Skilled nursing facility · CMS certification number 355078
EVENTIDE JAMESTOWN
JAMESTOWN, North Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 79
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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 March 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,539,385 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $178,627 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,360,758 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,762,019 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $598,739 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $146,645 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $745,384 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $745,384 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 29,646 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 866 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 14,559 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 12,260 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 27,685 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 25 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 20 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 57 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 727.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 271.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405565, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 30 September 2023
Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 March 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,929,645 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $260,004 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,669,641 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,829,450 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$159,809 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,360 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$154,449 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$154,449 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,630 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,414.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 383.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375646, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 30 September 2022
Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 March 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,085,672 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $127,512 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,958,160 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,559,037 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $399,123 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $899,509 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,298,632 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,298,632 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,523 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,159.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 261.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345203, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 30 September 2021
Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,795,453 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $75,889 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,719,564 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,014,267 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$294,703 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,318,599 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,023,896 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,021,015 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,913 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 113 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 606.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 220.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313479, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 30 September 2020
Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 June 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,894,628 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $61,201 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,833,427 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,344,320 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$510,893 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $600,525 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $89,632 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$15,669 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,724 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 997.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 301.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1320580, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 30 September 2019
Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 March 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,277,200 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $244,947 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,032,253 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,190,397 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$158,144 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $33,458 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$124,686 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$125,029 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,659 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 983.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 265.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1252926, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 30 September 2018
Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 March 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,199,605 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $346,535 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,853,070 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,980,857 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$127,787 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,519 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$107,268 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$111,331 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,207 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,439.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 285.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1220486, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 30 September 2017
Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 February 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,775,567 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $422,913 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,352,654 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,411,346 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$58,692 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,243 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$39,449 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$39,449 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,237 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,273.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 343.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1184391, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 30 September 2016
Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,944,096 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $409,491 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,534,605 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,171,472 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $363,133 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,546 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $383,679 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $383,679 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,943 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,159.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 405.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156222, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 September 2015
Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 March 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,171,333 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $481,140 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,690,193 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,839,685 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$149,492 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,882 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$128,610 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$128,610 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,766 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 161 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 622.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 240.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1121182, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 30 September 2014
Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 March 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,756,704 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $590,322 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,166,382 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,190,074 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$23,692 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,142 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $17,450 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $17,450 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,589 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 163 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 586.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 236.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1086969, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 30 September 2013
Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 April 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,218,858 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $523,362 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,695,496 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,392,069 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $303,427 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,264 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $335,691 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $335,691 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,406 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 204 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 719.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 207.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058855, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 30 September 2012
Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 May 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,439,705 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $476,154 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,963,551 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,165,692 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$202,141 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $45,589 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$156,552 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$156,552 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,494 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 189 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 621.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 251.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1029021, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 30 September 2011
Cost report for 1 July 2010 to 30 September 2011 — a reporting period of 456 days, on form CMS-2540-96, settled, processed by CMS on 21 May 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,172,888 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,952,607 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$779,719 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $75,188 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$704,531 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,875 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 210 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 731.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 289.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429311, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 January 2010 to 30 June 2010 — a reporting period of 180 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 29 March 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,033,555 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,173,146 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,139,591 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,790,773 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,651,182 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,807 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 55 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 75.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 451.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 396492, 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 19 October 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,950,812 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,565,016 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $385,796 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $98,999 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $484,795 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,858 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 358.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 388702, 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 18 August 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,729,708 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,179,865 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$450,157 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $121,973 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$328,184 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,785 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 390.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 354960, 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 2 December 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,276,939 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,590,687 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$313,748 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $130,416 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$183,332 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,621 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 657.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 329262, 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 29 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,236,521 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,159,066 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $77,455 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $68,060 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $145,515 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,174 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 138 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 349.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 303340, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 February 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,011,752 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,159,033 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$147,281 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $93,221 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$54,060 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,121 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 138 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 355.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 272738, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,035,922 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,216,671 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$180,749 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $99,768 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$80,981 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,891 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 112 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 454.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243407, 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 3 June 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,845,706 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,859,457 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$13,751 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $62,977 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $49,226 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,716 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 123 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 412.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 219174, 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 21 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,296,736 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,437,449 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$140,713 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $55,783 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$84,930 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,093 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 111 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 460.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 194018, 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 4 August 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,600,197 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,868,535 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$268,338 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $106,147 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$162,191 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,526 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 736.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 156066, 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 18 March 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,437,518 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,462,008 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$24,490 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $44,826 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $20,336 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,024 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 113 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 451.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133288, 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 June 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,891,993 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,076,345 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$184,352 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,360 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$130,992 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,505 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 91.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 509.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 43094, read from the public cost report file SNFFY1999.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 November 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $4,753,373 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,190 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 152 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 90.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 330.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 43092, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 10 June 1998.
Net income, stated at moderate confidence: $53,842 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
CMS report record 43091, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| EVENTIDE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/28/2010 |
| BLUE STONE THERAPY INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/16/2025 |
| BRICKNER, DEREK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/27/2025 |
| FITZGERALD, MATTHEW | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/27/2025 |
| BRANDT, TERRY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2026 |
| BYE, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2019 |
| GULBRANSON, PATRICK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2022 |
| JOHNSON, VIKKI | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2022 |
| LUNAK, BRANDON | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2026 |
| SELJEVOLD, PETER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/28/2010 |
| JOHNSON, VIKKI | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2022 |
| LUNAK, BRANDON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2026 |
| RIEWER, JON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/28/2010 |
| BATY, TIFFANY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2026 |
| BLUE STONE THERAPY INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/01/2020 |
| BRICKNER, DEREK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
| FITZGERALD, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2024 |
| HILTNER, MARIAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2026 |
| MILLER, KAREN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/17/2026 |
| OHE, DARIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/18/2018 |
| SHAW, MIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2026 |
| WASS, JERILYN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2019 |
| WENTLAND, ASHLEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/14/2015 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of EVENTIDE JAMESTOWN LLC (enrollment ID O20100630000185).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| EVENTIDE | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/28/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
| BLUE STONE THERAPY 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. | 4/16/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DEREK M BRICKNER | 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. | 3/27/2025 | 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. |
| MATTHEW FITZGERALD | 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. | 3/27/2025 | 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. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 4/16/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 4/16/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/27/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/27/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRANDON LUNAK | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PATRICK GULBRANSON | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. |
| PETER J SELJEVOLD | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/28/2010 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ROBERT J BYE | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. |
| TERRY BRANDT | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| VIKKI JOHNSON | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. |
| BRANDON LUNAK | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JON M RIEWER | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/28/2010 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| VIKKI JOHNSON | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. |
| ASHLEY WENTLAND | 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. | 7/14/2015 | 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. |
| BLUE STONE THERAPY INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| DARIN G OHE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/18/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DEREK M BRICKNER | 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. | 1/1/2024 | 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. |
| JERILYN WASS | 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. | 7/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KAREN MILLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/17/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARIAH HILTNER | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MATTHEW FITZGERALD | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2024 | 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. |
| MIA SHAW | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TIFFANY BATY | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/1/2026 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: JON M RIEWER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW FITZGERALD no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW FITZGERALD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JON M RIEWER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW FITZGERALD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW FITZGERALD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2026: LUKE A HVIDSTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LUKE A HVIDSTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KATRINA HETLETVEDT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BRIANNA NEITZKE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: WAYNE GUTHMILLER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KAREN MILLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MARIAH HILTNER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MIA SHAW appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: TIFFANY BATY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: TERRY BRANDT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BRANDON LUNAK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BRANDON LUNAK appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 September 2025: JACKSON JOHNSRUD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DEREK M BRICKNER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DARIN G OHE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JON M RIEWER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: VIKKI JOHNSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: LUKE A HVIDSTON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DEREK M BRICKNER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DEREK M BRICKNER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: KATRINA HETLETVEDT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BRIANNA NEITZKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: WAYNE GUTHMILLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BLUE STONE THERAPY INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BLUE STONE THERAPY INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DARIN G OHE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ASHLEY WENTLAND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JERILYN WASS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MATTHEW FITZGERALD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MATTHEW FITZGERALD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 May 2024: LEANN D WRIGHT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: ANNE BLACKHURST no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: ANNE BLACKHURST no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: STACEY M HONEYMAN 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: MARJORIE MATTHEES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: MARJORIE MATTHEES no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: VIKKI JOHNSON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: LUKE A HVIDSTON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: JACKSON JOHNSRUD appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: DEREK M BRICKNER appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: PATRICK GULBRANSON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
Recent changes on this record
- 1 July 2026: JON M RIEWER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW FITZGERALD no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW FITZGERALD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JON M RIEWER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW FITZGERALD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW FITZGERALD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2026: LUKE A HVIDSTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LUKE A HVIDSTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KATRINA HETLETVEDT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BRIANNA NEITZKE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: WAYNE GUTHMILLER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KAREN MILLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MARIAH HILTNER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MIA SHAW appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: TIFFANY BATY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: TERRY BRANDT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BRANDON LUNAK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BRANDON LUNAK appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 September 2025: JACKSON JOHNSRUD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DEREK M BRICKNER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DARIN G OHE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JON M RIEWER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: VIKKI JOHNSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: LUKE A HVIDSTON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DEREK M BRICKNER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DEREK M BRICKNER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: KATRINA HETLETVEDT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BRIANNA NEITZKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: WAYNE GUTHMILLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BLUE STONE THERAPY INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: BLUE STONE THERAPY INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: DARIN G OHE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: ASHLEY WENTLAND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: JERILYN WASS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MATTHEW FITZGERALD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 1 September 2025: MATTHEW FITZGERALD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- 20 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 May 2024: LEANN D WRIGHT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- 1 May 2024: ANNE BLACKHURST no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 21 May 2025 | 21 May 2025 | 8 | 0 |
| 2 | 4 April 2024 | 4 April 2024 | 2 | 0 |
| 3 | 22 March 2023 | 22 March 2023 | 6 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
16 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 26 August 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | Yes | Deficient, Provider has date of correction | 25 September 2025 |
| 26 August 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 | 25 September 2025 |
| 21 May 2025 | 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 | 20 June 2025 |
| 21 May 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 20 June 2025 |
| 21 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. | D | No | Deficient, Provider has date of correction | 20 June 2025 |
| 21 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. | D | No | Deficient, Provider has date of correction | 20 June 2025 |
| 21 May 2025 | 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 | 20 June 2025 |
| 21 May 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 20 June 2025 |
| 4 April 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 | 3 May 2024 |
| 4 April 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 | 1 May 2024 |
| 22 March 2023 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 19 April 2023 |
| 22 March 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 19 April 2023 |
| 22 March 2023 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | G | No | Past Non-Compliance | 23 February 2023 |
| 22 March 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 | 19 April 2023 |
| 22 March 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Past Non-Compliance | 1 February 2023 |
| 22 March 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | J | No | Deficient, Provider has date of correction | 19 April 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | EVENTIDE JAMESTOWN LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1978-10-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Stutsman |
| Telephone Number | 7012525881 |
| 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 | 79 |
| Average Number of Residents per Day | 76.0 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 2 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on EVENTIDE JAMESTOWN: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: JON M RIEWER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for EVENTIDE JAMESTOWN
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in North Dakota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 355078.