Skilled nursing facility · CMS certification number 355041
LUTHERAN HOME OF THE GOOD SHEPHERD
NEW ROCKFORD, North Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 51
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 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 January 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,050,402 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,828,635 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,879,037 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,031,001 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$151,964 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $815,731 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $663,767 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $663,767 (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 | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 18,615 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 934 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 8,209 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 7,528 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 16,671 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 17 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 9 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 25 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 912.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 326.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446405, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 30 June 2024
Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 December 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,788,600 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,495,753 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,284,353 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,446,546 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$162,193 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $708,924 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $546,731 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $546,731 (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 | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,586 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 39 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 727.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 399.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401593, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 30 June 2023
Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 December 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,889,418 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,040,410 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,929,828 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,635,538 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$705,710 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,529,798 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,824,088 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,824,088 (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 | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,363 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 740.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 371.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371284, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 30 June 2022
Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 December 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,634,938 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$368,916 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,003,854 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,781,732 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$777,878 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $977,025 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $199,147 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $199,147 (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 | 56 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,986 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 499.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 363.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1338759, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 30 June 2021
Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 February 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,285,043 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$78,755 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,363,798 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,079,296 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$715,498 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,344,090 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,628,592 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,628,592 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,657 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 655.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 396.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309998, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 30 June 2020
Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 February 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,405,345 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $71,996 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,333,349 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,794,791 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$461,442 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $241,388 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$220,054 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$220,054 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,152 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 48 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 564.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 419.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279953, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 30 June 2019
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 November 2019.
None of these figures is carried on this report.
CMS report record 1245957, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,851,074 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $154,008 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,697,066 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,213,790 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$516,724 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $194,343 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$322,381 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$322,381 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,042 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,343.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 511.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249140, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 November 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,836,010 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $187,589 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,648,421 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,896,100 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$247,679 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $187,415 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$60,264 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$60,264 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,863 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 861.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 299.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1177911, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 May 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,898,861 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $145,471 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,753,390 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,836,636 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$83,246 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $140,405 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $57,159 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $57,159 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,339 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 746.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 460.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1157001, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 November 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,194,412 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $196,373 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,998,039 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,961,588 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $36,451 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $317,106 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $353,557 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $353,557 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,717 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 4,466 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 414.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1113109, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled with audit, processed by CMS on 14 January 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,852,922 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $202,723 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,650,199 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,710,867 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$60,668 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $99,636 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $38,968 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $38,968 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,319 | 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 | 62.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 610.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 372.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084098, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 January 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,663,419 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $269,878 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,393,541 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,590,295 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$196,754 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,111,719 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,914,965 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,914,965 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,040 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 666.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 294.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1054374, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,137,974 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $226,432 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,911,542 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,216,634 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$305,092 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $128,450 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$176,642 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$177,642 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,662 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 71 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 795.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 347.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024068, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 February 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,449,713 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,432,800 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $16,913 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $88,896 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $21,063 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $84,746 (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 | 67 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,218 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 483.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 318.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 424354, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 February 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,410,464 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,350,936 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $59,528 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $129,727 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $189,255 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,288 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 68 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 638.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 386.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 394252, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 26 January 2009.
None of these figures is carried on this report.
CMS report record 332615, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 30 June 2007
Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 February 2008.
None of these figures is carried on this report.
CMS report record 302091, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 November 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,758,592 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,702,970 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $55,622 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $118,243 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $173,865 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,435 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,570.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 710.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 296744, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 September 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,087,402 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,601,426 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$514,024 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $474,592 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$39,432 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,347 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 992.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 546.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264108, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 30 June 2004
Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 19 October 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,719,454 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,166,473 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$447,019 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $398,817 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$48,202 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,721 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 41 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,183.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 651.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 235058, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 30 June 2003
Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 October 2004.
None of these figures is carried on this report.
CMS report record 198455, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 30 June 2002
Cost report for 1 July 2001 to 30 June 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 March 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,726,836 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,019,261 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$292,425 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $471,665 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $179,240 (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 | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,925 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 54 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 769.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 517.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 172638, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 30 June 2001
Cost report for 1 July 2000 to 30 June 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 May 2003.
None of these figures is carried on this report.
CMS report record 145555, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 30 June 2000
Cost report for 1 July 1999 to 30 June 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2002.
Net income, stated at moderate confidence: $32,710 (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.
CMS report record 42986, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 30 June 1999
Cost report for 1 July 1998 to 30 June 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 7 March 2000.
None of these figures is carried on this report.
CMS report record 42985, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended 30 June 1998
Cost report for 1 July 1997 to 30 June 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 9 February 1999.
Net income, stated at moderate confidence: $87,956 (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.
CMS report record 42984, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended 30 June 1997
Cost report for 1 July 1996 to 30 June 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 August 1999.
Net income, stated at moderate confidence: −$62,726 (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.
CMS report record 42983, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended 30 June 1996
Cost report for 1 July 1995 to 30 June 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 1 April 1998.
Net income, stated at moderate confidence: $106,930 (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.
CMS report record 42982, read from the public cost report file SNFFY1995.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| ALLMARAS, DIANNE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/01/2011 |
| ANDERSON, KAREN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2021 |
| BIRKLAND, KAREN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2019 |
| BOLLINGBERG, NANCY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2019 |
| GULER, JOSH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2019 |
| HEGLAND, AMANDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2019 |
| LABRENSZ, JEFFREY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2019 |
| LUTZ, LONA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2019 |
| PARSON, LORI | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2021 |
| RAU, RICHARD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2019 |
| SCHUSTER, FERN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2021 |
| JENSRUD, KIM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/11/2013 |
| O'CONNOR, KATHLEEN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2019 |
| SWANSON, DENNIS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2019 |
| WOLKENHAUER, CAROL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2019 |
| JENSRUD, KIM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/11/2013 |
| LUTHERAN HOME OF THE GOOD SHEPHERD INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/28/2009 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LUTHERAN HOME OF THE GOOD SHEPHERD INC (enrollment ID O20091216000589).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| AMANDA HEGLAND | Individual | CORPORATE DIRECTOR | 0 | 10/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DIANNE ALLMARAS | 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. | 11/1/2011 | 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. |
| FERN SCHUSTER | Individual | CORPORATE DIRECTOR | 0 | 1/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JEFFREY LABRENSZ | Individual | CORPORATE DIRECTOR | 0 | 10/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOSH GULER | Individual | CORPORATE DIRECTOR | 0 | 10/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KAREN ANDERSON | Individual | CORPORATE DIRECTOR | 0 | 1/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KAREN BIRKLAND | Individual | CORPORATE DIRECTOR | 0 | 10/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LONA LUTZ | Individual | CORPORATE DIRECTOR | 0 | 10/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LORI PARSON | Individual | CORPORATE DIRECTOR | 0 | 1/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| NANCY BOLLINGBERG | Individual | CORPORATE DIRECTOR | 0 | 10/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RICHARD RAU | Individual | CORPORATE DIRECTOR | 0 | 10/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CAROL WOLKENHAUER | Individual | CORPORATE OFFICER | 0 | 10/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DENNIS SWANSON | Individual | CORPORATE OFFICER | 0 | 10/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KATHLEEN O'CONNOR | Individual | CORPORATE OFFICER | 0 | 10/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KIM JENSRUD | 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. | 3/11/2013 | 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. |
| KIM JENSRUD | 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. | 3/11/2013 | 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. |
| LUTHERAN HOME OF THE GOOD SHEPHERD INC | 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. | 10/28/2009 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: LORI PARSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LORI PARSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- 1 July 2026: LORI PARSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LORI PARSON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 12 January 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 25 December 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 27 December 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 21 December 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 7 February 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 10 February 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 16 January 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 21 November 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 3 November 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 10 May 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 20 November 2015: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 14 January 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 27 January 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 24 January 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 2 February 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 22 February 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 26 January 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- 11 February 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- 21 November 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- 29 September 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- 19 October 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- 29 October 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- 31 March 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- 20 May 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- 12 February 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- 7 March 2000: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- 5 August 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
- 9 February 1999: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- 1 April 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1995.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 28 August 2025 | 28 August 2025 | 3 | 0 |
| 2 | 10 July 2024 | 10 July 2024 | 6 | 2 |
| 3 | 21 June 2023 | 21 June 2023 | 0 | 1 |
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 |
|---|---|---|---|---|---|---|---|---|
| 28 August 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 22 September 2025 |
| 28 August 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | 22 September 2025 |
| 28 August 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 22 September 2025 |
| 4 June 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Past Non-Compliance | 28 May 2025 |
| 10 July 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | 1 August 2024 |
| 10 July 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | 1 August 2024 |
| 10 July 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 1 August 2024 |
| 10 July 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has date of correction | 1 August 2024 |
| 10 July 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | J | Yes | Deficient, Provider has date of correction | 1 August 2024 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 28 August 2025 | Fine | $9,110 | 136239 | ||
| 4 June 2025 | Fine | $9,110 | 134248 | ||
| 10 July 2024 | Fine | $13,609 | 99660 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | LUTHERAN HOME OF THE GOOD SHEPHERD INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1978-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Eddy |
| Telephone Number | 7019472944 |
| 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 | 51 |
| Average Number of Residents per Day | 46.6 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on LUTHERAN HOME OF THE GOOD SHEPHERD: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: LORI PARSON 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 LUTHERAN HOME OF THE GOOD SHEPHERD
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 North Dakota 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 355041.