Skilled nursing facility · CMS certification number 265852

ST JOSEPH CHATEAU

SAINT JOSEPH, Missouri · Medicare and Medicaid

Certified beds, as filed in Care Compare: 69

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 29 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$6,759,092	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$673,564	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,085,528	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,230,347	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$855,181	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$32,316	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$887,497	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $887,497 (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	69	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	25,254	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	611	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	22,735	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	710	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	24,056	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	5	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	74	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	6	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	85	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	122.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	307.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	283.01	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1437326, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 June 2023 to 31 December 2023 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 13 May 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$2,567,866	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$70,525	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,497,341	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,689,262	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$191,921	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$191,921	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$191,921 (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	69	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,018	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	4	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	3,254.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1422121, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 October 2022 to 31 December 2022 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 11 October 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$1,166,949	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$62,992	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,103,957	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,141,972	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$38,015	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$740	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$37,275	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$37,275 (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	69	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	5,361	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	58	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	488	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	83.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	92.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366005, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2021, ended 30 June 2021

Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 January 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$4,147,994	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$457,530	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,690,464	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,143,462	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$452,998	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$918,486	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$465,488	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $465,488 (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	69	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,577	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	117	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	283.71	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	184.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1309324, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended 30 June 2020

Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 12 February 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$3,844,632	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$306,583	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,538,049	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,599,543	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$61,494	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,424	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$49,070	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$49,070 (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	69	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,277	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	50.18	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,788	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	301.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1280084, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended 30 June 2019

Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,847,119	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$240,812	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,606,307	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,492,460	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$113,847	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$941	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$114,788	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $114,788 (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	69	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,115	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	48	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	112	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	596.24	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	481.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1249862, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2018, ended 30 June 2018

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

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,563,219	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$215,843	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,347,376	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,557,843	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$210,467	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,779	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$208,688	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$209,765 (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	69	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,714	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	75	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	372.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	302.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1218454, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended 30 June 2017

Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 January 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,656,247	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$204,355	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,451,892	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,684,979	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$233,087	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,855	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$231,232	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$233,201 (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	69	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,765	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	61.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	435.2	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	350.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1182620, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2016, ended 30 June 2016

Cost report for 11 August 2015 to 30 June 2016 — a reporting period of 324 days, on form CMS-2540-10, settled, processed by CMS on 14 December 2016.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$3,547,524	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$203,129	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,344,395	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,506,174	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$161,779	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$955	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$160,824	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$162,537 (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	69	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,784	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	55	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	207	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	468.62	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	414.25	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1148586, read from the public cost report file SNF10FY2015.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
ABBAS, MARGHOOB	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/14/2025
DILWORTH, JAMES	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/08/2025
NORTH 9TH STREET CONSULTING LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/14/2025
VHS MO OPCO HOLDINGS LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 06/01/2023
MILLER, WILLIAM	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 06/01/2023
ABBAS, MARGHOOB	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/15/2024
CLARK, KRISTA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2023
DILWORTH, JAMES	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/09/2024
MILLER, WILLIAM	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2023
NORTH 9TH STREET CONSULTING LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 06/01/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NORTH 9TH STREET HEALTHCARE LLC (enrollment ID O20230831002904).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
JAMES DILWORTH	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.	5/8/2025	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.
MARGHOOB ABBAS	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.	5/14/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NORTH 9TH STREET CONSULTING 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.	5/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
VHS MO OPCO HOLDINGS LLC	Organization	DIRECT OWNERSHIP INTEREST	100	6/1/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
WILLIAM MILLER	Individual	INDIRECT OWNERSHIP INTEREST	100	6/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES DILWORTH	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.	9/9/2024	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.
KRISTA CARRIE CLARK	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARGHOOB ABBAS	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.	1/15/2024	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.
NORTH 9TH STREET CONSULTING 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.	6/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
WILLIAM MILLER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: WILLIAM MILLER no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM MILLER 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: WILLIAM MILLER appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM MILLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 September 2025: VHS HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: VHS MO OPCO HOLDINGS LLC no longer 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: VERTICAL HEALTH SERVICES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: VHS ULTIMATE PARENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WILLIAM MILLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JAMES DILWORTH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JAMES DILWORTH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: NORTH 9TH STREET CONSULTING 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: VHS MO OPCO HOLDINGS LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARGHOOB ABBAS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARGHOOB ABBAS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WILLIAM MILLER appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WILLIAM MILLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 July 2025: THE DOUBLE JAY TRUST no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: ST. JOE THREE OP HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: THE CAPITAL FORESIGHT LIMITED PARTNERSHIP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: GOLDNER FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: SAMUEL GOLDNER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: GOLDNER CAPITAL MANAGEMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: SJ3 MGMT CHATEAU LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: VHS HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: NORTH 9TH STREET CONSULTING LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: VHS MO OPCO HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: VERTICAL HEALTH SERVICES LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: VHS ULTIMATE PARENT LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: WILLIAM MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: KRISTA CARRIE CLARK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 June 2025: KRISTA CARRIE CLARK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: VHS HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: NORTH 9TH STREET CONSULTING LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: VHS MO OPCO HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: VERTICAL HEALTH SERVICES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: VHS ULTIMATE PARENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: WILLIAM MILLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: THE DOUBLE JAY TRUST appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ST. JOE THREE OP HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: THE CAPITAL FORESIGHT LIMITED PARTNERSHIP appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: GOLDNER FAMILY TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: SAMUEL GOLDNER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: GOLDNER CAPITAL MANAGEMENT LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: SJ3 MGMT CHATEAU LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: KRISTA CARRIE CLARK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 December 2023: THE DOUBLE JAY TRUST no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: KRISTA CARRIE CLARK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: ST. JOE THREE OP HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: THE CAPITAL FORESIGHT LIMITED PARTNERSHIP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: GOLDNER FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: THE BRYN MAWR TRUST COMPANY OF DELAWARE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: SAMUEL GOLDNER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: GOLDNER CAPITAL MANAGEMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: SJ3 MGMT CHATEAU LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: KRISTA CARRIE CLARK appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: VHS HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: NORTH 9TH STREET CONSULTING LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: VHS MO OPCO HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: VERTICAL HEALTH SERVICES LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: VHS ULTIMATE PARENT LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: WILLIAM MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
15 June 2023: ADVOCAT FINANCE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: KRISTA CARRIE CLARK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: REBECCA B BODIE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: DIVERSICARE LEASING COMPANY II LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: BRIAN KOHN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: DAC ACQUISITION LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: DIVERSICARE HEALTHCARE SERVICES LLC no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: DIVERSICARE HEALTHCARE SERVICES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: MICHAEL P BONNER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: MATTHEW J WEISHAAR no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: ERAN RATNER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: DIVERSICARE MANAGEMENT SERVICES LP. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: DIVERSICARE MANAGEMENT SERVICES LP. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: DMS GP LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: EPHRAM LAHASKY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: EPHRAM LAHASKY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: THE DOUBLE JAY TRUST appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: KRISTA CARRIE CLARK appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: ST. JOE THREE OP HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: THE CAPITAL FORESIGHT LIMITED PARTNERSHIP appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: GOLDNER FAMILY TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: THE BRYN MAWR TRUST COMPANY OF DELAWARE appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: SAMUEL GOLDNER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: GOLDNER CAPITAL MANAGEMENT LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: SJ3 MGMT CHATEAU LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
31 October 2022: KERRY D MASSEY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ROBIN R KNUTTER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: JAMES R MCKNIGHT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: KRISTA CARRIE CLARK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: DIVERSICARE HEALTHCARE SERVICES LLC appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: MICHAEL P BONNER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: DMS GP LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: EPHRAM LAHASKY appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv

Recent changes on this record

1 July 2026: WILLIAM MILLER no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM MILLER 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: WILLIAM MILLER appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM MILLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 September 2025: VHS HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: VHS MO OPCO HOLDINGS LLC no longer 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: VERTICAL HEALTH SERVICES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: VHS ULTIMATE PARENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WILLIAM MILLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JAMES DILWORTH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JAMES DILWORTH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: NORTH 9TH STREET CONSULTING 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: VHS MO OPCO HOLDINGS LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARGHOOB ABBAS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARGHOOB ABBAS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WILLIAM MILLER appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WILLIAM MILLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 July 2025: THE DOUBLE JAY TRUST no longer appears as LIMITED PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: ST. JOE THREE OP HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: THE CAPITAL FORESIGHT LIMITED PARTNERSHIP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: GOLDNER FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: SAMUEL GOLDNER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: GOLDNER CAPITAL MANAGEMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: SJ3 MGMT CHATEAU LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: VHS HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: NORTH 9TH STREET CONSULTING LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: VHS MO OPCO HOLDINGS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: VERTICAL HEALTH SERVICES LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: VHS ULTIMATE PARENT LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: WILLIAM MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: KRISTA CARRIE CLARK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: enrollment_id changed from O20221110001063 to O20230831002904. Skilled_Nursing_Facility_Enrollments_:_2025-07-01.csv
1 June 2025: KRISTA CARRIE CLARK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: VHS HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: NORTH 9TH STREET CONSULTING LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: VHS MO OPCO HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: VERTICAL HEALTH SERVICES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: VHS ULTIMATE PARENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: WILLIAM MILLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	7 May 2025	7 May 2025	2	4
2	5 April 2024	5 April 2024	17	11
3	29 April 2022	29 April 2022	33	11

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

Deficiencies cited

52 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
11 September 2025	Health	F 0627	Resident Rights Deficiencies	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.	D	Yes	Deficient, Provider has date of correction	5 October 2025
11 September 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	Yes	Deficient, Provider has date of correction	5 October 2025
27 August 2024	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	Yes	Deficient, Provider has date of correction	17 September 2024
5 April 2024	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.	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	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	20 May 2024
5 April 2024	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	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.	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	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.	D	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	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 May 2024
5 April 2024	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0805	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0868	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	No	Deficient, Provider has date of correction	20 May 2024
19 December 2023	Health	F 0562	Resident Rights Deficiencies	Provide immediate access to any resident.	F	Yes	Deficient, Provider has date of correction	7 February 2024
19 December 2023	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.	E	Yes	Deficient, Provider has date of correction	11 January 2024
19 December 2023	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	E	Yes	Deficient, Provider has date of correction	11 January 2024
19 December 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	Yes	Deficient, Provider has date of correction	11 January 2024
5 October 2023	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	17 October 2023
5 October 2023	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	Yes	Deficient, Provider has date of correction	17 October 2023
17 August 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	1 September 2023
29 April 2022	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	28 June 2022
29 April 2022	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	D	No	Deficient, Provider has date of correction	28 June 2022
29 April 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	28 June 2022
29 April 2022	Health	F 0572	Resident Rights Deficiencies	Give residents a notice of rights, rules, services and charges.	D	No	Deficient, Provider has date of correction	28 June 2022
29 April 2022	Health	F 0574	Resident Rights Deficiencies	The resident has the right to receive notices in a format and a language he or she understands.	F	No	Deficient, Provider has date of correction	28 June 2022
29 April 2022	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has date of correction	28 June 2022
29 April 2022	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.	E	No	Deficient, Provider has date of correction	28 June 2022
29 April 2022	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	No	Deficient, Provider has date of correction	28 June 2022
29 April 2022	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	No	Deficient, Provider has date of correction	28 June 2022
29 April 2022	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	28 June 2022
29 April 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	28 June 2022
29 April 2022	Health	F 0676	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D	No	Deficient, Provider has date of correction	28 June 2022
29 April 2022	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 June 2022
29 April 2022	Health	F 0680	Quality of Life and Care Deficiencies	Ensure the activities program is directed by a qualified professional.	E	No	Deficient, Provider has date of correction	28 June 2022
29 April 2022	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	E	No	Deficient, Provider has date of correction	28 June 2022
29 April 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	28 June 2022
29 April 2022	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	E	No	Deficient, Provider has date of correction	28 June 2022
29 April 2022	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	28 June 2022
29 April 2022	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	E	No	Deficient, Provider has date of correction	28 June 2022
29 April 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	28 June 2022
29 April 2022	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	No	Deficient, Provider has date of correction	28 June 2022
29 April 2022	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	28 June 2022
29 April 2022	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	28 June 2022
29 April 2022	Health	F 0805	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	E	No	Deficient, Provider has date of correction	28 June 2022
29 April 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	28 June 2022
29 April 2022	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	28 June 2022

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

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Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	NORTH 9TH STREET HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid Services	2015-08-11
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Buchanan
Telephone Number	8162335164
Chain Name	VERTICAL HEALTH SERVICES
Chain ID	636
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	69
Average Number of Residents per Day	67.8
Overall Rating	4
Health Inspection Rating	4
QM Rating	3
Long-Stay QM Rating	4
Short-Stay QM Rating	2
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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