Skilled nursing facility · CMS certification number 285285
Good Samaritan Society - Grand Island Village
Grand Island, Nebraska · Medicare and Medicaid
Certified beds, as filed in Care Compare: 67
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 December 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,775,321 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,245,107 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,530,214 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,883,720 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,353,506 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,631,970 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$721,536 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$991,924 (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 | 89 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 32,574 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,042 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 8,884 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 12,181 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 23,107 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 64 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 93 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 165 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 322 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 95.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1444718, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 February 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,459,214 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,512,914 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,946,300 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,203,646 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,257,346 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,525,084 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$732,262 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$842,207 (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 | 89 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,137 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 257 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 110.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403795, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,193,763 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,016,771 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,176,992 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,345,556 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,168,564 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,490,411 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$678,153 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$778,249 (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 | 89 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,724 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 146 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 121.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 155.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1361330, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,704,840 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,464,717 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,240,123 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,880,172 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,640,049 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,501,616 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$138,433 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$325,531 (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 | 89 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,151 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 147 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 108.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327008, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,439,683 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,054,005 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,385,678 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,239,934 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,854,256 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,509,820 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$344,436 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$356,551 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,094 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 139.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 210.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1290991, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 December 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,240,699 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,971,131 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,269,568 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,904,980 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,635,412 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,374,165 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$261,247 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$308,257 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,949 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 139 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 550.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 208.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1307705, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,934,443 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,224,730 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,709,713 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,112,803 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$403,090 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $441,630 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $38,540 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$111,501 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,781 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 367 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 326.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1242091, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,699,763 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,109,274 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,590,489 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,844,996 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$254,507 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $281,610 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $27,103 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$22,584 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,779 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 253 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 233.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200542, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,897,097 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,465,594 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,431,503 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,013,298 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$581,795 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $167,221 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$414,574 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$341,245 (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 | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,578 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 225 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 401.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1168791, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 March 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,667,587 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,469,654 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,197,933 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,639,319 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $558,614 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $191,009 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $749,623 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $689,321 (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 | 85 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,494 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 241 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 382 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1154302, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 May 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,944,827 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $829,781 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,115,046 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,768,229 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$653,183 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $187,158 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$466,025 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$500,318 (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 | 85 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,817 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 130 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 973 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 152.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1091754, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,149,107 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $578,726 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,570,381 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,410,546 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$840,165 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $237,312 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$602,853 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$618,951 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,516 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 136 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 489.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1075156, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,657,900 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $516,734 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,141,166 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,043,903 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$902,737 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $153,878 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$748,859 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$698,541 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,398 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 136 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 217.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044053, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 May 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,339,353 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $740,667 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,598,686 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,111,896 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,513,210 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $195,259 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,317,951 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,324,262 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,600 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 75.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1030374, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 September 2010 to 31 December 2010 — a reporting period of 121 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 19 July 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $969,675 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,203,148 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,233,473 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $205,807 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$2,027,666 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 4,940 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 28 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 144 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 410810, read from the public cost report file SNFFY2010.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
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 |
|---|---|---|---|---|
| SANFORD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 01/01/2019 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 01/01/2019 |
| HUSEN, STEVEN | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 11/07/2018 |
| CAIN, JAMES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| DYKHOUSE, DANA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| ENGBRECHT, WESLEY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| GASSEN, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| GULSVIG, NEIL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| HERSETH SANDLIN, STEPHANIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| LUNDEEN, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| MOLBERT, LAURIS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| NORTH, ANDREW | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| SHULKIN, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| TEIKEN, BRENT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| VENTLING-HERRMANN, MARNIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| FLUIT, JOEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2022 |
| GASSEN, WILLIAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/30/2024 |
| MIDDLETON, AIMEE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/27/2022 |
| OLSON, NICHOLAS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/08/2024 |
| ROGERS, MICHAEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/13/2022 |
| SCHEMA, NATHAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2022 |
| MORRISON, TONY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/01/2019 |
| MUIR, DANIELLE | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 04/29/2024 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (enrollment ID O20100311000722).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| SANFORD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| STEVEN L HUSEN | Individual | CONTRACTED MANAGING EMPLOYEE | 0 | 11/7/2018 | 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. |
| ANDREW STEWART NORTH | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BRENT GERARD TEIKEN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DANA JAMES DYKHOUSE | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DAVID JONATHAN SHULKIN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JAMES EDWARD CAIN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LAURIS NELSON MOLBERT | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK ALLEN LUNDEEN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARNIE LYNN VENTLING-HERRMANN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| NEIL LESLIE GULSVIG | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| STEPHANIE MARIE HERSETH SANDLIN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WESLEY OWEN ENGBRECHT | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WILLIAM JOSEPH GASSEN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| AIMEE NICOLE MIDDLETON | Individual | CORPORATE OFFICER | 0 | 1/27/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOEL ADAM FLUIT | Individual | CORPORATE OFFICER | 0 | 10/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MICHAEL ROGERS | Individual | CORPORATE OFFICER | 0 | 6/13/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| NATHAN THOMAS SCHEMA | Individual | CORPORATE OFFICER | 0 | 1/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| NICHOLAS WAYNE OLSON | Individual | CORPORATE OFFICER | 0 | 4/8/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WILLIAM JOSEPH GASSEN | Individual | CORPORATE OFFICER | 0 | 5/30/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DANIELLE MUIR | Individual | W-2 MANAGING EMPLOYEE | 0 | 4/29/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TONY LEE MORRISON | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2019 | 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: MARK ALLEN LUNDEEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MARK ALLEN LUNDEEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 October 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: THOMAS PHILLIP KOOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: SANFORD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: LINDA OLAYINKA NORMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: SCOTT WOOTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: SCOTT WOOTEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: NICHOLAS WAYNE OLSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: LAURIS NELSON MOLBERT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: NEIL LESLIE GULSVIG appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DAVID JONATHAN SHULKIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: WESLEY OWEN ENGBRECHT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: WILLIAM JOSEPH GASSEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: WILLIAM JOSEPH GASSEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DANIELLE MUIR appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: STEPHANIE MARIE HERSETH SANDLIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: ANDREW STEWART NORTH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DANA JAMES DYKHOUSE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: STEVEN L HUSEN appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: BRENT GERARD TEIKEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: JAMES EDWARD CAIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: MARNIE LYNN VENTLING-HERRMANN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: MARK ALLEN LUNDEEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 April 2024: MICHAEL ROGERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: WILLIAM D MARLETTE 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: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: MICHAEL ROGERS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: SCOTT WOOTEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: SCOTT WOOTEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 March 2024: DAVID A BRECHTELSBAUER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: NATHAN THOMAS SCHEMA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: NATHAN THOMAS SCHEMA appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 March 2024: AIMEE NICOLE MIDDLETON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 1 November 2023: SCOTT CHARLES PETERSEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: WILLIAM DEAN MARLETTE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: LISA MELBY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: NORVAL BUCKNEBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: MICHELLE ANN BRUHN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: MICHELLE ANN BRUHN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: HEATHER LYNN KRZMARZICK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: CHAD JUNGMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: ERIC VANDEN HULL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: ERIC VANDEN HULL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: STEPHANIE MARIE SWENSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: JOLYN JOY MUNSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: KARIN LOUISE DULSKI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: MICHAEL J DEUTH no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: DEAN LOUIS BRESCIANI appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: MICHAEL ROGERS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: JOEL ADAM FLUIT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 November 2023: WILLIAM DEAN MARLETTE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 1 January 2023: REBECCA MARIE BOLLIG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: KELBY K KRABBENHOFT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JOANN L KUNKEL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JOANN L KUNKEL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: SANFORD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: TIMOTHY PHILLIPPE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JAVIER ESPINOSA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JOSEPH E HERDINA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JOSEPH E HERDINA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: BERGEN V PETERSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JILL SCHUMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: THOMAS J KAPUSTA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: ALAN GARD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: ERIC VANDEN HULL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: MICHELLE MARIE MICKA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: MICHELLE MARIE MICKA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JOHN R RACEK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: STEPHANIE MARIE SWENSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: STEPHANIE MARIE SWENSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: GWEN E HALAAS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: THOMAS A SYVERSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: PATRICIA CAMERO no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JOLYN JOY MUNSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JOLYN JOY MUNSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: RANDY BURY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: RANDY BURY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: DINA ROBINSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: KARIN LOUISE DULSKI no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: KARIN LOUISE DULSKI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: TONY LEE MORRISON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: LEE LAAVEG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: DALE M THOMPSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JEFFREY BRIAN HARVEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: DAVID A BRECHTELSBAUER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: THOMAS PHILLIP KOOP appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: NATHAN THOMAS SCHEMA appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: MICHELLE ANN BRUHN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: MICHELLE ANN BRUHN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: MATT RYAN HOCKS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: SANFORD appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: SANFORD appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: CHAD JUNGMAN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: AIMEE NICOLE MIDDLETON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: ERIC VANDEN HULL appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: STEPHANIE MARIE SWENSON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JOLYN JOY MUNSON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: KARIN LOUISE DULSKI appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: MICHAEL J DEUTH appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: TONY LEE MORRISON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: DARRELL SCHMITH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: LINDA OLAYINKA NORMAN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: DAVID AUSTAD appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: HELEN ISABELLA MELLAND appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Recent changes on this record
- 1 July 2026: MARK ALLEN LUNDEEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MARK ALLEN LUNDEEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 16 December 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 18 February 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 October 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: THOMAS PHILLIP KOOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: SANFORD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: LINDA OLAYINKA NORMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: SCOTT WOOTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: SCOTT WOOTEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: NICHOLAS WAYNE OLSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: LAURIS NELSON MOLBERT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: NEIL LESLIE GULSVIG appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DAVID JONATHAN SHULKIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: WESLEY OWEN ENGBRECHT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: WILLIAM JOSEPH GASSEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: WILLIAM JOSEPH GASSEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DANIELLE MUIR appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: STEPHANIE MARIE HERSETH SANDLIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: ANDREW STEWART NORTH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: DANA JAMES DYKHOUSE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: STEVEN L HUSEN appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: BRENT GERARD TEIKEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: JAMES EDWARD CAIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: MARNIE LYNN VENTLING-HERRMANN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 October 2024: MARK ALLEN LUNDEEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- 1 April 2024: MICHAEL ROGERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: WILLIAM D MARLETTE 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: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: MICHAEL ROGERS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: SCOTT WOOTEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: SCOTT WOOTEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 March 2024: DAVID A BRECHTELSBAUER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 30 December 2025 | 30 December 2025 | 10 | 5 |
| 2 | 26 September 2024 | 26 September 2024 | 7 | 9 |
| 3 | 16 November 2023 | 16 November 2023 | 6 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
23 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 1 June 2026 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Yes | Deficient, Provider has date of correction | 30 June 2026 |
| 30 December 2025 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | 6 February 2026 |
| 30 December 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 | No | Deficient, Provider has date of correction | 6 February 2026 |
| 30 December 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | 6 February 2026 |
| 30 December 2025 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | No | Deficient, Provider has date of correction | 6 February 2026 |
| 30 December 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 | 6 February 2026 |
| 30 December 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 6 February 2026 |
| 30 December 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | 6 February 2026 |
| 30 December 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. | D | No | Deficient, Provider has date of correction | 6 February 2026 |
| 30 December 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 6 February 2026 |
| 5 May 2025 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Yes | Deficient, Provider has date of correction | 9 June 2025 |
| 5 May 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 9 June 2025 |
| 27 March 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 9 May 2025 |
| 26 September 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. | G | No | Deficient, Provider has date of correction | 21 October 2024 |
| 26 September 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. | D | No | Deficient, Provider has date of correction | 21 October 2024 |
| 26 September 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 21 October 2024 |
| 3 September 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 21 October 2024 |
| 16 November 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 22 December 2023 |
| 16 November 2023 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | 22 December 2023 |
| 16 November 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | No | Deficient, Provider has date of correction | 22 December 2023 |
| 16 November 2023 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | 22 December 2023 |
| 16 November 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 | 22 December 2023 |
| 16 November 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 22 December 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 3 September 2024 | Fine | $10,033 | 85962 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Date First Approved to Provide Medicare and Medicaid Services | 2010-09-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Hall |
| Telephone Number | 3083843535 |
| Chain Name | GOOD SAMARITAN SOCIETY |
| Chain ID | 726 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 67 |
| Average Number of Residents per Day | 55.6 |
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on Good Samaritan Society - Grand Island Village: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: MARK ALLEN LUNDEEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
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The citable document for Good Samaritan Society - Grand Island Village
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.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 285285.