Velarion Records

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

Skilled nursing facility · CMS certification number 355110

ELM CREST MANOR

NEW SALEM, North Dakota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 62

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 6 January 2026.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$9,266,354CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$9,266,354CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,088,896CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$177,458CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$828,236CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,005,694CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,005,694 (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 components57CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components20,805CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days441CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days11,162CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days8,801CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components20,404CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges9CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges1CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges4CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components14CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days11,162CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days1,457.43CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1445942, 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 10 January 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$8,860,918CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$8,860,918CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,511,389CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$349,529CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$367,792CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$717,321CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $717,321 (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 components57CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,005CMS-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 days50.9CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,536CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days800.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1402116, 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 16 January 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$7,157,800CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$7,157,800CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,069,224CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$911,424CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,971,981CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,060,557CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,060,557 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components61CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,962CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components13CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days83.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days10,792CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days1,458.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1371805, 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 20 December 2022.

None of these figures is carried on this report.

CMS report record 1338652, 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.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$7,015,526CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$7,015,526CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,475,085CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$459,559CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,432,924CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$973,365CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $973,365 (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 components68CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,965CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components42CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days100CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days613.39CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days546.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1310800, 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 2 February 2021.

None of these figures is carried on this report.

CMS report record 1279511, 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 31 January 2020.

None of these figures is carried on this report.

CMS report record 1250346, 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 October 2018.

None of these figures is carried on this report.

CMS report record 1213198, 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 2 November 2017.

None of these figures is carried on this report.

CMS report record 1177867, 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 26 October 2016.

None of these figures is carried on this report.

CMS report record 1145456, 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 26 October 2015.

None of these figures is carried on this report.

CMS report record 1111901, 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 21 November 2014.

None of these figures is carried on this report.

CMS report record 1080793, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2013, ended 30 June 2013

Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 January 2014.

None of these figures is carried on this report.

CMS report record 1054373, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2012, ended 30 June 2012

Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$5,429,285CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,429,285CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,690,271CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$260,986CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$189,569CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$71,417CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$71,417 (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 components68CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,435CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components28CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days96.29CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,135.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days872.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1024071, 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 17 February 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$5,371,464CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,575,995CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$204,531CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$187,879CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1,616CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$18,268 (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 components68CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,513CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components32CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days184.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,638.44CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days766.03CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 424799, 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 27 December 2010.

None of these figures is carried on this report.

CMS report record 391707, 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 13 January 2010.

None of these figures is carried on this report.

CMS report record 361994, 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 23 February 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$3,617,627CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,702,835CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$85,208CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$197,988CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$105,000CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $7,780 (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 components62CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,350CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components37CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days132.56CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,176.92CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days604.05CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 334053, 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.

None of these figures is carried on this report.

CMS report record 301589, 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 22 October 2007.

None of these figures is carried on this report.

CMS report record 295004, 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.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$3,050,949CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,171,640CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$120,691CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$205,340CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $84,649 (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 components61CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,831CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components17CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days97.36CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days4,340CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days1,284.18CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 266818, read from the public cost report file SNFFY2004.zip.

Fiscal year 2004, ended 30 June 2004

Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 19 October 2005.

None of these figures is carried on this report.

CMS report record 235073, 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 24 November 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$2,706,071CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,912,530CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$206,459CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$195,264CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$11,195 (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 components61CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,945CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components38CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days70CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days662.11CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days577.5CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 200598, read from the public cost report file SNFFY2002.zip.

Fiscal year 2002, ended 30 June 2002

Cost report for 1 July 2001 to 30 June 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 March 2004.

None of these figures is carried on this report.

CMS report record 172647, read from the public cost report file SNFFY2001.zip.

Fiscal year 2001, ended 30 June 2001

Cost report for 1 July 2000 to 30 June 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 May 2003.

None of these figures is carried on this report.

CMS report record 145553, read from the public cost report file SNFFY2000.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
PEACE CHURCH5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 03/01/1969
PEACE CHURCH5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 03/01/1969
KOSIAK, DONALDADP OF THE SNFIndividualNOT APPLICABLEsince 06/18/2008
PEACE CHURCHADP OF THE SNFOrganizationNOT APPLICABLEsince 03/01/1969
ZAZESKI, CARRIEADP OF THE SNFIndividualNOT APPLICABLEsince 07/12/2024
DUSEK, ANITACORPORATE DIRECTORIndividualNOT APPLICABLEsince 11/05/2025
HEID, ALMACORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/01/2012
KELLER, LINDACORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/25/2024
LARSON, ROLLANDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/24/1995
LENNICK, KRISTENCORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/13/2023
OLSON, JOELCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/24/2001
OLSON, LADONNACORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/21/2021
TELLMAN, SHANECORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/27/2025
SCHMITZ, DANIELCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/28/2025
ZAZESKI, CARRIECORPORATE OFFICERIndividualNOT APPLICABLEsince 07/12/2024
KOSIAK, DONALDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/18/2008
PEACE CHURCHOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 03/01/1969
ZAZESKI, CARRIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/12/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ELM CREST MANOR (enrollment ID O20040212000531).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
PEACE CHURCHOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1003/1/1969
Private equity company: No
Real estate investment trust: No
Holding company: No
PEACE CHURCHOrganization5% OR GREATER MORTGAGE INTEREST1003/1/1969
Private equity company: No
Real estate investment trust: No
Holding company: No
CARRIE ANN ZAZESKIIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/12/2024
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.
DONALD J KOSIAKIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/18/2008
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.
PEACE CHURCHOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/1969
Private equity company: No
Real estate investment trust: No
Holding company: No
ALMA HEIDIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2012
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.
ANITA DUSEKIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/5/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL OLSONIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/24/2001
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.
KRISTEN LENNICKIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/13/2023
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.
LADONNA OLSONIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/21/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LINDA KELLERIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/25/2024
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.
ROLLAND LARSONIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/24/1995
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.
SHANE TELLMANIndividualCORPORATE DIRECTOR05/27/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CARRIE ANN ZAZESKIIndividualCORPORATE OFFICER07/12/2024
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.
DANIEL SCHMITZIndividualCORPORATE OFFICER04/28/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CARRIE ANN ZAZESKIIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/12/2024
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.
DONALD J KOSIAKIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/18/2008
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.
PEACE CHURCHOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/1969
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
122 January 202622 January 202630
28 January 20258 January 202542
321 November 202321 November 202330

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

Deficiencies cited

10 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
22 January 2026HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction4 February 2026
22 January 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction4 February 2026
22 January 2026HealthF 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 correction4 February 2026
14 April 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction9 May 2025
14 April 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction9 May 2025
8 January 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 correction22 January 2025
8 January 2025HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FNoDeficient, Provider has date of correction23 January 2025
25 June 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesPast Non-Compliance14 June 2024
21 November 2023HealthF 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 correction12 December 2023
21 November 2023HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correction12 December 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Church related
Legal Business NameELM CREST MANOR
Date First Approved to Provide Medicare and Medicaid Services1991-11-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishMorton
Telephone Number7018437526
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds62
Average Number of Residents per Day59.3
Overall Rating4
Health Inspection Rating4
QM Rating4
Long-Stay QM Rating4
Short-Stay QM Rating4
Processing Date2026-08-01

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 ELM CREST MANOR: 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: KATHRYN HOLLE 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 ELM CREST MANOR

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.

Read the citable document for this facility →

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 355110.