,107	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$605,402	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,465,705	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,678,279	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$212,574	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$266,682	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$54,108	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $54,108 (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	79	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,471	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	233	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	17.21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	213.66	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	92.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1256267, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 July 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$4,903,967	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$726,828	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,177,139	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,771,588	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$594,449	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$276,137	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$318,312	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$318,312 (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	79	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,635	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	220	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	16.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	243.61	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	93.8	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1235360, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$5,078,040	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$579,120	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,498,920	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,025,722	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$526,802	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$273,571	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$253,231	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$253,231 (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	79	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,321	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	264	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	14.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	197.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	84.55	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1198336, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$4,946,058	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$642,066	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,303,992	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,835,319	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$531,327	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$263,976	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$267,351	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$267,351 (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	79	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,271	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	170	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	375.86	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	131.01	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1168732, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 May 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$4,583,273	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$533,496	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,049,777	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,676,332	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$626,555	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$340,541	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$286,014	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$286,014 (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	79	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,228	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	152	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.81	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	339.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	139.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1124822, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 June 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$4,796,502	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$599,243	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,197,259	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,533,217	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$335,958	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$237,628	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$98,330	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$98,330 (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	79	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,859	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	73	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	61.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	595.04	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	326.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1099135, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 June 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$5,200,280	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$682,920	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,517,360	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,759,918	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$242,558	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$96,992	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$145,566	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$145,566 (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	79	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,477	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	79	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,707	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	297.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1069363, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$5,814,113	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$778,633	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,035,480	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,228,612	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$193,132	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$59,554	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$133,578	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$133,578 (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	79	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,222	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	166	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.94	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	402.21	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	151.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1041258, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$5,650,725	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$555,761	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,094,964	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,960,178	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$134,786	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$39,877	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$174,663	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $174,663 (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 2011
Figure	As filed	Where it comes from
Total facility beds, all components	79	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,174	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	153	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	398.16	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	164.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013963, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 May 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$4,390,319	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,644,854	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$254,535	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$32,606	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$221,929 (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	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,369	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	125	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	48.47	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	388.52	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	178.95	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 398775, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 May 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$3,880,616	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,748,656	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$131,960	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$41,660	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $173,620 (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	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,129	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	160	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.24	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	280.08	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	132.06	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 371162, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 21 May 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,536,552	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,377,362	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$159,190	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$49,509	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $208,699 (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	72	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,610	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	134	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	48.51	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	276.16	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	161.27	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 339718, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 June 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$3,381,510	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,261,003	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$120,507	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$149,444	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $269,951 (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	66	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,212	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	120	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	52.16	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	395.55	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	185.1	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 313532, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 15 May 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,161,343	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,051,820	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$109,523	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$244,405	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $353,928 (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	66	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,515	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	113	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51.76	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	394.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	199.25	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 278606, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

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

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,531,049	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,604,634	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$73,585	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$445,428	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $371,843 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,131	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	76	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.78	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	508.29	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	264.88	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 262299, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 5 May 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$2,306,596	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,424,624	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$118,028	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$16,146	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$101,882 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,454	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	81	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	43.33	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	712.28	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	240.17	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 248692, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 August 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$2,119,442	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,303,498	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$184,056	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$29,348	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$154,708 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,890	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	82	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	56.14	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	520.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	242.56	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 229549, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 July 2005.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$2,385,790	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,291,159	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$94,631	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$17,529	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $112,160 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,328	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	103	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	94.17	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	304.27	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	207.07	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 227351, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 31 December 2001

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 July 2005.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$2,264,377	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,246,877	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$17,500	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$25,941	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $43,441 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,528	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	75	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.38	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	452.68	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	273.71	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 227401, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 25 August 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$2,156,197	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,109,706	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$46,491	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$26,215	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $72,706 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,091	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	67	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.2	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	326.29	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	314.79	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 157432, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 31 December 1999

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 July 2005.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$2,131,124	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,142,255	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$11,131	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$26,637	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $15,506 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,299	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	75	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	20.54	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	506.44	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	283.99	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 229334, read from the public cost report file SNFFY1999.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
GASCONADE MANOR NURSING HOME DISTRICT	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 10/01/1993
FORVIS MAZARS LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/23/2020
GASCONADE MANOR NURSING HOME DISTRICT	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/1993
LEGENDS BANK	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/27/2020
POWERBACK REHABILITATION LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/15/2025
RAY, CRYSTAL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/19/1994
STROTHKAMP, ALEXUS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2024
WARBRITTON, DUSTIN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2009
BOSSALLER, CYNTHIA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 02/01/2025
HESEMANN, LYNN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2009
JETT, ROGER	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2016
KEMPER, WAYNE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2025
THORTON, MARGIE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2022
GASCONADE MANOR NURSING HOME DISTRICT	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/01/1993
POWERBACK REHABILITATION LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/01/2014
RAY, CRYSTAL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/19/1994
STROTHKAMP, ALEXUS	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2024
WARBRITTON, DUSTIN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2009

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of GASCONADE MANOR NURSING HOME DISTRICT (enrollment ID O20091207000236).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
GASCONADE MANOR NURSING HOME DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	10/1/1993	Private equity company: No Real estate investment trust: No Holding company: No
ALEXUS STROTHKAMP	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.	6/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CRYSTAL L RAY	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.	7/19/1994	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.
DUSTIN WARBRITTON	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.	1/1/2009	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.
FORVIS MAZARS LLP	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.	11/23/2020	Private equity company: No Real estate investment trust: No Holding company: No
GASCONADE MANOR NURSING HOME DISTRICT	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.	10/1/1993	Private equity company: No Real estate investment trust: No Holding company: No
LEGENDS BANK	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.	8/27/2020	Private equity company: No Real estate investment trust: No Holding company: No
POWERBACK REHABILITATION 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.	4/15/2025	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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.	8/1/2023	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.
CYNTHIA BOSSALLER	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.	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.
LYNN HESEMANN	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.	1/1/2009	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.
MARGIE THORTON	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.	1/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROGER JETT	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.	1/1/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WAYNE KEMPER	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.	1/1/2025	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.
ALEXUS STROTHKAMP	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CRYSTAL L RAY	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.	7/19/1994	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.
DUSTIN WARBRITTON	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.	1/1/2009	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.
GASCONADE MANOR NURSING HOME DISTRICT	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/1993	Private equity company: No Real estate investment trust: No Holding company: No
POWERBACK REHABILITATION LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2014	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: CRYSTAL L RAY 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: CRYSTAL L RAY 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: DUSTIN WARBRITTON 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: DUSTIN WARBRITTON 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: LYNN HESEMANN no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LYNN HESEMANN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CRYSTAL L RAY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CRYSTAL L RAY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DUSTIN WARBRITTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DUSTIN WARBRITTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 September 2025: CRYSTAL L RAY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ALEXUS STROTHKAMP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ALEXUS STROTHKAMP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WAYNE KEMPER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: FORVIS MAZARS LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARGIE THORTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: LEGENDS BANK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ROGER JETT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: POWERBACK REHABILITATION LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: POWERBACK REHABILITATION LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CYNTHIA BOSSALLER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: GASCONADE MANOR NURSING HOME DISTRICT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: GASCONADE MANOR NURSING HOME DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CRYSTAL L RAY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CRYSTAL L RAY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DUSTIN WARBRITTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DUSTIN WARBRITTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: LYNN HESEMANN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv

Recent changes on this record

1 July 2026: CRYSTAL L RAY 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: CRYSTAL L RAY 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: DUSTIN WARBRITTON 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: DUSTIN WARBRITTON 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: LYNN HESEMANN no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LYNN HESEMANN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CRYSTAL L RAY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CRYSTAL L RAY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DUSTIN WARBRITTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DUSTIN WARBRITTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 September 2025: CRYSTAL L RAY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ALEXUS STROTHKAMP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ALEXUS STROTHKAMP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WAYNE KEMPER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: FORVIS MAZARS LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARGIE THORTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: LEGENDS BANK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ROGER JETT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: POWERBACK REHABILITATION LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: POWERBACK REHABILITATION LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CYNTHIA BOSSALLER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: GASCONADE MANOR NURSING HOME DISTRICT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: GASCONADE MANOR NURSING HOME DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CRYSTAL L RAY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CRYSTAL L RAY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DUSTIN WARBRITTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DUSTIN WARBRITTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: LYNN HESEMANN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
25 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
31 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
19 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
15 June 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
28 May 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
10 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
19 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
17 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
26 May 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
22 June 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	31 July 2025	31 July 2025	5	1
2	31 May 2024	31 May 2024	4	2
3	24 February 2023	24 February 2023	12	4

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

Deficiencies cited

21 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
31 July 2025	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E	No	Deficient, Provider has date of correction	13 August 2025
31 July 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	No	Deficient, Provider has date of correction	13 August 2025
31 July 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	13 August 2025
31 July 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	13 August 2025
31 July 2025	Health	F 0909	Environmental Deficiencies	Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.	E	No	Deficient, Provider has date of correction	13 August 2025
31 May 2024	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	E	No	Deficient, Provider has date of correction	5 June 2024
31 May 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	25 June 2024
31 May 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	5 June 2024
31 May 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	4 June 2024
24 February 2023	Health	F 0568	Resident Rights Deficiencies	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	B	No	Deficient, Provider has date of correction	21 March 2023
24 February 2023	Health	F 0575	Resident Rights Deficiencies	Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.	C	No	Deficient, Provider has date of correction	21 March 2023
24 February 2023	Health	F 0577	Resident Rights Deficiencies	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	C	No	Deficient, Provider has date of correction	28 March 2023
24 February 2023	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	C	No	Deficient, Provider has date of correction	28 March 2023
24 February 2023	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E	No	Deficient, Provider has date of correction	20 March 2023
24 February 2023	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	No	Deficient, Provider has date of correction	28 March 2023
24 February 2023	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	17 March 2023
24 February 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	22 March 2023
24 February 2023	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	C	No	Deficient, Provider has date of correction	21 March 2023
24 February 2023	Health	F 0882	Infection Control Deficiencies	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.	E	No	Deficient, Provider has date of correction	21 March 2023
24 February 2023	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	No	Deficient, Provider has date of correction	29 March 2023
24 February 2023	Health	F 0888	Infection Control Deficiencies	Ensure staff are vaccinated for COVID-19	C	No	Deficient, Provider has date of correction	23 March 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Other
Legal Business Name	GASCONADE MANOR NURSING HOME DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	1993-10-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Gasconade
Telephone Number	5734374101
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	None
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	79
Average Number of Residents per Day	59.0
Overall Rating	4
Health Inspection Rating	4
QM Rating	5
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 GASCONADE MANOR NURSING HOME: the field, the value before, the value after, and the date of the file that first showed it.

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

On 1 July 2026: CRYSTAL L RAY 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 GASCONADE MANOR NURSING HOME

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Missouri 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 265546.