Skilled nursing facility · CMS certification number 265836

NODAWAY HEALTHCARE

MARYVILLE, Missouri · Medicare and Medicaid

Certified beds, as filed in Care Compare: 60

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 operating expenses	$21,355,980	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$21,355,980	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$21,355,980	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$21,355,980 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	21,900	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	949	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	5,311	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	6,510	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	12,770	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	14	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	14	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	56	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	84	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	67.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	379.36	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	152.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434632, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 December 2022 to 31 December 2023 — a reporting period of 395 days, on form CMS-2540-10, settled, processed by CMS on 27 September 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$2,276,058	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$446,403	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,722,461	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,758,557	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$36,096	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,185	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$27,911	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$27,911 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,187	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	80	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	74.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	420.92	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	152.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396164, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 30 November 2022

Cost report for 1 January 2022 to 30 November 2022 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 15 December 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$1,777,641	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$69,880	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,847,521	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,467,828	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$620,307	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$229,239	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$849,546	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$849,549 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,256	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	65	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	80.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	260.94	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	142.4	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1370613, 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 23 November 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$2,096,547	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$271,165	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,367,712	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,554,319	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$186,607	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$43,538	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$143,069	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$143,069 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,823	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	57	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,227.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	189.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1336746, 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 19 May 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$2,135,853	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$217,319	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,353,172	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,713,234	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$360,062	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$629,872	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$269,810	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $269,671 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,531	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	63	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	76.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	262.45	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	183.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1316331, 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 14 October 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$2,158,071	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$24,788	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,182,859	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,642,577	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$459,718	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,826	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$444,892	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$444,892 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,362	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	84	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	163.32	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	147.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1271045, 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 21 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$2,303,810	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$36,871	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,266,939	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,528,931	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$261,992	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,129	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$242,863	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$242,863 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,181	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	69	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	259.7	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	191.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241593, 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	$2,424,715	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$80,354	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,344,361	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,504,162	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$159,801	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$31,678	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$128,123	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$130,145 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,488	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	103	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	182.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	140.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1201136, 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 21 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$2,156,335	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$35,080	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,121,255	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,580,930	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$459,675	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,456	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$448,219	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$448,219 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,852	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	77	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	60.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	224.69	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	179.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1170326, 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 25 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$2,554,037	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$36,418	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,517,619	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,616,185	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$98,566	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,040	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$82,526	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$82,526 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,051	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	66	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	324.59	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	243.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1137839, 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 13 August 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$2,628,346	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$72,118	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,556,228	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,504,076	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$52,152	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,523	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$68,675	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $60,432 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,325	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	59	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	97.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	834.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	276.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1107796, 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 14 August 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$2,324,644	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$30,482	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,294,162	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,192,491	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$101,671	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,849	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$115,520	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $115,520 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,405	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	95	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62.44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	164.64	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	162.16	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1075897, 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 2 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$1,745,487	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,076	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,738,411	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,972,250	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$233,839	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,570	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$222,269	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$222,269 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,982	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	74	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	17.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	194.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	175.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1045430, 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	$1,730,553	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$61,470	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,669,083	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,904,388	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$235,305	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,614	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$215,691	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$215,691 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,521	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	53	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	80.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	300.68	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	236.25	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013911, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 July 2010 to 31 December 2010 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 27 July 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$860,430	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,026,124	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$165,694	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6,149	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$159,545 (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	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	6,759	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	29	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	238.25	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	233.07	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 413210, read from the public cost report file SNFFY2010.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
GATEWAY MO2 LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 12/01/2022
SLOANS LAKE TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	63%	since 12/01/2022
BERGER, ELIOT	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/01/2022
PERLOW, BERNARD	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/01/2022
KLEINER, DAVID	GENERAL PARTNERSHIP INTEREST	Individual	NOT APPLICABLE	since 12/01/2022
WYMORE, ADRIANE	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 12/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NODAWAY HEALTHCARE LLC (enrollment ID O20230517002081).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
GATEWAY MO2 LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	12/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
BLUE SKY BASIN LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	66.67	12/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
DKDP MISSOURI LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	23.23	12/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
DKYH MISSOURI LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	10.1	12/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
SLOANS LAKE TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	63.33	12/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
BERNARD DAVID PERLOW	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2022	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.
ELIOT BERGER	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2022	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.
DAVID YITZCHOK KLEINER	Individual	GENERAL PARTNERSHIP INTEREST	10.7	12/1/2022	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.
ADRIANE WYMORE	Individual	W-2 MANAGING EMPLOYEE	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: DOVID YITZCHOK KLEINER no longer appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DAVID YITZCHOK KLEINER appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
2 October 2023: ROBERT GIBSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: ROBERT GIBSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JENNIFER JEWETT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: KRISTINE GIBSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: DAVID H DUNCAN FAMILY TRUST no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: WAVA DUNCAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: WAVA DUNCAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: WAVA DUNCAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: TIFFANY CARE CENTERS INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: KIMBERLY IRELAND no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: KIMBERLY IRELAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: DKDP MISSOURI LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: GATEWAY MO2 LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: ADRIANE WYMORE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: ELIOT BERGER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: BERNARD DAVID PERLOW appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: BLUE SKY BASIN LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: SLOANS LAKE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: DKYH MISSOURI LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: DOVID YITZCHOK KLEINER appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv

Recent changes on this record

1 July 2026: DOVID YITZCHOK KLEINER no longer appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DAVID YITZCHOK KLEINER appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
27 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
15 December 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
2 October 2023: ROBERT GIBSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: ROBERT GIBSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JENNIFER JEWETT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: KRISTINE GIBSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: DAVID H DUNCAN FAMILY TRUST no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: WAVA DUNCAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: WAVA DUNCAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: WAVA DUNCAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: TIFFANY CARE CENTERS INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: KIMBERLY IRELAND no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: KIMBERLY IRELAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: DKDP MISSOURI LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: GATEWAY MO2 LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: ADRIANE WYMORE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: ELIOT BERGER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: BERNARD DAVID PERLOW appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: BLUE SKY BASIN LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: SLOANS LAKE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: DKYH MISSOURI LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: DOVID YITZCHOK KLEINER appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
23 November 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
19 May 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
14 October 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
21 August 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
21 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
25 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
13 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
14 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
2 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
27 July 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	7 August 2025	7 August 2025	17	9
2	10 October 2024	10 October 2024	3	3
3	21 March 2022	21 March 2022	21	9

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

Deficiencies cited

41 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
21 April 2026	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Past Non-Compliance	6 April 2026
7 August 2025	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	E	No	Deficient, Provider has date of correction	17 September 2025
7 August 2025	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	E	No	Deficient, Provider has date of correction	17 September 2025
7 August 2025	Health	F 0574	Resident Rights Deficiencies	The resident has the right to receive notices in a format and a language he or she understands.	E	No	Deficient, Provider has date of correction	17 September 2025
7 August 2025	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	E	No	Deficient, Provider has date of correction	17 September 2025
7 August 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	17 September 2025
7 August 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.	E	No	Deficient, Provider has date of correction	17 September 2025
7 August 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	17 September 2025
7 August 2025	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	17 September 2025
7 August 2025	Health	F 0685	Quality of Life and Care Deficiencies	Assist a resident in gaining access to vision and hearing services.	D	No	Deficient, Provider has date of correction	17 September 2025
7 August 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	17 September 2025
7 August 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	No	Deficient, Provider has date of correction	17 September 2025
7 August 2025	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F	No	Deficient, Provider has date of correction	17 September 2025
7 August 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.	E	No	Deficient, Provider has date of correction	17 September 2025
7 August 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	17 September 2025
7 August 2025	Health	F 0851	Administration Deficiencies	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.	E	No	Deficient, Provider has date of correction	17 September 2025
7 August 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	17 September 2025
12 November 2024	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	Yes	Deficient, Provider has date of correction	6 December 2024
10 October 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	16 November 2024
21 August 2024	Health	F 0569	Resident Rights Deficiencies	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.	E	Yes	Deficient, Provider has date of correction	3 September 2024
21 March 2022	Health	F 0568	Resident Rights Deficiencies	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	E	No	Deficient, Provider has date of correction	7 July 2022
21 March 2022	Health	F 0570	Resident Rights Deficiencies	Assure the security of all personal funds of residents deposited with the facility.	E	No	Deficient, Provider has date of correction	20 June 2022
21 March 2022	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	20 June 2022
21 March 2022	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D	No	Deficient, Provider has date of correction	20 June 2022
21 March 2022	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	20 June 2022
21 March 2022	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	20 June 2022
21 March 2022	Health	F 0661	Resident Assessment and Care Planning Deficiencies	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.	D	No	Deficient, Provider has date of correction	20 June 2022
21 March 2022	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	20 June 2022
21 March 2022	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	20 June 2022
21 March 2022	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	E	No	Deficient, Provider has date of correction	20 June 2022
21 March 2022	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F	No	Deficient, Provider has date of correction	20 June 2022
21 March 2022	Health	F 0744	Quality of Life and Care Deficiencies	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.	E	No	Deficient, Provider has date of correction	20 June 2022
21 March 2022	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	20 June 2022
21 March 2022	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	20 June 2022
21 March 2022	Health	F 0800	Nutrition and Dietary Deficiencies	Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.	F	No	Deficient, Provider has date of correction	20 June 2022
21 March 2022	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	20 June 2022
21 March 2022	Health	F 0849	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D	No	Deficient, Provider has date of correction	20 June 2022
21 March 2022	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	F	No	Deficient, Provider has date of correction	20 June 2022
21 March 2022	Health	F 0886	Infection Control Deficiencies	Perform COVID19 testing on residents and staff.	D	No	Deficient, Provider has date of correction	7 July 2022
21 March 2022	Health	F 0888	Infection Control Deficiencies	Ensure staff are vaccinated for COVID-19	D	No	Deficient, Provider has date of correction	20 June 2022
21 March 2022	Health	F 0924	Environmental Deficiencies	Put firmly secured handrails on each side of hallways.	D	No	Deficient, Provider has date of correction	20 June 2022

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	For profit - Limited Liability company
Legal Business Name	NODAWAY HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid Services	2010-07-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Nodaway
Telephone Number	6605622876
Chain Name	BLUE SKY BASIN, LLC
Chain ID	894
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	60
Average Number of Residents per Day	32.6
Overall Rating	1
Health Inspection Rating	2
QM Rating	1
Long-Stay QM Rating	1
Processing Date	2026-08-01

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

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One email a day naming what moved on NODAWAY HEALTHCARE: 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: DOVID YITZCHOK KLEINER no longer appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for NODAWAY HEALTHCARE

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.

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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 265836.