Velarion Records

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Skilled nursing facility · CMS certification number 265867

NORTERRE

LIBERTY, 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
FigureAs filedWhere it comes from
Total patient revenue$12,677,507CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,335,637CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,341,870CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,184,248CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$842,378CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,315CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$833,063CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$833,063 (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
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components21,960CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days7,128CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days595CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days12,622CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components20,345CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges271CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges5CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges420CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components696CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.3CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days119CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days29.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434641, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 October 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$11,599,510CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,729,020CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,870,490CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,930,282CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,059,792CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$35,401CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,024,391CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,024,391 (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
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,872CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components708CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days216.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days28.07CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396522, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 January 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$11,590,382CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,182,679CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,407,703CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,420,822CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,013,119CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$204,215CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$808,904CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$808,904 (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
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,823CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components581CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.86CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days470CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days34.12CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1372415, 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 17 October 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$7,932,090CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,818,578CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,113,512CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,590,394CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,476,882CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,212,588CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,264,294CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,264,294 (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
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,699CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components540CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days92CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days30.92CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1335245, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

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

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$5,185,731CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$275,815CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,909,916CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,774,161CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$12,864,245CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,735,747CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$7,128,498CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$7,128,498 (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
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,429CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components361CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days37.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1307216, 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 25 August 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$5,850,910CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$425,885CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,425,025CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,652,317CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$9,227,292CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,012,334CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$4,214,958CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$4,214,958 (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
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,101CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components384CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days31.51CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1264858, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 28 February 2018 to 31 December 2018 — a reporting period of 306 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$3,967,124CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$646,007CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,321,117CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,810,443CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$10,489,326CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,717,049CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$7,772,277CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$7,772,277 (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
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components7,693CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components245CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.93CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days31.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237828, read from the public cost report file SNF10FY2018.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 managerRoleTypeOwnership percentageAssociation
LHLC OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization40%since 06/01/2021
BROOKS, KILEYCORPORATE OFFICERIndividualNOT APPLICABLEsince 06/01/2021
BROOKS, KILEYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LHLC OPERATIONS LLC (enrollment ID O20171129002771).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
JOSEPH C TUTERAIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST106/1/2021
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.
LHLC OPERATIONS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST406/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
TUTERA INVESTMENTS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST406/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
KILEY A BROOKSIndividualCORPORATE OFFICER56/1/2021
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.
KILEY A BROOKSIndividualOPERATIONAL/MANAGERIAL CONTROL56/1/2021
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

No change in ownership appears in the CMS files on record since 20 September 2022.

Recent changes on this record

  • 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • 16 October 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • 23 January 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • 17 October 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • 15 December 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • 25 August 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • 22 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
116 January 202516 January 2025122
211 April 202311 April 2023011
323 August 201923 August 201972

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

Deficiencies cited

19 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
20 November 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction17 December 2025
16 January 2025HealthF 0569Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.ENoDeficient, Provider has date of correction20 February 2025
16 January 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction20 February 2025
16 January 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correction20 February 2025
16 January 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.ENoDeficient, Provider has date of correction20 February 2025
16 January 2025HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.ENoDeficient, Provider has date of correction20 February 2025
16 January 2025HealthF 0680Quality of Life and Care DeficienciesEnsure the activities program is directed by a qualified professional.DNoDeficient, Provider has date of correction20 February 2025
16 January 2025HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.ENoDeficient, Provider has date of correction20 February 2025
16 January 2025HealthF 0700Quality of Life and Care DeficienciesTry 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.ENoDeficient, Provider has date of correction20 February 2025
16 January 2025HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correction20 February 2025
16 January 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction20 February 2025
16 January 2025HealthF 0920Environmental DeficienciesProvide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.ENoDeficient, Provider has date of correction20 February 2025
23 August 2019HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DNoDeficient, Provider has date of correction4 October 2019
23 August 2019HealthF 0584Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction4 October 2019
23 August 2019HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction4 October 2019
23 August 2019HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.ENoDeficient, Provider has date of correction4 October 2019
23 August 2019HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction4 October 2019
23 August 2019HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction4 October 2019
23 August 2019HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction4 October 2019

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

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameLHLC OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid Services2018-02-28
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishClay
Telephone Number8164794793
Chain NameTUTERA SENIOR LIVING & HEALTH CARE
Chain ID531
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds60
Average Number of Residents per Day55.3
Overall Rating3
Health Inspection Rating3
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating4
Processing Date2026-08-01

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

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The citable document for NORTERRE

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