Skilled nursing facility · CMS certification number 285288

Eventide Williamsburg

Lincoln, Nebraska · Medicare and Medicaid

Certified beds, as filed in Care Compare: 50

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 11 September 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$6,030,331	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$832,641	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,197,690	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,527,589	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$670,101	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,024	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$684,125	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $684,125 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	18,300	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	942	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	2,234	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	8,197	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	11,373	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	22	CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges	20	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	42	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	270.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1439351, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

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

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$5,455,667	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$593,176	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,862,491	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,680,281	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$182,210	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,971	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$195,181	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $195,181 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,903	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	14	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	61.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	850.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396621, 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 27 September 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,894,034	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$583,371	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,310,663	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,844,010	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$533,347	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$34,836	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$498,511	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$498,511 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,308	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	43	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.34	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	262.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365640, 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 21 October 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,753,053	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$639,456	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,113,597	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,890,780	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$222,817	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$45,661	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$268,478	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $268,478 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,454	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	68	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	497	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	212.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1335595, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 November 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$6,468,578	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$830,226	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,638,352	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,798,665	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$839,687	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$51,968	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$891,655	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $44,253 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,398	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	75	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	64.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	612.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	218.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305021, 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 10 December 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$5,778,021	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$703,942	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,074,079	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,240,870	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$833,209	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,062	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$852,271	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,529,003 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,312	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	57	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	521	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	268.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1275670, 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 29 July 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,874,382	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$429,468	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,444,914	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,062,510	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$382,404	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,213	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$396,617	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$216,354 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	34	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,783	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	96	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	215	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	101.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1238652, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$2,369,793	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$113,192	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,256,601	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,954,643	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$301,958	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$301,958	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$4,234,930 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	34	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	6,327	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	40	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	158.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1200289, 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 28 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$2,064,878	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$70,264	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,994,614	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,653,936	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$340,678	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$340,678	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$4,176,450 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	17	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	6,161	CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1171188, 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 11 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$1,973,824	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$110,423	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,863,401	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,400,941	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$462,460	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$462,460	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,293,564 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	17	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	5,752	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	6	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	958.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1140862, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 March 2014 to 31 December 2014 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$1,352,200	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$32,758	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,319,442	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,198,597	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$120,845	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$120,845	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,592,912 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	17	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	3,840	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	10	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	384	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1102051, read from the public cost report file SNF10FY2014.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
EVENTIDE NEBRASKA SENIOR LIVING LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	100%	since 10/10/2024
NOLLENDORFS, ALISA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/10/2026
RYAN, KELSIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/13/2026
BOCK, JODEE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/10/2024
BRANDT, TERRY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/10/2024
BYE, ROBERT	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/10/2024
FISCHBACH, TYLER	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/10/2024
GULBRANSON, PATRICK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/10/2024
JOHNSON, VIKKI	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/10/2024
LARSON-CASSELTON, CINDY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/10/2024
LEE, JUDITH	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/10/2024
LUNAK, BRANDON	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/10/2024
SCHAFER, ERIC	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2013
SELJEVOLD, PETER	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/10/2024
SWENSON, KARLA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/10/2024
BYE, ROBERT	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/10/2024
JOHNSON, VIKKI	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/10/2024
LUNAK, BRANDON	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2026
RIEWER, JON	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/10/2024
EVENTIDE	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/18/2024
OHE, DARIN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/22/2024
RYAN, KELSIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/18/2018

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of TABITHA, INC. (enrollment ID O20131127001388).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
EVENTIDE NEBRASKA SENIOR LIVING LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	10/10/2024	Private equity company: No Real estate investment trust: No Holding company: No
ALISA J NOLLENDORFS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/10/2026	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.
KELSIE RYAN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/13/2026	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.
BRANDON LUNAK	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2024	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.
CINDY LARSON-CASSELTON	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2024	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.
ERIC SCHAFER	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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.
JODEE BOCK	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2024	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.
JUDITH LEE	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2024	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.
KARLA SWENSON	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2024	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.
PATRICK GULBRANSON	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2024	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.
PETER J SELJEVOLD	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2024	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.
ROBERT J BYE	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2024	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.
TERRY BRANDT	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2024	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.
TYLER FISCHBACH	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2024	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.
VIKKI JOHNSON	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/10/2024	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.
BRANDON LUNAK	Individual	CORPORATE OFFICER	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.	4/1/2026	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.
JON M RIEWER	Individual	CORPORATE OFFICER	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.	10/10/2024	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.
ROBERT J BYE	Individual	CORPORATE OFFICER	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.	10/10/2024	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.
VIKKI JOHNSON	Individual	CORPORATE OFFICER	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.	10/10/2024	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.
DARIN G OHE	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/22/2024	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.
EVENTIDE	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/18/2024	Private equity company: No Real estate investment trust: No Holding company: No
KELSIE RYAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/18/2018	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: JOSEPH HALVORSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KELSIE RYAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LUKE A HVIDSTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LUKE A HVIDSTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JODI I TRIGGS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JODI I TRIGGS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KARLA SWENSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JON M RIEWER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KELSIE RYAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KARLA SWENSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ALISA J NOLLENDORFS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JON M RIEWER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRANDON LUNAK appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 February 2025: ERIC SCHAFER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MARK A HESSER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: KELSIE RYAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: BRIAN P SHANKS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: BRIAN P SHANKS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: BRIAN P SHANKS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: CAROL A FRIESEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RENEE SJULIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: CHRISTINA ROSE HINRICHS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: CHRISTINA ROSE HINRICHS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: CHRISTINA ROSE HINRICHS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JOSEPH HALVORSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: VIKKI JOHNSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: VIKKI JOHNSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: CINDY LARSON-CASSELTON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JUDITH LEE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: KELSIE RYAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: EVENTIDE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: LUKE A HVIDSTON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: LUKE A HVIDSTON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: TERRY BRANDT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JODI I TRIGGS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JODI I TRIGGS appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: PATRICK GULBRANSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JODEE BOCK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: TYLER FISCHBACH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: BRANDON LUNAK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: PETER J SELJEVOLD appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: ROBERT J BYE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: ROBERT J BYE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: DARIN G OHE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: EVENTIDE NEBRASKA SENIOR LIVING LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: KARLA SWENSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JON M RIEWER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
30 November 2022: DARCIE L BRINK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: DARCIE L BRINK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: DARCIE L BRINK no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: ERIC SCHAFER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: RENEE SJULIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv

Recent changes on this record

1 July 2026: JOSEPH HALVORSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KELSIE RYAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LUKE A HVIDSTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LUKE A HVIDSTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JODI I TRIGGS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JODI I TRIGGS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KARLA SWENSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JON M RIEWER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KELSIE RYAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KARLA SWENSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ALISA J NOLLENDORFS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JON M RIEWER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRANDON LUNAK appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
11 September 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 February 2025: ERIC SCHAFER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: MARK A HESSER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: KELSIE RYAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: BRIAN P SHANKS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: BRIAN P SHANKS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: BRIAN P SHANKS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: CAROL A FRIESEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: RENEE SJULIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: CHRISTINA ROSE HINRICHS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: CHRISTINA ROSE HINRICHS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: CHRISTINA ROSE HINRICHS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JOSEPH HALVORSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: VIKKI JOHNSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: VIKKI JOHNSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: CINDY LARSON-CASSELTON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JUDITH LEE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: KELSIE RYAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: EVENTIDE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: LUKE A HVIDSTON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: LUKE A HVIDSTON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: TERRY BRANDT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JODI I TRIGGS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JODI I TRIGGS appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: PATRICK GULBRANSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: JODEE BOCK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
1 February 2025: TYLER FISCHBACH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	4 December 2025	4 December 2025	2	8
2	21 November 2024	21 November 2024	5	7
3	12 December 2023	12 December 2023	1	1

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

Deficiencies cited

8 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
2 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	15 May 2026
4 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	18 January 2026
30 June 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	Yes	Deficient, Provider has date of correction	14 August 2025
30 June 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	14 August 2025
30 June 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	14 August 2025
21 November 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	5 January 2025
21 November 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	5 January 2025
12 December 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	9 February 2024

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

Penalties

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Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	TABITHA, INC.
Date First Approved to Provide Medicare and Medicaid Services	2014-05-02
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Lancaster
Telephone Number	4024868919
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	50
Average Number of Residents per Day	26.0
Overall Rating	5
Health Inspection Rating	4
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	5
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: JOSEPH HALVORSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Eventide Williamsburg

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