Skilled nursing facility · CMS certification number 366236
GOOD SHEPHERD VILLAGE
SPRINGFIELD, Ohio · Medicare and Medicaid
Certified beds, as filed in Care Compare: 81
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 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,005,177 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $269,014 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,736,163 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,370,575 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$634,412 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $600 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$633,812 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$633,812 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 29,646 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 433 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,196 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 15,250 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,879 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 6 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 39 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 83 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 158.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 170.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1437748, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,789,413 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $358,229 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,431,184 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,869,823 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,438,639 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $564,659 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$873,980 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$873,980 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,470 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 148.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392655, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,477,035 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $226,158 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,250,877 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,071,376 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $179,501 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $362,834 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $542,335 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $542,335 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,691 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 175 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 138.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 141.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1361967, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 August 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,569,743 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,569,743 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,824,276 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $745,467 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $999,035 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,744,502 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,744,502 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,643 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 575.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 400.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1330086, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2021.
None of these figures is carried on this report.
CMS report record 1298427, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 August 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,989,663 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $192,222 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,797,441 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,749,389 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,048,052 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,538 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,082,590 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,082,590 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,974 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 696.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 325.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1265234, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,768,472 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $924,464 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,844,008 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,647,376 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,196,632 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,623 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,224,255 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,224,255 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,565 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,906 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 467.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1236535, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,914,031 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $928,192 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,985,839 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,652,864 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,332,975 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $51 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,333,026 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,333,026 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,646 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 915.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 317.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1199071, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,296,844 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $692,007 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,604,837 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,584,172 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,020,665 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,020,702 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,020,702 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,572 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,968.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 274.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188380, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 June 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,808,648 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $406,942 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,401,706 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,476,208 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $925,498 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $925,498 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $925,498 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,914 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 78 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 852.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 332.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1133641, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,558,091 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $28,689 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,529,402 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,514,411 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,014,991 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,904 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,038,895 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,038,895 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,162 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 421 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 277.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143796, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 November 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,572,269 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $54,095 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,518,174 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,379,572 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,138,602 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,402 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,160,004 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,160,004 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,755 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,088.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 608.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1112593, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 October 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,296,413 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,044 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,293,369 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,143,950 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,149,419 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,848 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,166,267 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,166,267 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,586 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 48 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,511.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 553.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1078872, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,218,271 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $20,021 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,198,250 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,321,247 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $877,003 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,281 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $879,284 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $879,284 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,376 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 807.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 454.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1043869, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 September 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,663,210 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,816,457 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $846,753 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $135 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $846,888 (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 | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,158 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 756.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 357.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 432451, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 September 2010.
None of these figures is carried on this report.
CMS report record 387276, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 31 July 2009.
None of these figures is carried on this report.
CMS report record 353496, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 August 2008.
None of these figures is carried on this report.
CMS report record 324826, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 March 2008.
None of these figures is carried on this report.
CMS report record 305821, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 May 2007.
None of these figures is carried on this report.
CMS report record 277569, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 April 2006.
None of these figures is carried on this report.
CMS report record 247371, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 April 2005.
None of these figures is carried on this report.
CMS report record 215167, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 6 April 2002 to 31 December 2002 — a reporting period of 269 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 19 May 2004.
None of these figures is carried on this report.
CMS report record 176924, read from the public cost report file SNFFY2002.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 |
|---|---|---|---|---|
| SPRINGFIELD NURSING LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 02/01/2022 |
| GOLDSTEIN, JEFFERY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 02/01/2022 |
| LT INVESTOR LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/01/2022 |
| OELBAUM, YITZCHOK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 02/01/2022 |
| SHERMAN, LEA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 02/01/2022 |
| TRATNER, LEAH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 02/01/2022 |
| YAMO EQUITIES LIMITED LIABILITY COMPANY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/01/2022 |
| GOLDSTEIN, JEFFERY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2022 |
| GOLDSTEIN, JEFFERY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/01/2022 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of GOOD SHEPHERD VILLAGE LLC (enrollment ID O20080107000646).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| SPRINGFIELD NURSING LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 2/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| JEFFERY GOLDSTEIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 37.25 | 2/1/2022 | 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. |
| LEA SHERMAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 37.25 | 2/1/2022 | 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. |
| LEAH TRATNER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15.5 | 2/1/2022 | 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. |
| LT INVESTOR LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15.5 | 2/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| YAMO EQUITIES LIMITED LIABILITY COMPANY | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8 | 2/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| YITZCHOK OELBAUM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8 | 2/1/2022 | 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. |
| JEFFERY GOLDSTEIN | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2022 | 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. |
| JEFFERY GOLDSTEIN | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2022 | 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. |
Changes in ownership
- 1 July 2026: SPRINGFIELD NURSING LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SPRINGFIELD NURSING LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- 1 July 2026: SPRINGFIELD NURSING LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SPRINGFIELD NURSING LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 20 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 11 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 18 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 16 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 27 August 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 11 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 19 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 2 May 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 30 September 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 30 June 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 12 November 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 14 October 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 25 July 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 24 September 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 9 September 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 31 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 25 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 28 March 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 1 May 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 14 April 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 26 April 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 19 May 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 1 May 2025 | 1 May 2025 | 37 | 19 |
| 2 | 19 December 2022 | 19 December 2022 | 7 | 10 |
| 3 | 23 January 2020 | 23 January 2020 | 16 | 10 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
60 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 30 June 2026 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Yes | Deficient, Provider has plan of correction | 24 July 2026 |
| 30 June 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has plan of correction | 24 July 2026 |
| 30 June 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has plan of correction | 24 July 2026 |
| 30 June 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has plan of correction | 24 July 2026 |
| 30 June 2026 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has plan of correction | 24 July 2026 |
| 30 June 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has plan of correction | 24 July 2026 |
| 30 June 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Yes | Deficient, Provider has plan of correction | 24 July 2026 |
| 30 June 2026 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | Yes | Deficient, Provider has plan of correction | 24 July 2026 |
| 30 June 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Yes | Deficient, Provider has plan of correction | 24 July 2026 |
| 1 May 2025 | Health | F 0567 | Resident Rights Deficiencies | Honor the resident's right to manage his or her financial affairs. | E | No | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0576 | Resident Rights Deficiencies | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | No | Deficient, Provider has date of correction | 3 July 2025 |
| 1 May 2025 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | No | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | No | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Yes | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | Yes | Deficient, Provider has date of correction | 3 July 2025 |
| 1 May 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 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. | E | Yes | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Yes | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Yes | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Yes | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 3 July 2025 |
| 1 May 2025 | Health | F 0825 | Quality of Life and Care Deficiencies | Provide or get specialized rehabilitative services as required for a resident. | D | Yes | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0847 | Administration Deficiencies | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | No | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | No | Deficient, Provider has date of correction | 2 July 2025 |
| 1 May 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Yes | Deficient, Provider has date of correction | 2 July 2025 |
| 20 March 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 1 April 2025 |
| 20 March 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | 1 April 2025 |
| 20 March 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Yes | Deficient, Provider has date of correction | 1 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 | 1 April 2025 |
| 10 April 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Yes | Deficient, Provider has date of correction | 12 April 2024 |
| 10 April 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 12 April 2024 |
| 27 November 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 29 November 2023 |
| 27 November 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | Yes | Deficient, Provider has date of correction | 29 November 2023 |
| 27 November 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | 29 November 2023 |
| 17 October 2023 | 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. | E | Yes | Deficient, Provider has date of correction | 18 October 2023 |
| 7 September 2023 | Health | F 0551 | Resident Rights Deficiencies | Give the resident's representative the ability to exercise the resident's rights. | D | Yes | Deficient, Provider has date of correction | 18 October 2023 |
| 19 December 2022 | Health | F 0569 | Resident Rights Deficiencies | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | No | Deficient, Provider has date of correction | 16 January 2023 |
| 19 December 2022 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 16 January 2023 |
| 19 December 2022 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | No | Deficient, Provider has date of correction | 16 January 2023 |
| 23 January 2020 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 20 March 2020 |
| 23 January 2020 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 20 March 2020 |
| 23 January 2020 | 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 March 2020 |
| 23 January 2020 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | 20 March 2020 |
| 23 January 2020 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 20 March 2020 |
| 23 January 2020 | 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. | E | No | Deficient, Provider has date of correction | 20 March 2020 |
| 23 January 2020 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | 20 March 2020 |
| 23 January 2020 | 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 March 2020 |
| 23 January 2020 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 20 March 2020 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 1 May 2025 | Payment Denial | 13 June 2025 | 20 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | GOOD SHEPHERD VILLAGE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2002-04-06 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Clark |
| Telephone Number | 9373221911 |
| Chain Name | AOM HEALTHCARE |
| Chain ID | 37 |
| Special Focus Status | SFF Candidate |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 81 |
| Average Number of Residents per Day | 58.2 |
| Overall Rating | 2 |
| Health Inspection Rating | 1 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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One email a day naming what moved on GOOD SHEPHERD VILLAGE: 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: SPRINGFIELD NURSING LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for GOOD SHEPHERD VILLAGE
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 Ohio 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 366236.