Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 355093

GOOD SAMARITAN SOCIETY - BOTTINEAU

BOTTINEAU, North Dakota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 52

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 October 2025.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$6,611,512CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$259,391CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,352,121CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,658,889CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$693,232CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$150,375CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$843,607CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $385,184 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
FigureAs filedWhere it comes from
Total facility beds, all components54CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components19,710CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days852CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days12,272CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days3,574CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components16,698CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges12CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges94CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges58CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components164CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days71CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days130.55CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days101.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1441255, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended 30 June 2024

Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 3 February 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$6,833,025CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$269,655CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,563,370CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,891,968CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$671,402CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$172,361CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$843,763CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $788,047 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components54CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,720CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components118CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days157.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days209.51CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days150.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403064, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2023, ended 30 June 2023

Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 January 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$6,057,218CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$256,591CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,800,627CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,858,586CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$57,959CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$64,855CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$6,896CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$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%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,030CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components87CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days69.71CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days267.82CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days195.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1372753, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended 30 June 2022

Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 March 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$4,813,895CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$162,070CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,651,825CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,596,946CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$54,879CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$86,089CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$140,968CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $50,917 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,493CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components123CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days82.09CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days185.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days117.83CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1343929, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2021, ended 30 June 2021

Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 March 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$3,934,571CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$149,796CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,784,775CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,107,136CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$322,361CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$141,907CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$180,454CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$266,256 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,451CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components102CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.46CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days94.38CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days122.07CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1312425, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended 30 June 2020

Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 March 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$4,330,807CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$100,033CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,230,774CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,217,167CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$13,607CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$244,374CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$257,981CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $143,082 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components52CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,008CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components25CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days433.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days600.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1281556, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended 30 June 2019

Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 November 2019.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$4,643,070CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$82,239CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,560,831CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,527,656CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$33,175CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$173,961CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$207,136CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$23,829 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,437CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components126CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days156.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days130.45CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1245958, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2018, ended 30 June 2018

Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 December 2018.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$5,689,235CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$195,989CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,493,246CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,555,477CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$62,231CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$119,170CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$56,939CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $35,910 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,869CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components117CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days293.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days169.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1216048, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended 30 June 2017

Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2017.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$5,690,494CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$201,451CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,489,043CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,321,243CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$832,200CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$77,434CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$754,766CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$812,738 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components78CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,603CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components119CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days57.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days323.59CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days181.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1177536, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2016, ended 30 June 2016

Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 31 December 2016.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$6,378,791CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$287,549CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,091,242CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,832,985CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$741,743CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$88,071CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$653,672CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$665,817 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components85CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,163CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components134CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days58.37CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days371.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days180.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1150605, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2015, ended 30 June 2015

Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 October 2015.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$6,256,184CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$228,890CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,027,294CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,011,385CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$15,909CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$183,634CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$199,543CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $190,874 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components78CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,424CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components50CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days66CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days727.7CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days488.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1111359, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2014, ended 30 June 2014

Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 March 2015.

None of these figures is carried on this report.

CMS report record 1087154, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2013, ended 30 June 2013

Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 December 2013.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$4,986,172CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$292,729CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,693,443CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,914,462CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$221,019CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$314,540CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$93,521CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $59,493 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components77CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,490CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components64CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days906CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days351.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1051502, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2012, ended 30 June 2012

Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 12 November 2012.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$5,240,838CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$311,572CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,929,266CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,239,385CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$310,119CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$231,701CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$78,418CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$181,393 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components77CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,914CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components73CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days586.59CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days341.29CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1019219, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2011, ended 30 June 2011

Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 January 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$5,069,685CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,301,948CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$232,263CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$271,152CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$23,049CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $15,840 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components81CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components27,549CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components60CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.64CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days661.14CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days459.15CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 424149, read from the public cost report file SNFFY2010.zip.

Fiscal year 2010, ended 30 June 2010

Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 January 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$4,981,677CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,068,921CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$87,244CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$193,054CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$17,987CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $87,823 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components81CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,865CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components162CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days21.24CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days351.93CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days159.66CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 393006, read from the public cost report file SNFFY2009.zip.

Fiscal year 2009, ended 30 June 2009

Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 December 2009.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$5,046,573CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,945,637CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$100,936CMS-2540-96 worksheet G300000 line 500 column 100
Total other income−$190,725CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$25,365CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$115,154 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components81CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,975CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components175CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.04CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days354.07CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days154.14CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 361019, read from the public cost report file SNFFY2008.zip.

Fiscal year 2008, ended 30 June 2008

Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 20 January 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$4,630,815CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,661,044CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$30,229CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$28,237CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$35,543CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$37,535 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components81CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components27,137CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components135CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days13.05CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days429.48CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days201.01CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 332032, read from the public cost report file SNFFY2007.zip.

Fiscal year 2007, ended 30 June 2007

Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 February 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$4,586,421CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,701,164CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$114,743CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$235,153CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$9,963CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $110,447 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components81CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,732CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components162CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days14.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days348.44CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days177.36CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 301585, read from the public cost report file SNFFY2006.zip.

Fiscal year 2006, ended 30 June 2006

Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 October 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$4,636,332CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,527,469CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$108,863CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$142,435CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$6,386CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $244,912 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components81CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,901CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components139CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.82CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days381.24CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days207.92CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 294783, read from the public cost report file SNFFY2005.zip.

Fiscal year 2005, ended 30 June 2005

Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 May 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$4,336,833CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,241,103CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$95,730CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$130,693CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$9,786CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $216,637 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components81CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,159CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components132CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days47.71CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days521CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days213.33CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 248541, read from the public cost report file SNFFY2004.zip.

Fiscal year 2004, ended 30 June 2004

Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 18 November 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$4,139,855CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,179,223CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$39,368CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$180,419CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$8,601CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $132,450 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components81CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components27,930CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components118CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days54CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,144.87CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days236.69CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 237139, read from the public cost report file SNFFY2003.zip.

Fiscal year 2003, ended 30 June 2003

Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 October 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$3,992,288CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,075,173CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$82,885CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$58,491CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$7,750CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$32,144 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components81CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components27,331CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components170CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days78.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days538.23CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days160.77CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 197862, read from the public cost report file SNFFY2002.zip.

Fiscal year 2002, ended 30 June 2002

Cost report for 1 July 2001 to 30 June 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 May 2003.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$3,835,909CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,910,586CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$74,677CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$29,512CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$45,165 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components81CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components27,038CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components110CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days51.1CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days627.65CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days245.8CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 143137, read from the public cost report file SNFFY2001.zip.

Fiscal year 2001, ended 30 June 2001

Cost report for 1 July 2000 to 30 June 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 March 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$3,246,669CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,437,309CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$190,640CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$13,619CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$177,021 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components81CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,223CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components115CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days67.37CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days498.79CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days219.33CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 133389, read from the public cost report file SNFFY2000.zip.

Fiscal year 2000, ended 30 June 2000

Cost report for 1 July 1999 to 30 June 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 18 March 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$2,997,070CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,021,907CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$24,837CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$145,306CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $120,469 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components81CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,224CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components53CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days70.64CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,873.88CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days494.79CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 133274, read from the public cost report file SNFFY1999.zip.

Fiscal year 1999, ended 30 June 1999

Cost report for 1 July 1998 to 30 June 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 August 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$2,918,456CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,025,055CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$106,599CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$166,836CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $60,237 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components81CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,850CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components59CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days123.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days438.14CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 1685, read from the public cost report file SNFFY1998.zip.

Fiscal year 1998, ended 30 June 1998

Cost report for 1 July 1997 to 30 June 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 6 September 2001.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$2,958,657CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,932,232CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$26,425CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$164,891CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $191,316 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components81CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,144CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components83CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.42CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days622.08CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days339.08CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 1683, read from the public cost report file SNFFY1997.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
SANFORD5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization100%since 01/01/2019
SKJOLDEN, JESSICACONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 01/01/2022
CAIN, JAMESCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
DYKHOUSE, DANACORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
ENGBRECHT, WESLEYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
GASSEN, WILLIAMCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
GULSVIG, NEILCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
HERSETH SANDLIN, STEPHANIECORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
LUNDEEN, MARKCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
MOLBERT, LAURISCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
NORTH, ANDREWCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
SHULKIN, DAVIDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
TEIKEN, BRENTCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
VENTLING-HERRMANN, MARNIECORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
FLUIT, JOELCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/01/2022
GASSEN, WILLIAMCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/30/2024
MIDDLETON, AIMEECORPORATE OFFICERIndividualNOT APPLICABLEsince 01/27/2022
OLSON, NICHOLASCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/08/2024
ROGERS, MICHAELCORPORATE OFFICERIndividualNOT APPLICABLEsince 06/13/2022
SCHEMA, NATHANCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2022
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 01/01/2019
BRANDENBURG, THERESAW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 02/11/2024
MORRISON, TONYW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 01/01/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (enrollment ID O20070801000497).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
SANFORDOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1001/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
JESSICA A SKJOLDENIndividualCONTRACTED MANAGING EMPLOYEE01/1/2022
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.
ANDREW STEWART NORTHIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRENT GERARD TEIKENIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANA JAMES DYKHOUSEIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID JONATHAN SHULKINIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES EDWARD CAINIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LAURIS NELSON MOLBERTIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK ALLEN LUNDEENIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARNIE LYNN VENTLING-HERRMANNIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NEIL LESLIE GULSVIGIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEPHANIE MARIE HERSETH SANDLINIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WESLEY OWEN ENGBRECHTIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WILLIAM JOSEPH GASSENIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AIMEE NICOLE MIDDLETONIndividualCORPORATE OFFICER01/27/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL ADAM FLUITIndividualCORPORATE OFFICER010/1/2022
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.
MICHAEL ROGERSIndividualCORPORATE OFFICER06/13/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NATHAN THOMAS SCHEMAIndividualCORPORATE OFFICER01/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NICHOLAS WAYNE OLSONIndividualCORPORATE OFFICER04/8/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WILLIAM JOSEPH GASSENIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/30/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOrganizationOPERATIONAL/MANAGERIAL CONTROL1001/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
THERESA BRANDENBURGIndividualW-2 MANAGING EMPLOYEE02/11/2024
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.
TONY LEE MORRISONIndividualW-2 MANAGING EMPLOYEE01/1/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
111 March 202611 March 202640
211 September 202511 September 2025170
320 March 202520 March 2025100

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

Deficiencies cited

31 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
29 June 2026HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesPast Non-Compliance31 May 2026
11 March 2026HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correction27 March 2026
11 March 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction27 March 2026
11 March 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction27 March 2026
11 September 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction10 October 2025
11 September 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correction10 October 2025
11 September 2025HealthF 0637Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionDNoDeficient, Provider has date of correction10 October 2025
11 September 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction10 October 2025
11 September 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction10 October 2025
11 September 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction10 October 2025
11 September 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction10 October 2025
11 September 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correction10 October 2025
11 September 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction10 October 2025
11 September 2025HealthF 0849Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DNoDeficient, Provider has date of correction10 October 2025
11 September 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction10 October 2025
11 September 2025HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DNoDeficient, Provider has date of correction10 October 2025
16 July 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JYesDeficient, Provider has date of correction13 August 2025
16 July 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction13 August 2025
13 May 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction4 June 2025
13 May 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correction4 June 2025
20 March 2025HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DYesDeficient, Provider has date of correction24 April 2025
20 March 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction24 April 2025
22 January 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesPast Non-Compliance14 January 2025
16 July 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction26 July 2024
5 October 2023HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EYesDeficient, Provider has date of correction27 October 2023
5 October 2023HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DYesDeficient, Provider has date of correction27 October 2023
5 October 2023HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correction27 October 2023
5 October 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction27 October 2023
5 October 2023HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.DYesDeficient, Provider has date of correction27 October 2023
5 October 2023HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DYesDeficient, Provider has date of correction27 October 2023
5 October 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correction27 October 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
20 March 2025Fine$96,272133944
20 March 2025Payment Denial9 August 20254
16 July 2024Fine$13,97599647

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Date First Approved to Provide Medicare and Medicaid Services1989-12-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishBottineau
Telephone Number7012283796
Chain NameGOOD SAMARITAN SOCIETY
Chain ID726
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds52
Average Number of Residents per Day42.2
Overall Rating2
Health Inspection Rating2
QM Rating2
Long-Stay QM Rating1
Short-Stay QM Rating2
Processing Date2026-08-01

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

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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: MARK ALLEN LUNDEEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for GOOD SAMARITAN SOCIETY - BOTTINEAU

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