Skilled nursing facility · CMS certification number 355065

Sunset Drive - a Prospera Community

Mandan, North Dakota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 128

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 22 December 2025.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$21,041,247	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,154,277	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$17,886,970	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,996,017	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,890,953	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$184,294	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,075,247	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,380,737 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	46,720	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	3,332	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	30,161	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	12,482	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	45,975	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	87	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	191	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	184	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	462	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	157.91	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	99.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1445232, 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 7 February 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$21,395,145	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,435,400	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$17,959,745	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,054,740	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,905,005	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$213,415	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,118,420	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,896,550 (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%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	45,870	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	396	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.12	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	162.85	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	115.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403400, 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 26 February 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$21,697,679	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,243,105	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$17,454,574	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,156,382	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,298,192	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$316,496	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,614,688	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,991,293 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	45,405	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	530	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	116.36	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	85.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1373870, 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 10 April 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$19,265,888	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,931,004	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,334,884	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$16,431,051	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$96,167	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$300,147	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$203,980	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$341,650 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	43,571	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	469	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.66	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	126.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	92.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1376082, 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 2 March 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$17,646,741	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,682,884	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,963,857	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,336,625	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$627,232	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$331,836	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$959,068	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $757,890 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	42,187	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	320	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	194.54	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	131.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1311149, 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 23 March 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$16,797,979	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,831,276	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,966,703	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,887,472	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$79,231	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$194,071	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$273,302	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $115,804 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	44,814	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	348	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	154.54	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	128.78	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1281553, 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 16 January 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$17,108,393	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,336,452	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,771,941	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,343,880	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$428,061	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$561,004	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$989,065	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $648,787 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	46,030	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	477	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	265.19	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	96.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1249370, 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 17 December 2018.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$16,994,489	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,427,238	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,567,251	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,090,013	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$522,762	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$270,238	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$252,524	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$365,061 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	45,011	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	450	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.03	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	295.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	100.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1216047, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended 30 June 2017

Cost report for 1 January 2017 to 30 June 2017 — a reporting period of 180 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 26 October 2017.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$8,430,352	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,303,977	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,126,375	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,418,365	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$291,990	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$26,567	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$265,423	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$321,233 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	126	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,317	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	82	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.72	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	584.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	272.16	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1177534, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 July 2016 to 31 December 2016 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$8,451,115	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,285,175	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,165,940	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,917,390	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$248,550	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$70,350	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$318,900	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $318,900 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,379	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	80	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,098.07	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	292.24	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174956, read from the public cost report file SNF10FY2016.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 30 January 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$16,109,421	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,484,790	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,624,631	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,356,489	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$268,142	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$132,561	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$400,703	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $400,703 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	46,304	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	118	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,121.41	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	392.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118315, 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, processed by CMS on 3 February 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$15,280,245	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,201,035	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,079,210	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,823,789	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$255,421	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$103,795	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$359,216	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $345,108 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	46,261	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	138	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,212.52	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	335.22	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1085362, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2013, ended 30 June 2013

Cost report for 1 January 2013 to 30 June 2013 — a reporting period of 180 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 18 April 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$7,194,232	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$821,215	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,373,017	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,296,148	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$76,869	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$64,605	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$141,474	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $140,192 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,978	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	45.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,286.86	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	337.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1057910, 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 12 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$13,914,640	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,652,786	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,261,854	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,134,065	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$127,789	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$137,935	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$265,724	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $264,588 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	46,167	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	124	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	844.11	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	372.31	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1046117, 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 9 November 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$13,063,646	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,139,436	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,924,210	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,943,749	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$19,539	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$263,944	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$244,405	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $244,405 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	46,252	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	89	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	68.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	986.91	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	519.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1019155, 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 July 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$11,688,014	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,429,961	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$258,053	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$247,838	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $505,891 (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.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	46,322	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	79	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	60.41	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,516.05	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	586.35	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 411467, 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 14 July 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$10,183,676	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,693,638	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$509,962	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$283,366	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$226,596 (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.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	46,350	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	78	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	83.93	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,273.44	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	594.23	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 380312, 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 8 September 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$20,976,812	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$21,467,048	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$490,236	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$508,734	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $18,498 (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.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	121	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,240	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	94	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.8	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	993.5	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	460	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 356050, 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 31 July 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$19,882,274	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$19,377,229	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$505,045	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$426,199	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$48,000	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $883,244 (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.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,476	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	88	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	65.16	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	949.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	494.05	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 322440, 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 15 October 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$19,262,717	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$18,525,639	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$737,078	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$480,148	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,217,226 (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.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,557	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	71	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.97	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,307.04	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	613.48	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 326443, 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, as submitted, processed by CMS on 15 June 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$19,099,179	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$18,683,809	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$415,370	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$561,300	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $976,670 (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.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,258	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	108	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	60.98	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	653.41	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	400.54	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 254033, 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 22 February 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$6,141,942	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,284,916	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$142,974	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$320,705	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$680	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $177,051 (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.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,404	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	170	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	54.69	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	746.36	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	255.32	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 243405, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 April 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$5,940,847	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,944,500	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$3,653	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$276,401	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1,886	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $270,862 (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.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,404	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	175	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.25	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	462	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	248.02	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 215341, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 October 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$5,786,946	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,770,883	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$16,063	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$503,782	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $519,845 (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.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	42,987	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	211	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	47.49	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	571.77	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	203.73	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 196897, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 31 December 2001

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 December 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$4,802,413	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,093,356	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$290,943	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$554,132	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $263,189 (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.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,170	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	249	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.91	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	356.54	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	165.34	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 166101, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$4,491,624	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,476,563	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$15,061	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$393,597	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $408,658 (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.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,478	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	238	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	335.73	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	174.28	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 122887, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 31 December 1999

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 April 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$4,518,145	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,259,268	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$258,877	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$335,807	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $594,684 (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.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,234	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	170	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.91	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	497.88	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	254.32	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 43058, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 31 December 1998

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 December 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$4,110,412	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,234,081	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$123,669	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$103,725	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$19,944 (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.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,437	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	176	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	58.61	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	590.13	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	246.8	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 43057, read from the public cost report file SNFFY1998.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
SANFORD	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/2019
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/2019
BROWN, GEORGE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
CARTMILL, KAYLEY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/24/2025
DTN STAFFING INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/02/2024
DYKHOUSE, DANA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
ENGBRECHT, WESLEY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
FLUIT, JOEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2022
FOCUSONE SOLUTIONS	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/04/2024
GASSEN, WILLIAM	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
GRAPE TREE MEDICAL STAFFING LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/13/2018
GULSVIG, NEIL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
HERSETH SANDLIN, STEPHANIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
JOHNSON, ANTHONY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2022
LUNDEEN, MARK	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
MCCAUSLAND, MAUREEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
MIDDLETON, AIMEE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/27/2022
MOLBERT, LAURIS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
MORRISON, TONY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2019
NORTH, ANDREW	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
OLSON, NICHOLAS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/08/2024
SANDGREN, DEEANDRA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/16/2023
SANFORD	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/07/2025
SCHEMA, NATHAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2022
SCHIEFFER, KEVIN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
SHULKIN, DAVID	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
TEIKEN, BRENT	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2019
VENTLING-HERRMANN, MARNIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/30/2024
WENZEL, THOMAS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
BROWN, GEORGE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
DYKHOUSE, DANA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
ENGBRECHT, WESLEY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
GASSEN, WILLIAM	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
GULSVIG, NEIL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
HERSETH SANDLIN, STEPHANIE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
LUNDEEN, MARK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
MCCAUSLAND, MAUREEN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
MOLBERT, LAURIS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
NORTH, ANDREW	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
SCHIEFFER, KEVIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
SHULKIN, DAVID	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
TEIKEN, BRENT	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
VENTLING-HERRMANN, MARNIE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/30/2024
WENZEL, THOMAS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2025
FLUIT, JOEL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2022
GASSEN, WILLIAM	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/30/2024
MIDDLETON, AIMEE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/27/2022
OLSON, NICHOLAS	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/08/2024
SCHEMA, NATHAN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2022
FLUIT, JOEL	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/13/2026
CARTMILL, KAYLEY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/24/2025
JOHNSON, ANTHONY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2022
MORRISON, TONY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2019
SANDGREN, DEEANDRA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/16/2023
SANFORD	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2019
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (enrollment ID O20200622000659).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
SANFORD	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
AIMEE NICOLE MIDDLETON	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.	1/27/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANDREW STEWART NORTH	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.	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANTHONY T JOHNSON	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.	12/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRENT GERARD TEIKEN	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.	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANA JAMES DYKHOUSE	Individual	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.	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID JONATHAN SHULKIN	Individual	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.	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEEANDRA DAWN SANDGREN	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.	7/16/2023	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.
DTN STAFFING 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.	8/2/2024	Private equity company: No Real estate investment trust: No Holding company: No
FOCUSONE SOLUTIONS	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.	3/4/2024	Private equity company: No Real estate investment trust: No Holding company: No
GEORGE JOSEPH BROWN	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.	1/1/2025	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.
GRAPE TREE MEDICAL STAFFING 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.	4/13/2018	Private equity company: No Real estate investment trust: No Holding company: No
JOEL ADAM FLUIT	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.	10/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KAYLEY CARTMILL	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.	7/24/2025	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.
KEVIN VICTOR SCHIEFFER	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.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LAURIS NELSON MOLBERT	Individual	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.	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK ALLEN LUNDEEN	Individual	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.	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARNIE LYNN VENTLING-HERRMANN	Individual	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.	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MAUREEN PATRICIA MCCAUSLAND	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.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NATHAN THOMAS SCHEMA	Individual	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.	1/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NEIL LESLIE GULSVIG	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.	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NICHOLAS WAYNE OLSON	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.	4/8/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SANFORD	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.	11/7/2025	Private equity company: No Real estate investment trust: No Holding company: No
STEPHANIE MARIE HERSETH SANDLIN	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.	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	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.	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
THOMAS RICHARD WENZEL	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.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TONY LEE MORRISON	Individual	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.	1/1/2019	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.
WESLEY OWEN ENGBRECHT	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.	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WILLIAM JOSEPH GASSEN	Individual	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.	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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.	10/1/2017	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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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.	10/1/2017	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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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.	3/25/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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.	10/1/2017	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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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.	4/14/2024	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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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.	3/12/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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.	10/1/2017	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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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.	2/1/2024	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.
ANDREW STEWART NORTH	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRENT GERARD TEIKEN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANA JAMES DYKHOUSE	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID JONATHAN SHULKIN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GEORGE JOSEPH BROWN	Individual	CORPORATE DIRECTOR	0	1/1/2025	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.
KEVIN VICTOR SCHIEFFER	Individual	CORPORATE DIRECTOR	0	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LAURIS NELSON MOLBERT	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK ALLEN LUNDEEN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARNIE LYNN VENTLING-HERRMANN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MAUREEN PATRICIA MCCAUSLAND	Individual	CORPORATE DIRECTOR	0	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NEIL LESLIE GULSVIG	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEPHANIE MARIE HERSETH SANDLIN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THOMAS RICHARD WENZEL	Individual	CORPORATE DIRECTOR	0	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WESLEY OWEN ENGBRECHT	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WILLIAM JOSEPH GASSEN	Individual	CORPORATE DIRECTOR	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AIMEE NICOLE MIDDLETON	Individual	CORPORATE OFFICER	0	1/27/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL ADAM FLUIT	Individual	CORPORATE OFFICER	0	10/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NATHAN THOMAS SCHEMA	Individual	CORPORATE OFFICER	0	1/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NICHOLAS WAYNE OLSON	Individual	CORPORATE OFFICER	0	4/8/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WILLIAM JOSEPH GASSEN	Individual	CORPORATE OFFICER	0	5/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANTHONY T JOHNSON	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.	12/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEEANDRA DAWN SANDGREN	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.	7/16/2023	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.
KAYLEY CARTMILL	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.	7/24/2025	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.
SANFORD	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.	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	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.	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
TONY LEE MORRISON	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.	1/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: NICHOLAS WAYNE OLSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LAURIS NELSON MOLBERT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KEVIN VICTOR SCHIEFFER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KEVIN VICTOR SCHIEFFER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEIL LESLIE GULSVIG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DEEANDRA DAWN SANDGREN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DEEANDRA DAWN SANDGREN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DAVID JONATHAN SHULKIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THOMAS RICHARD WENZEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THOMAS RICHARD WENZEL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NATHAN THOMAS SCHEMA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SANFORD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SANFORD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MAUREEN PATRICIA MCCAUSLAND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MAUREEN PATRICIA MCCAUSLAND appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WESLEY OWEN ENGBRECHT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GEORGE JOSEPH BROWN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GEORGE JOSEPH BROWN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM JOSEPH GASSEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GRAPE TREE MEDICAL STAFFING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEPHANIE MARIE HERSETH SANDLIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AIMEE NICOLE MIDDLETON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANDREW STEWART NORTH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DTN STAFFING INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DANA JAMES DYKHOUSE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOEL ADAM FLUIT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRENT GERARD TEIKEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: FOCUSONE SOLUTIONS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KAYLEY CARTMILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KAYLEY CARTMILL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TONY LEE MORRISON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARNIE LYNN VENTLING-HERRMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANTHONY T JOHNSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANTHONY T JOHNSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KELLY VANDERVORSTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MICHAEL ROGERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JAMES EDWARD CAIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TONY LEE MORRISON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANTHONY T JOHNSON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TONY LEE MORRISON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 October 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: THOMAS PHILLIP KOOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SANFORD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: LINDA OLAYINKA NORMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT WOOTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SCOTT WOOTEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MARNIE LYNN VENTLING-HERRMANN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: NICHOLAS WAYNE OLSON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: LAURIS NELSON MOLBERT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: NEIL LESLIE GULSVIG appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DAVID JONATHAN SHULKIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: KELLY VANDERVORSTE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SANFORD appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: WESLEY OWEN ENGBRECHT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: WILLIAM JOSEPH GASSEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: WILLIAM JOSEPH GASSEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: STEPHANIE MARIE HERSETH SANDLIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: ANDREW STEWART NORTH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DANA JAMES DYKHOUSE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: BRENT GERARD TEIKEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: JAMES EDWARD CAIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: ANTHONY T JOHNSON appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MARK ALLEN LUNDEEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 May 2024: MICHAEL ROGERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: WILLIAM D MARLETTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: MICHAEL ROGERS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: SCOTT WOOTEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: SCOTT WOOTEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 March 2024: DAVID A BRECHTELSBAUER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: TONY LEE MORRISON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: TONY LEE MORRISON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
2 October 2023: KELBY K KRABBENHOFT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: LISA MELBY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JOANN L KUNKEL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JOANN L KUNKEL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: NORVAL BUCKNEBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JAVIER ESPINOSA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JILL SCHUMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: CHAD JUNGMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: ALAN GARD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: ERIC VANDEN HULL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: ERIC VANDEN HULL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MICHELLE MARIE MICKA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MICHELLE MARIE MICKA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: STEPHANIE MARIE SWENSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: PATRICIA CAMERO no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JOLYN JOY MUNSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: RANDY BURY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: RANDY BURY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: KARIN LOUISE DULSKI no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MARNIE LYNN VENTLING-HERRMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: DALE M THOMPSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: DEAN LOUIS BRESCIANI appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: THOMAS PHILLIP KOOP appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MATTHEW RYAN HOCKS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: AIMEE NICOLE MIDDLETON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: AIMEE NICOLE MIDDLETON appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MICHAEL ROGERS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: JOEL FLUIT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: WILLIAM D MARLETTE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: LINDA OLAYINKA NORMAN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: HELEN ISABELLA MELLAND appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv

Recent changes on this record

1 July 2026: NICHOLAS WAYNE OLSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LAURIS NELSON MOLBERT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KEVIN VICTOR SCHIEFFER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KEVIN VICTOR SCHIEFFER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NEIL LESLIE GULSVIG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DEEANDRA DAWN SANDGREN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DEEANDRA DAWN SANDGREN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DAVID JONATHAN SHULKIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THOMAS RICHARD WENZEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THOMAS RICHARD WENZEL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NATHAN THOMAS SCHEMA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SANFORD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SANFORD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MAUREEN PATRICIA MCCAUSLAND appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MAUREEN PATRICIA MCCAUSLAND appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WESLEY OWEN ENGBRECHT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GEORGE JOSEPH BROWN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GEORGE JOSEPH BROWN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM JOSEPH GASSEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GRAPE TREE MEDICAL STAFFING LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEPHANIE MARIE HERSETH SANDLIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AIMEE NICOLE MIDDLETON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANDREW STEWART NORTH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DTN STAFFING INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARK ALLEN LUNDEEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DANA JAMES DYKHOUSE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOEL ADAM FLUIT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRENT GERARD TEIKEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: FOCUSONE SOLUTIONS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KAYLEY CARTMILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KAYLEY CARTMILL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TONY LEE MORRISON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARNIE LYNN VENTLING-HERRMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANTHONY T JOHNSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANTHONY T JOHNSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KELLY VANDERVORSTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MICHAEL ROGERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	15 May 2025	15 May 2025	32	1
2	2 May 2024	2 May 2024	18	1
3	11 May 2023	11 May 2023	19	3

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

Deficiencies cited

69 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
28 May 2026	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	26 June 2026
28 May 2026	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	Yes	Deficient, Provider has date of correction	26 June 2026
28 May 2026	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	26 June 2026
28 May 2026	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	26 June 2026
28 May 2026	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	Yes	Deficient, Provider has date of correction	26 June 2026
28 May 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	26 June 2026
5 February 2026	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	Past Non-Compliance	24 December 2025
10 December 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Past Non-Compliance
25 August 2025	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	9 September 2025
28 July 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	Yes	Deficient, Provider has date of correction	20 August 2025
28 July 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.	L	Yes	Deficient, Provider has date of correction	20 August 2025
28 July 2025	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	D	Yes	Deficient, Provider has date of correction	20 August 2025
9 July 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E	Yes	Deficient, Provider has date of correction	20 August 2025
15 May 2025	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	Health	F 0557	Resident Rights Deficiencies	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	D	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	20 August 2025
15 May 2025	Health	F 0559	Resident Rights Deficiencies	Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.	D	No	Deficient, Provider has date of correction	20 August 2025
15 May 2025	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	D	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	E	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	D	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	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.	E	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	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	30 June 2025
15 May 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	Yes	Deficient, Provider has date of correction	20 August 2025
15 May 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	Yes	Past Non-Compliance	5 March 2025
15 May 2025	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	E	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	Yes	Deficient, Provider has date of correction	30 June 2025
15 May 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	30 June 2025
8 January 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	12 February 2025
8 January 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	12 February 2025
5 November 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	10 December 2024
3 October 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	7 November 2024
31 July 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Deficient, Provider has date of correction	4 September 2024
31 July 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	E	Yes	Deficient, Provider has date of correction	4 September 2024
31 July 2024	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	Yes	Deficient, Provider has date of correction	4 September 2024
31 July 2024	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	D	Yes	Deficient, Provider has date of correction	4 September 2024
31 July 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	4 September 2024
19 June 2024	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D	Yes	Past Non-Compliance	14 June 2024
2 May 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	6 June 2024
2 May 2024	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D	No	Deficient, Provider has date of correction	6 June 2024
2 May 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	6 June 2024
2 May 2024	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	6 June 2024
2 May 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	6 June 2024
2 May 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	6 June 2024
2 May 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	No	Deficient, Provider has date of correction	6 June 2024
2 May 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	6 June 2024
2 May 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	6 June 2024
2 May 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	6 June 2024
27 September 2023	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 November 2023
11 May 2023	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	15 June 2023
11 May 2023	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	15 June 2023
11 May 2023	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	15 June 2023
11 May 2023	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E	No	Deficient, Provider has date of correction	15 June 2023
11 May 2023	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	15 June 2023
11 May 2023	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.	E	No	Deficient, Provider has date of correction	15 June 2023
11 May 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	15 June 2023
11 May 2023	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	15 June 2023
11 May 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	15 June 2023
11 May 2023	Health	F 0742	Quality of Life and Care Deficiencies	Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.	D	No	Deficient, Provider has date of correction	15 June 2023
11 May 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	15 June 2023
11 May 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	15 June 2023

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
15 May 2025	Fine	$8,412			134002
15 May 2025	Fine	$33,814			136201
15 May 2025	Payment Denial		15 August 2025	25

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Date First Approved to Provide Medicare and Medicaid Services	1978-07-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Morton
Telephone Number	7013231411
Chain Name	GOOD SAMARITAN SOCIETY
Chain ID	726
Special Focus Status	SFF Candidate
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	128
Average Number of Residents per Day	121.0
Overall Rating	1
Health Inspection Rating	1
QM Rating	1
Long-Stay QM Rating	1
Short-Stay QM Rating	1
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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The citable document for Sunset Drive - a Prospera Community

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