Skilled nursing facility · CMS certification number 335843
OUR LADY OF PEACE NURSING CARE RESIDENCE
LEWISTON, New York · Medicare and Medicaid
Certified beds, as filed in Care Compare: 250
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 23 June 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,301,633 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $14,198,870 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,102,763 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,961,894 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,859,131 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $312,581 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$7,546,550 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$7,546,550 (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 | 250 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 91,500 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,363 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 43,831 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 45,194 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 36 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 279 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 315 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 143.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1431276, 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 11 April 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,499,781 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $14,621,126 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,878,655 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,236,287 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,357,632 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,229,190 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,128,442 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,128,442 (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 | 250 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,194 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 275 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 160.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1420607, 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 6 February 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,736,437 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,592,985 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,143,452 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,769,094 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,625,642 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,171,990 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,453,652 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,453,652 (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 | 250 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,692 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 293 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 149.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373048, 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 18 August 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,567,428 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $14,044,538 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,522,890 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,647,445 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,124,555 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,310,678 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,813,877 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,813,877 (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 | 250 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,076 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 294 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 183.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1330054, 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 27 October 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $38,433,826 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $19,153,701 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,280,125 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,769,579 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,489,454 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,507,778 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,981,676 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,981,676 (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 | 250 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 75,932 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 474 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 160.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303239, 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 27 October 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $45,305,157 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $21,569,484 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,735,673 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,876,272 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,140,599 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $246,547 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$894,052 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$894,052 (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 | 250 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 87,215 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 634 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 137.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1272469, 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 8 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $45,746,790 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $20,166,103 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $25,580,687 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,045,568 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$464,881 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $217,678 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$247,203 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$247,203 (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 | 250 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 87,423 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 733 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 119.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240105, 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 22 August 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $42,310,954 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $17,312,152 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,998,802 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,281,598 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,282,796 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $682,091 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$600,705 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$600,705 (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 | 250 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 88,856 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 712 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 124.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1210088, 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 19 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $38,277,942 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $13,461,128 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,816,814 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,003,468 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,186,654 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,352,238 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $165,584 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $165,584 (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 | 250 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 89,281 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 682 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 130.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174108, 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 2 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $35,388,812 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $12,263,637 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,125,175 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,902,691 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,777,516 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $832,924 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$944,592 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,446,963 (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 | 250 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 89,258 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 660 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 885.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139336, 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 5 August 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $34,724,858 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $12,150,346 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,574,512 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,906,281 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,331,769 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,436,916 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $105,147 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$147,092 (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 | 250 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 89,881 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 769 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 963.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1106788, 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 27 January 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,579,998 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,846,057 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,733,941 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,441,409 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,707,468 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,800,374 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$907,094 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$907,094 (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 | 250 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 89,893 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 808 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 927.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085022, 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 26 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,289,904 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,558,384 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,731,520 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,520,967 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,789,447 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,835,653 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$953,794 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$953,794 (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 | 250 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 90,436 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 835 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 768.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1043941, 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 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $30,169,782 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,781,055 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,388,727 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,600,073 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,211,346 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,483,783 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,727,563 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,727,563 (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 | 250 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 90,507 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 867 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 785.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1013371, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 August 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $22,374,162 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,305,206 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$931,044 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,348,750 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,417,706 (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 | 250 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 90,492 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 748 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,217.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 120.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415953, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 August 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $22,371,229 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,893,705 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$522,476 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,289,835 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,767,359 (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 | 250 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 90,165 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 801 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 992.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 112.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385325, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 25 August 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $21,964,195 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,933,078 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$968,883 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$848,163 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,817,046 (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 | 250 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 90,688 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 402 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,098.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 225.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355359, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 January 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $21,205,209 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,120,770 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$915,561 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,204,072 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $288,511 (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 | 250 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 90,085 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 756 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,358.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 119.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 331440, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $20,598,920 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,957,888 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$358,968 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $729,121 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $370,153 (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 | 250 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 89,605 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 772 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,234.16 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 116.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 303100, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 November 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $20,058,164 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,229,961 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,171,797 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $170,049 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,001,748 (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 | 250 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 88,162 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 692 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,070.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 127.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266977, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 November 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $19,701,611 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,023,421 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,321,810 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $116,663 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,205,147 (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 | 250 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 89,851 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 324 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,735.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 277.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 236922, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 12 June 2003 to 31 December 2003 — a reporting period of 202 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 14 February 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,270,922 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,095,230 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$824,308 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$997,413 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,821,721 (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 | 250 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,785 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,267 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 473.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 207391, read from the public cost report file SNFFY2003.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 |
|---|---|---|---|---|
| ASCENSION HEALTH SENIOR CARE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 07/01/2015 |
| ASCENSION HEALTH SENIOR CARE | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2015 |
| BOTHWELL, DENISE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/05/2023 |
| HEALTH DIMENSIONS CONSULTING INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/13/2024 |
| MEDICAL SOLUTIONS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/14/2017 |
| MINIMUM DATA SET CONSULTANT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/07/2021 |
| MUSGRAVE, LISA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2024 |
| SAUVAGEAU, PHILIP | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2012 |
| SHADBOLT, ERIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2024 |
| SHIFTMED, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/07/2021 |
| SMOOT, KENNETH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2024 |
| SHADBOLT, ERIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| SMOOT, KENNETH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| MUSGRAVE, LISA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| BOTHWELL, DENISE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/05/2023 |
| SAUVAGEAU, PHILIP | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2012 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of OUR LADY OF PEACE INC (enrollment ID O20120301000612).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| ASCENSION HEALTH SENIOR CARE | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| ASCENSION HEALTH SENIOR CARE | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| DENISE DIBERNARDO BOTHWELL | 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. | 9/5/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ERIN SHADBOLT | 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. | 1/1/2024 | 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. |
| HEALTH DIMENSIONS CONSULTING INC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/13/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| KENNETH SMOOT | 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. | 1/1/2024 | 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. |
| LISA MUSGRAVE | 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. | 1/1/2024 | 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. |
| MEDICAL SOLUTIONS LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/14/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| MINIMUM DATA SET CONSULTANT LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/7/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| PHILIP M SAUVAGEAU | 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. | 4/1/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SHIFTMED, LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/7/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| ERIN SHADBOLT | 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. | 1/1/2024 | 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. |
| KENNETH SMOOT | 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. | 1/1/2024 | 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. |
| LISA MUSGRAVE | 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. | 1/1/2024 | 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. |
| DENISE DIBERNARDO BOTHWELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/5/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PHILIP M SAUVAGEAU | 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. | 4/1/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 November 2025: DAWN ZIOLKOWSKI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DENISE DIBERNARDO BOTHWELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: LISA MUSGRAVE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: RYAN BREEDLOVE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ROBIN BINEK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ASCENSION HEALTH SENIOR CARE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: PHILIP M SAUVAGEAU no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KELLIE GRONEFELD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ERIN SHADBOLT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KENNETH SMOOT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SHIFTMED, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DENISE DIBERNARDO BOTHWELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DENISE DIBERNARDO BOTHWELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: LISA MUSGRAVE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: LISA MUSGRAVE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ASCENSION HEALTH SENIOR CARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ASCENSION HEALTH SENIOR CARE appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: PHILIP M SAUVAGEAU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: PHILIP M SAUVAGEAU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MINIMUM DATA SET CONSULTANT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: HEALTH DIMENSIONS CONSULTING INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MEDICAL SOLUTIONS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 3 June 2024: DENA ARMSTONG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: MICHAEL VITCH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: CARMEN GRANTO no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: ROBERT TRAVIS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: ANTHONY EUGENI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: ROBERT MINICUCCI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: MICHAEL R GORDON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: MICHAEL R GORDON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: ERIN SHADBOLT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: KENNETH SMOOT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DAWN ZIOLKOWSKI appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DENISE DIBERNARDO BOTHWELL appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: RYAN BREEDLOVE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: ROBIN BINEK appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: PHILIP M SAUVAGEAU appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: KELLIE GRONEFELD appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 5 January 2024: DANIEL R STRICKER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- 5 January 2024: LISA MUSGRAVE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
Recent changes on this record
- 1 November 2025: DAWN ZIOLKOWSKI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DENISE DIBERNARDO BOTHWELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: LISA MUSGRAVE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: RYAN BREEDLOVE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ROBIN BINEK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ASCENSION HEALTH SENIOR CARE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: PHILIP M SAUVAGEAU no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KELLIE GRONEFELD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ERIN SHADBOLT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KENNETH SMOOT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: SHIFTMED, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DENISE DIBERNARDO BOTHWELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DENISE DIBERNARDO BOTHWELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: LISA MUSGRAVE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: LISA MUSGRAVE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ASCENSION HEALTH SENIOR CARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ASCENSION HEALTH SENIOR CARE appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: PHILIP M SAUVAGEAU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: PHILIP M SAUVAGEAU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MINIMUM DATA SET CONSULTANT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: HEALTH DIMENSIONS CONSULTING INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MEDICAL SOLUTIONS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 23 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 11 April 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 3 June 2024: DENA ARMSTONG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: MICHAEL VITCH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: CARMEN GRANTO no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: ROBERT TRAVIS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: ANTHONY EUGENI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: ROBERT MINICUCCI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: MICHAEL R GORDON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: MICHAEL R GORDON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: ERIN SHADBOLT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: KENNETH SMOOT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DAWN ZIOLKOWSKI appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DENISE DIBERNARDO BOTHWELL appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: RYAN BREEDLOVE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: ROBIN BINEK appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: PHILIP M SAUVAGEAU appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: KELLIE GRONEFELD appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 15 October 2024 | 15 October 2024 | 3 | 17 |
| 2 | 23 November 2022 | 23 November 2022 | 3 | 8 |
| 3 | 10 January 2020 | 10 January 2020 | 3 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
9 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 15 October 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | B | No | Deficient, Provider has date of correction | 13 December 2024 |
| 15 October 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 13 December 2024 |
| 15 October 2024 | Health | F 0836 | Administration Deficiencies | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | C | No | Deficient, Provider has date of correction | 13 December 2024 |
| 23 November 2022 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | No | Deficient, Provider has date of correction | 20 January 2023 |
| 23 November 2022 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | 20 January 2023 |
| 23 November 2022 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 20 January 2023 |
| 10 January 2020 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 25 February 2020 |
| 10 January 2020 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | 25 February 2020 |
| 10 January 2020 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 25 February 2020 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | OUR LADY OF PEACE INC |
| Date First Approved to Provide Medicare and Medicaid Services | 2003-06-12 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Niagara |
| Telephone Number | 7162982900 |
| Chain Name | ASCENSION LIVING |
| Chain ID | 48 |
| 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 | 250 |
| Average Number of Residents per Day | 172.6 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| 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.
Get an email when this record changes
One email a day naming what moved on OUR LADY OF PEACE NURSING CARE RESIDENCE: 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 November 2025: DAWN ZIOLKOWSKI no longer appears as W-2 MANAGING EMPLOYEE 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 OUR LADY OF PEACE NURSING CARE RESIDENCE
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 New York 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 335843.