Skilled nursing facility · CMS certification number 285149
Maple Crest Health Center
Omaha, Nebraska · Medicare and Medicaid
Certified beds, as filed in Care Compare: 175
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 September 2024 to 31 August 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 January 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,270,670 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,184,981 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,085,689 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,578,843 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$493,154 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $345,196 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$147,958 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$147,958 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 58,400 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,284 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 46,560 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,910 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 53,754 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 57 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 85 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 167 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 309 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 547.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 173.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446384, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 31 August 2024
Cost report for 1 September 2023 to 31 August 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 March 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,961,505 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,058,881 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,902,624 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,822,245 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$919,621 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $360,740 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$558,881 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$558,881 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,960 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 193 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 694.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 212.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405290, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 31 August 2023
Cost report for 1 September 2022 to 31 August 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 April 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,570,827 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $548,171 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,022,656 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,200,296 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,177,640 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $373,696 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,803,944 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,803,944 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,699 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 621.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 344.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375972, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 31 August 2022
Cost report for 1 September 2021 to 31 August 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 January 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,345,009 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $683,673 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,661,336 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,417,511 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,756,175 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$21,387 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,777,562 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,777,562 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,600 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 311 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 459.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341338, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 31 August 2021
Cost report for 1 September 2020 to 31 August 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 March 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,492,128 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,040,792 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,451,336 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,728,557 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,277,221 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $861,020 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$416,201 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$416,201 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,675 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 286 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 359.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 163.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313328, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 31 August 2020
Cost report for 1 September 2019 to 31 August 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 April 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,975,251 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,416,066 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,559,185 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,185,835 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,626,650 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $271,217 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,355,433 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,355,433 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,485 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 394 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 76.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 297.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 133.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282160, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 31 August 2019
Cost report for 1 September 2018 to 31 August 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 February 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,070,876 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,362,624 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,708,252 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,127,930 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,419,678 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $91,676 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,328,002 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,328,002 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,820 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 391 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 398.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 137.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251303, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 31 August 2018
Cost report for 1 September 2017 to 31 August 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 February 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,482,482 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,546,237 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,936,245 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,280,242 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,343,997 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$4,900 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,348,897 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,348,897 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,243 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 377 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 489.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1220177, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 31 August 2017
Cost report for 1 September 2016 to 31 August 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,820,927 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,883,065 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,937,862 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,667,481 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,729,619 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,221 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,687,398 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,687,398 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,603 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 329 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 395.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 141.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1187612, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 31 August 2016
Cost report for 1 September 2015 to 31 August 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 13 March 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,333,599 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,687,755 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,645,844 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,527,388 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,881,544 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $66,918 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,814,626 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,814,626 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,778 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 277 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 497.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 161.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1154331, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 31 August 2015
Cost report for 1 September 2014 to 31 August 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 April 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,585,262 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,524,372 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,060,890 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,328,674 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,267,784 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $43,159 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,224,625 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,224,625 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,039 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 247 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 387.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 174.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1121892, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 31 August 2014
Cost report for 1 September 2013 to 31 August 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 April 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,246,007 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,073,813 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,172,194 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,365,341 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,193,147 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,148 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,171,999 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,171,999 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,383 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 274 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 249.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 158.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088211, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 31 August 2013
Cost report for 1 September 2012 to 31 August 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 December 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,964,120 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,781,350 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,182,770 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,307,912 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$125,142 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $50,570 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$74,572 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$74,572 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,332 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 194 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 486.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 228.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1082080, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 31 August 2012
Cost report for 1 September 2011 to 31 August 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 April 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,673,820 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,664,064 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,009,756 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,597,331 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$587,575 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,735 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$555,840 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$555,840 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,668 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 375 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 192.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1027040, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 31 August 2011
Cost report for 1 September 2010 to 31 August 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 March 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,047,911 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,967,237 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$919,326 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $34,608 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$884,718 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,841 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 276 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 242.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 158.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 426827, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 31 August 2010
Cost report for 1 September 2009 to 31 August 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 March 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,395,635 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,913,273 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$517,638 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $48,765 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$468,873 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,857 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 275 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 221.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 159.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 395150, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 31 August 2009
Cost report for 1 September 2008 to 31 August 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 March 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,149,407 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,377,915 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$228,508 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $91,378 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$137,130 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,771 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 258 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 230.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 165.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 366306, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 31 August 2008
Cost report for 1 September 2007 to 31 August 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 26 March 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,407,184 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,608,237 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$201,053 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $67,231 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$133,822 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,914 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 211 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 471.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 208.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 335974, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 31 August 2007
Cost report for 1 September 2006 to 31 August 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 April 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,455,159 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,129,073 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$673,914 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $159,923 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$513,991 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,282 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 117 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 890.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 361.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306325, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 31 August 2006
Cost report for 1 September 2005 to 31 August 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,143,824 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,467,641 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$323,817 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $162,367 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$161,450 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,299 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,518.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 258.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 301903, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 31 August 2005
Cost report for 1 September 2004 to 31 August 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 March 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,141,528 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,522,329 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$380,801 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $102,698 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$278,103 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,355 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 153 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,068 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 302.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 244877, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 31 August 2004
Cost report for 1 September 2003 to 31 August 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 18 April 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,380,146 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,618,569 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$238,423 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $153,919 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$84,504 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 147 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,306 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,112.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 346.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 214297, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 31 August 2003
Cost report for 1 September 2002 to 31 August 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 March 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,950,485 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,580,247 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$629,762 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $155,473 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$474,289 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 147 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,455 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 124 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,500 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 382.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 209409, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 31 August 2002
Cost report for 1 September 2001 to 31 August 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,629,498 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,289,375 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$659,877 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $72,911 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$586,966 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 147 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,306 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 132 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 750.51 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 373.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195420, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 31 August 2001
Cost report for 1 September 2000 to 31 August 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 September 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,015,709 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,722,042 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $293,667 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$96,187 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $197,480 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,684 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 113 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 711.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 457.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 160484, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 31 August 2000
Cost report for 1 September 1999 to 31 August 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 5 December 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,627,430 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,540,889 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $86,541 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$11,107 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $75,434 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,167 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 851.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 408.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 91417, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 31 August 1999
Cost report for 1 September 1998 to 31 August 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 May 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,508,088 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,388,640 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $119,448 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$250,515 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$131,067 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,107 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 94 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,302.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 618.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 91415, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended 31 August 1998
Cost report for 1 September 1997 to 31 August 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 July 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,812,194 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,239,638 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $572,556 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$205,635 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $366,921 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,021 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 900.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 317.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 91413, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended 31 August 1997
Cost report for 1 September 1996 to 31 August 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 October 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,248,385 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,416,927 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$168,542 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $101,278 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$67,264 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,484 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 137 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 696.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 434.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 91411, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended 31 August 1996
Cost report for 1 September 1995 to 31 August 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 15 October 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,813,374 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,756,629 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $56,745 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$353,316 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$296,571 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,945 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 176 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 774.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 340.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 91409, read from the public cost report file SNFFY1995.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.
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 |
|---|---|---|---|---|
| AMERICAN BAPTIST HOMES OF THE MIDWEST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/19/2010 |
| ALLEN, RYAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2013 |
| FORD, ASHLEY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2013 |
| HANSON, PHILLIP | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2013 |
| JOHNSON, JAMES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2013 |
| KILLIAN, GEORGE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/01/2018 |
| PETERS, MARSHALL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2013 |
| VANOSTRAM, STEVEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2013 |
| WAGONER FORD, ANNE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/01/2018 |
| WHITAKER, BRUCE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2013 |
| BLATNIK, ANDREA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2012 |
| DAVIDSON, ROGER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2021 |
| JOHNSON, DOROTHY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2021 |
| JOHNSON, LARS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/05/2023 |
| NEIMAN, RUTH | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2021 |
| VAN DER BEEK, BRUCE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2021 |
| VAUGHN-GRAY, STEPHANIE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2021 |
| KOTZ, CHRISTINA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 08/01/2018 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of AMERICAN BAPTIST HOMES OF THE MIDWEST (enrollment ID O20040421001485).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| AMERICAN BAPTIST HOMES OF THE MIDWEST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/19/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANNE S WAGONER FORD | Individual | CORPORATE DIRECTOR | 0 | 8/1/2018 | 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. |
| ASHLEY ELIZABETH FORD | Individual | CORPORATE DIRECTOR | 0 | 1/1/2013 | 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. |
| BRUCE RANDOLPH WHITAKER | Individual | CORPORATE DIRECTOR | 0 | 1/1/2013 | 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. |
| GEORGE EDWARD KILLIAN | Individual | CORPORATE DIRECTOR | 0 | 8/1/2018 | 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 LEE JOHNSON | Individual | CORPORATE DIRECTOR | 0 | 1/1/2013 | 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. |
| MARSHALL PETERS | Individual | CORPORATE DIRECTOR | 0 | 1/1/2013 | 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. |
| PHILLIP HANSON | Individual | CORPORATE DIRECTOR | 0 | 1/1/2013 | 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. |
| RYAN ALLEN | Individual | CORPORATE DIRECTOR | 0 | 1/1/2013 | 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. |
| STEVEN C VANOSTRAM | Individual | CORPORATE DIRECTOR | 0 | 1/1/2013 | 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. |
| ANDREA BLATNIK | Individual | CORPORATE OFFICER | 0 | 1/1/2012 | 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. |
| BRUCE K VAN DER BEEK | Individual | CORPORATE OFFICER | 0 | 1/1/2021 | 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. |
| DOROTHY JOHNSON | Individual | CORPORATE OFFICER | 0 | 1/1/2021 | 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. |
| LARS P JOHNSON | Individual | CORPORATE OFFICER | 0 | 6/5/2023 | 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. |
| ROGER ALLAN DAVIDSON | Individual | CORPORATE OFFICER | 0 | 1/1/2021 | 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. |
| RUTH ANN NEIMAN | Individual | CORPORATE OFFICER | 0 | 1/1/2021 | 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. |
| STEPHANIE NICOLE VAUGHN-GRAY | Individual | CORPORATE OFFICER | 0 | 1/1/2021 | 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. |
| CHRISTINA KOTZ | Individual | W-2 MANAGING EMPLOYEE | 0 | 8/1/2018 | 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: RUTH ANN NEIMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHLEY ELIZABETH FORD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RUTH ANN NEIMAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHLEY ELIZABETH FORD appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2025: BARBARA WOODS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 1 April 2024: JEFFREY J HONGSLO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: MELISSA ROSE ZYGARLICKE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: MELISSA ROSE ZYGARLICKE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: LARS P JOHNSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
Recent changes on this record
- 1 July 2026: RUTH ANN NEIMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHLEY ELIZABETH FORD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RUTH ANN NEIMAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHLEY ELIZABETH FORD appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 12 January 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 1 April 2025: BARBARA WOODS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- 14 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 10 April 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 1 April 2024: JEFFREY J HONGSLO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: MELISSA ROSE ZYGARLICKE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: MELISSA ROSE ZYGARLICKE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: LARS P JOHNSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 31 January 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 31 March 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 14 April 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 20 February 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 25 February 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 2 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 13 March 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 20 April 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 16 April 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 9 December 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 19 April 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 28 March 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 8 March 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 23 March 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- 26 March 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- 23 April 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- 7 February 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- 13 March 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- 18 April 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- 2 March 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- 21 September 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- 23 September 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- 5 December 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- 31 October 2001: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
- 4 May 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- 3 July 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- 15 October 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1995.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 3 September 2025 | 3 September 2025 | 19 | 6 |
| 2 | 11 July 2024 | 11 July 2024 | 12 | 3 |
| 3 | 13 July 2023 | 13 July 2023 | 6 | 12 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
37 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 30 April 2026 | 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 | 29 May 2026 |
| 30 April 2026 | 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. | D | Yes | Deficient, Provider has date of correction | 29 May 2026 |
| 30 April 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 29 May 2026 |
| 30 April 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | 29 May 2026 |
| 30 April 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 29 May 2026 |
| 30 April 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 29 May 2026 |
| 30 April 2026 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | 29 May 2026 |
| 30 April 2026 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Yes | Deficient, Provider has date of correction | 29 May 2026 |
| 30 April 2026 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 29 May 2026 |
| 30 April 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 29 May 2026 |
| 3 September 2025 | 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 | No | Deficient, Provider has date of correction | 18 October 2025 |
| 3 September 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | 18 October 2025 |
| 3 September 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 18 October 2025 |
| 3 September 2025 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | D | No | Deficient, Provider has date of correction | 18 October 2025 |
| 3 September 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. | D | No | Deficient, Provider has date of correction | 18 October 2025 |
| 3 September 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 18 October 2025 |
| 3 September 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 18 October 2025 |
| 3 September 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | F | No | Deficient, Provider has date of correction | 18 October 2025 |
| 3 September 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. | F | Yes | Deficient, Provider has date of correction | 18 October 2025 |
| 11 July 2024 | 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 | No | Deficient, Provider has date of correction | 23 August 2024 |
| 11 July 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 23 August 2024 |
| 11 July 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 23 August 2024 |
| 11 July 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 23 August 2024 |
| 11 July 2024 | 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 | 23 August 2024 |
| 11 July 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 | 23 August 2024 |
| 11 July 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 | Yes | Deficient, Provider has date of correction | 23 August 2024 |
| 11 July 2024 | 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 | 23 August 2024 |
| 11 July 2024 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | No | Deficient, Provider has date of correction | 23 August 2024 |
| 11 July 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 | 23 August 2024 |
| 11 July 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 23 August 2024 |
| 11 July 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | 23 August 2024 |
| 13 July 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | 27 August 2023 |
| 13 July 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 27 August 2023 |
| 13 July 2023 | 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 | 27 August 2023 |
| 13 July 2023 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | No | Deficient, Provider has date of correction | 27 August 2023 |
| 13 July 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 27 August 2023 |
| 13 July 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 27 August 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | AMERICAN BAPTIST HOMES OF THE MIDWEST |
| Date First Approved to Provide Medicare and Medicaid Services | 1994-06-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Douglas |
| Telephone Number | 4025512110 |
| Chain Name | AMERICAN BAPTIST HOMES OF THE MIDWEST |
| Chain ID | 29 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 175 |
| Average Number of Residents per Day | 150.9 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 3 |
| 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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On 1 July 2026: RUTH ANN NEIMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Maple Crest Health Center
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 Nebraska 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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