Skilled nursing facility · CMS certification number 355107
ST ROSE CARE CENTER
LAMOURE, North Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 36
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 3 February 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,991,809 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $88,844 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,902,965 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,883,206 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $19,759 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,242 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $49,001 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$8,595 (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 | 36 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 13,140 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 455 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 4,959 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,597 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 10,011 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 9 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 32 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 551 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 312.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1447282, 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 6 February 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,907,444 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $113,144 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,794,300 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,601,588 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $192,712 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $77,172 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $269,884 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $266,347 (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 | 36 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,606 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 419.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 213.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403303, 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 12 February 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,023,832 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $160,858 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,862,974 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,616,203 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $246,771 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,350 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $250,121 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $231,440 (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 | 32 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,265 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 653.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 223.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373273, 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 28 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,434,704 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $124,993 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,309,711 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,564,571 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$254,860 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $468,401 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $213,541 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $198,346 (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 | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,420 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 31 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,242.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 336.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343395, 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 23 February 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,071,757 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$74,716 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,146,473 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,540,795 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$394,322 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $481,128 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $86,806 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $85,487 (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 | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,902 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 128.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310799, 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 5 March 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,823,837 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $127,233 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,696,604 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,743,349 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$46,745 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $54,853 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $8,108 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $6,726 (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 | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,746 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 405.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 163.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280956, 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 23 January 2020.
None of these figures is carried on this report.
CMS report record 1249790, 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 24 January 2019.
None of these figures is carried on this report.
CMS report record 1218054, 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 27 December 2017.
None of these figures is carried on this report.
CMS report record 1181426, 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 17 January 2017.
None of these figures is carried on this report.
CMS report record 1151391, 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 22 January 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,541,579 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $258,114 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,283,465 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,530,478 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$247,013 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $326,902 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $79,889 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $78,068 (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 | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,087 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 447.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 181.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117910, 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 14 January 2015.
None of these figures is carried on this report.
CMS report record 1084090, 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 3 March 2014.
None of these figures is carried on this report.
CMS report record 1056257, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 February 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,577,233 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $151,784 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,425,449 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,851,837 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$426,388 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $323,997 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$102,391 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$128,204 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,835 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 510.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 149.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1025188, 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 1 March 2012.
None of these figures is carried on this report.
CMS report record 425266, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 February 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,472,296 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,814,200 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$341,904 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $240,058 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,594 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$104,440 (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 | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,627 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 368 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 161.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 394258, 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 1 March 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,289,543 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,547,254 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$257,711 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $214,678 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $13,125 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$56,158 (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 | 44 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,576 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 82 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 282.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 153.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364649, 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 26 January 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,368,687 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,643,893 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$275,206 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $203,134 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $12,278 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$84,350 (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 | 44 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,481 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 480.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 153.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 332621, 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 15 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,280,650 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,454,820 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$174,170 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $185,968 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,339 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $3,459 (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 | 44 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,603 | 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 | 27.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 350.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 134.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302323, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 November 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,192,245 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,490,927 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$298,682 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $199,653 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $42 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$99,071 (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 | 46 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,632 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 59 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 753.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 248 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 296749, 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 21 November 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,819,825 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,262,091 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$442,266 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $252,939 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$189,330 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,159 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 623.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 146.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266816, 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 1 December 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,114,565 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,291,243 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$176,678 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $175,192 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $259 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$1,745 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,259 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 89 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 690.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 182.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 237883, 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 13 December 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,041,169 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,325,538 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$284,369 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $136,861 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$147,508 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,453 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 935.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 269.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 201907, 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 21 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,030,506 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,200,468 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$169,962 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $227,772 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,488 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $48,322 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,821 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 57 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 651.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 295.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 194023, 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 7 April 2003.
None of these figures is carried on this report.
CMS report record 139262, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 30 June 2000
Cost report for 1 July 1999 to 30 June 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2003.
Net income, stated at moderate confidence: $56,960 (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 117847, 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 7 September 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,598,491 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,679,326 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$80,835 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,992 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$19,843 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,460 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 706.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 415.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 43149, read from the public cost report file SNFFY1998.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
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 |
|---|---|---|---|---|
| BENEDICTINE LIVING COMMUNITIES INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 06/01/1989 |
| BENEDICTINE HEALTH SYSTEM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 06/01/1989 |
| CARLEY, GERALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2018 |
| DEWITT, BETTY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/01/2003 |
| GRAEBER, LUANNA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/18/2023 |
| GREFF, KEVIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/01/2018 |
| HACK, TAYLAR | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2022 |
| BERGIEN, TRICIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/17/2016 |
| RYMANOWSKI, KEVIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2008 |
| BENEDICTINE HEALTH SYSTEM | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/01/1989 |
| BENEDICTINE LIVING COMMUNITIES INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/01/1989 |
| MERTZ-HACK, TARA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
| PETERSON, KELSEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/03/2018 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BENEDICTINE LIVING COMMUNITIES INC (enrollment ID O20030916000015).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| BENEDICTINE LIVING COMMUNITIES INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/1/1989 | Private equity company: No Real estate investment trust: No Holding company: No |
| BENEDICTINE HEALTH SYSTEM | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 6/1/1989 | Private equity company: No Real estate investment trust: No Holding company: No |
| BETTY DEWITT | Individual | CORPORATE DIRECTOR | 0 | 9/1/2003 | 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. |
| GERALD CARLEY | Individual | CORPORATE DIRECTOR | 0 | 1/1/2018 | 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. |
| KEVIN GREFF | Individual | CORPORATE DIRECTOR | 0 | 9/1/2018 | 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. |
| LUANNA GRAEBER | Individual | CORPORATE DIRECTOR | 0 | 5/18/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| TAYLAR HACK | Individual | CORPORATE DIRECTOR | 0 | 7/1/2022 | 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. |
| KEVIN J RYMANOWSKI | Individual | CORPORATE OFFICER | 0 | 1/1/2008 | 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. |
| TRICIA BERGIEN | Individual | CORPORATE OFFICER | 0 | 11/17/2016 | 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. |
| BENEDICTINE HEALTH SYSTEM | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 6/1/1989 | Private equity company: No Real estate investment trust: No Holding company: No |
| BENEDICTINE LIVING COMMUNITIES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 6/1/1989 | Private equity company: No Real estate investment trust: No Holding company: No |
| KELSEY PETERSON | 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. | 5/3/2018 | 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. |
| TARA R MERTZ-HACK | 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. |
Changes in ownership
- 1 July 2026: KELSEY PETERSON 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: KELSEY PETERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2026: TARA R MERTZ-HACK no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: KELSEY PETERSON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TARA R MERTZ-HACK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: KELSEY PETERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 3 June 2024: RICHARD LEHNHERR no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: STEVEN PRZYBILLA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DANIEL D NARUM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: JEFFRY MOORE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: LINDA L WIGGINS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: JODI HENDRICKSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: TARA R MERTZ-HACK appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: LUANNA GRAEBER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: TAYLAR HACK appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
Recent changes on this record
- 1 July 2026: KELSEY PETERSON 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: KELSEY PETERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 April 2026: TARA R MERTZ-HACK no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: KELSEY PETERSON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TARA R MERTZ-HACK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: KELSEY PETERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 3 February 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 6 February 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 3 June 2024: RICHARD LEHNHERR no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: STEVEN PRZYBILLA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DANIEL D NARUM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: JEFFRY MOORE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: LINDA L WIGGINS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: JODI HENDRICKSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: TARA R MERTZ-HACK appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: LUANNA GRAEBER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: TAYLAR HACK appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 12 February 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 28 February 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 23 February 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 5 March 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 23 January 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 24 January 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 27 December 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 17 January 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 22 January 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 14 January 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 3 March 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 25 February 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 1 March 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 22 February 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 1 March 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- 26 January 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- 15 February 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- 21 November 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- 21 November 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- 1 December 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- 13 December 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- 21 September 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- 7 April 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 1 April 2026 | 1 April 2026 | 6 | 6 |
| 2 | 20 March 2025 | 20 March 2025 | 3 | 0 |
| 3 | 22 February 2024 | 22 February 2024 | 4 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
13 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 1 April 2026 | 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 April 2026 |
| 1 April 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 20 April 2026 |
| 1 April 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 20 April 2026 |
| 1 April 2026 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | 20 April 2026 |
| 1 April 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 20 April 2026 |
| 1 April 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 20 April 2026 |
| 20 March 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 | Yes | Deficient, Provider has date of correction | 15 April 2025 |
| 20 March 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has date of correction | 15 April 2025 |
| 20 March 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 15 April 2025 |
| 22 February 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | 28 March 2024 |
| 22 February 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 | 28 March 2024 |
| 22 February 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 28 March 2024 |
| 22 February 2024 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | 28 March 2024 |
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 | BENEDICTINE LIVING COMMUNITIES INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-09-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | N |
| County/Parish | La Moure |
| Telephone Number | 7018835363 |
| Chain Name | BENEDICTINE HEALTH SYSTEM |
| Chain ID | 75 |
| 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 | 36 |
| Average Number of Residents per Day | 31.4 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| 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 ST ROSE CARE CENTER: 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: KELSEY PETERSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for ST ROSE CARE CENTER
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 355107.