Velarion Records

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

Skilled nursing facility · CMS certification number 435115

PALISADE HEALTHCARE CENTER

GARRETSON, South Dakota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 55

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.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$7,363,893CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,759,299CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,604,594CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,526,961CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$77,633CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$20,488CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$98,121CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $98,120 (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 components55CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components20,130CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,791CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days8,345CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days7,682CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components17,818CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges35CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges46CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges40CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components121CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days181.41CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days147.26CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1437986, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 31 August 2023 to 31 December 2023 — a reporting period of 122 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 6 September 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$2,297,762CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$526,684CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,771,078CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,653,648CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$117,430CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$175CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$117,605CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $117,605 (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 components55CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components5,649CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components59CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.05CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days155.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days95.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1393754, 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 18 September 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$7,494,542CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,453,415CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,041,127CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,838,869CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$202,258CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$60,019CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$262,277CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $262,275 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components55CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,513CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components155CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days202.38CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days106.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1364907, 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 23 August 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$6,753,926CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,902,345CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,851,581CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,754,292CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$97,289CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$326,911CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$424,200CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $424,197 (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 components55CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,221CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components55CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.98CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days4,881.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days276.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1330460, 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 12 November 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$6,704,820CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,545,345CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,159,475CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,226,760CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$67,285CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$370,192CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$302,907CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $302,905 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components55CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,597CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components114CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.22CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days277.16CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days136.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1304408, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 January 2019

Cost report for 1 January 2018 to 31 January 2019 — a reporting period of 395 days, on form CMS-2540-10, settled, processed by CMS on 15 January 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$6,787,806CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,520,762CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,267,044CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,481,217CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$214,173CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$314,925CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$100,752CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,534,155 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components55CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,174CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components182CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days278.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days99.86CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1278500, 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 31 July 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$6,545,284CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,506,723CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,038,561CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,614,846CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$576,285CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$304,752CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$271,533CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$271,535 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components55CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,987CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components138CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days350.44CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days123.09CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1203885, 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 28 July 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$5,953,536CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,854,037CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,099,499CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,272,842CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$173,343CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,672CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$164,671CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$164,675 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components55CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,378CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components92CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days53.15CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days646.28CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days199.76CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171047, 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 25 July 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$5,877,541CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,702,143CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,175,398CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,072,357CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$103,041CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$42,396CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$145,437CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $145,430 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components55CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,434CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components119CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days57.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days270.35CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days163.31CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1136957, 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 23 September 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$4,478,240CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,095,141CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,383,099CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,094,993CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$288,106CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$82,278CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$370,384CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $341,244 (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 2014
FigureAs filedWhere it comes from
Total facility beds, all components46CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,052CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components96CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days90.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days188.79CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days177.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1110645, 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 28 February 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$3,440,756CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,002,443CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,438,313CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,622,838CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$184,525CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$62,900CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$121,625CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$121,625 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components37CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,252CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components128CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.06CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days210.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days95.72CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1086477, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 October 2012

Cost report for 1 March 2012 to 31 October 2012 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 23 July 2014.

None of these figures is carried on this report.

CMS report record 1071559, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2010, ended 28 February 2010

Cost report for 1 March 2009 to 28 February 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 September 2010.

None of these figures is carried on this report.

CMS report record 387773, read from the public cost report file SNFFY2009.zip.

Fiscal year 2009, ended 28 February 2009

Cost report for 1 March 2008 to 28 February 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 September 2009.

None of these figures is carried on this report.

CMS report record 357059, read from the public cost report file SNFFY2008.zip.

Fiscal year 2008, ended 29 February 2008

Cost report for 1 March 2007 to 29 February 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 29 September 2008.

None of these figures is carried on this report.

CMS report record 326235, read from the public cost report file SNFFY2007.zip.

Fiscal year 2007, ended 28 February 2007

Cost report for 1 March 2006 to 28 February 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 May 2008.

None of these figures is carried on this report.

CMS report record 308627, read from the public cost report file SNFFY2006.zip.

Fiscal year 2006, ended 28 February 2006

Cost report for 1 March 2005 to 28 February 2006 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 4 August 2006.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$1,970,577CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,268,583CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$298,006CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$69,961CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$3,879CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$231,924 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components54CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components16,952CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components26CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days14.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days883.17CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days652CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 260479, read from the public cost report file SNFFY2005.zip.

Fiscal year 2005, ended 28 February 2005

Cost report for 1 March 2004 to 28 February 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 July 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$2,184,151CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,011,745CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$172,406CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$49,370CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $221,776 (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 components59CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,475CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components47CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days18.62CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,821.4CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days414.36CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 258107, read from the public cost report file SNFFY2004.zip.

Fiscal year 2004, ended 29 February 2004

Cost report for 1 March 2003 to 29 February 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 28 April 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$1,837,520CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,072,288CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$234,768CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$90,529CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$4,444CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$148,683 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components56CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components16,452CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components52CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days902.18CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days316.38CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 215381, read from the public cost report file SNFFY2003.zip.

Fiscal year 2003, ended 28 February 2003

Cost report for 1 March 2002 to 28 February 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 May 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$2,068,772CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,115,460CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$46,688CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$88,843CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1,461CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $40,694 (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 components56CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,607CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components44CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days693.5CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days422.89CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 177211, read from the public cost report file SNFFY2002.zip.

Fiscal year 2002, ended 28 February 2002

Cost report for 1 March 2001 to 28 February 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 September 2003.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$2,102,138CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,097,592CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$4,546CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$105,118CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $109,664 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,841CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components62CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.22CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days967.27CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days303.89CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 160743, read from the public cost report file SNFFY2001.zip.

Fiscal year 2001, ended 28 February 2001

Cost report for 1 March 2000 to 28 February 2001 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 12 February 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$1,945,301CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,074,677CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$129,376CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$99,556CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$29,820 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,754CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components43CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days22.82CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,671.33CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days482.65CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 121091, read from the public cost report file SNFFY2000.zip.

Fiscal year 2000, ended 29 February 2000

Cost report for 1 March 1999 to 29 February 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 6 September 2001.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$1,806,070CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,928,371CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$122,301CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$56,131CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$66,170 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,509CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components28CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days67.82CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,075.1CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days696.75CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 1948, read from the public cost report file SNFFY1999.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
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 08/31/2023
CH PACIFIC NORTHWEST HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/31/2023
CHEEKS, DONALDADP OF THE SNFIndividualNOT APPLICABLEsince 08/31/2023
COUVE FINANCIAL SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/12/2025
COUVE HEALTHCARE CONSULTING LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/12/2025
EVANS, KAYLAADP OF THE SNFIndividualNOT APPLICABLEsince 08/31/2023
HERZKA, YISROELADP OF THE SNFIndividualNOT APPLICABLEsince 08/31/2023
PACIFIC NORTHWEST OPCO MANAGEMENT LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/12/2025
PALISADE SNF OPERATIONS, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 07/29/2025
PALISADE SNF REALTY LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/12/2025
PARKER, LOURDESADP OF THE SNFIndividualNOT APPLICABLEsince 08/31/2023
REES, JOSEPHADP OF THE SNFIndividualNOT APPLICABLEsince 08/31/2023
ROBY, BRITTNEYADP OF THE SNFIndividualNOT APPLICABLEsince 08/31/2023
SOUTH DAKOTA SNF CONSULTING LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/12/2025
SPIELMAN, SHIMONADP OF THE SNFIndividualNOT APPLICABLEsince 08/31/2023
WITZCORP GLOBAL LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/31/2023
YENOWITZ, YITZCHOKADP OF THE SNFIndividualNOT APPLICABLEsince 08/31/2023
SPIELMAN, SHIMONCORPORATE OFFICERIndividualNOT APPLICABLEsince 08/31/2023
YENOWITZ, YITZCHOKCORPORATE OFFICERIndividualNOT APPLICABLEsince 08/31/2023
YENOWITZ, YITZCHOKINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 06/02/2025
CHEEKS, DONALDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/31/2023
EVANS, KAYLAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/31/2023
CHEEKS, DONALDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/31/2023
COUVE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 08/31/2023
COUVE HEALTHCARE CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 08/31/2023
EVANS, KAYLAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/31/2023
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 08/31/2023
PALISADE SNF OPERATIONS, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 08/31/2023
PARKER, LOURDESOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/31/2023
REES, JOSEPHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/31/2023
ROBY, BRITTNEYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/31/2023
SOUTH DAKOTA SNF CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 08/31/2023
SPIELMAN, SHIMONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/31/2023
YENOWITZ, YITZCHOKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/31/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PALISADE SNF OPERATIONS, LLC (enrollment ID O20231128003109).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1008/31/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
CH PACIFIC NORTHWEST HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST66.58/31/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1008/31/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
WITZCORP GLOBAL LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST258/31/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
YISROEL E HERZKAIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST66.58/31/2023
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.
YITZCHOK YENOWITZIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST258/31/2023
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.
BRITTNEY ROBYIndividualADP 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.8/31/2023
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.
CH PACIFIC NORTHWEST HOLDINGS LLCOrganizationADP 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.8/31/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
COUVE FINANCIAL SERVICES LLCOrganizationADP 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.5/12/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
COUVE HEALTHCARE CONSULTING LLCOrganizationADP 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.5/12/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
DONALD RANDOLPH CHEEKSIndividualADP 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.8/31/2023
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.
JOSEPH GLENDON REESIndividualADP 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.8/31/2023
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.
KAYLA EVANSIndividualADP 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.8/31/2023
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.
LOURDES PARKERIndividualADP 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.8/31/2023
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.
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOrganizationADP 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.5/12/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
PALISADE SNF OPERATIONS, LLCOrganizationADP 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.7/29/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
PALISADE SNF REALTY LLCOrganizationADP 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.5/12/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
SHIMON SPIELMANIndividualADP 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.8/31/2023
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.
SOUTH DAKOTA SNF CONSULTING LLCOrganizationADP 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.5/12/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
WITZCORP GLOBAL LLCOrganizationADP 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.8/31/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
YISROEL E HERZKAIndividualADP 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.8/31/2023
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.
YITZCHOK YENOWITZIndividualADP 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.8/31/2023
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.
SHIMON SPIELMANIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/31/2023
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.
YITZCHOK YENOWITZIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/31/2023
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.
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.OrganizationINDIRECT OWNERSHIP INTEREST2.258/31/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationINDIRECT OWNERSHIP INTEREST18/31/2023
Private equity company: Yes
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationINDIRECT OWNERSHIP INTEREST2.258/31/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualINDIRECT OWNERSHIP INTEREST18/31/2023
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.
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.OrganizationINDIRECT OWNERSHIP INTEREST38/31/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
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.IndividualINDIRECT OWNERSHIP INTEREST38/31/2023
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.
DONALD RANDOLPH CHEEKSIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/31/2023
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.
KAYLA EVANSIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/31/2023
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.
BRITTNEY ROBYIndividualOPERATIONAL/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.8/31/2023
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.
COUVE FINANCIAL SERVICES LLCOrganizationOPERATIONAL/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.8/31/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
COUVE HEALTHCARE CONSULTING LLCOrganizationOPERATIONAL/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.8/31/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
DONALD RANDOLPH CHEEKSIndividualOPERATIONAL/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.8/31/2023
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.
JOSEPH GLENDON REESIndividualOPERATIONAL/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.8/31/2023
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.
KAYLA EVANSIndividualOPERATIONAL/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.8/31/2023
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.
LOURDES PARKERIndividualOPERATIONAL/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.8/31/2023
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.
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOrganizationOPERATIONAL/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.8/31/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
PALISADE SNF OPERATIONS, LLCOrganizationOPERATIONAL/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.8/31/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
SHIMON SPIELMANIndividualOPERATIONAL/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.8/31/2023
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.
SOUTH DAKOTA SNF CONSULTING LLCOrganizationOPERATIONAL/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.8/31/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
YITZCHOK YENOWITZIndividualOPERATIONAL/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.8/31/2023
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.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
17 August 20257 August 2025120
218 March 202418 March 2024136
38 March 20238 March 202342

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

Deficiencies cited

29 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
16 April 2026HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.HYesDeficient, Provider has date of correction6 May 2026
16 April 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction6 May 2026
16 April 2026HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.EYesDeficient, Provider has date of correction6 May 2026
19 November 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.JYesDeficient, Provider has date of correction20 November 2025
17 September 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction18 September 2025
7 August 2025HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correction22 August 2025
7 August 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesPast Non-Compliance25 April 2025
7 August 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GNoDeficient, Provider has date of correction22 August 2025
7 August 2025HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.ENoDeficient, Provider has date of correction22 August 2025
7 August 2025HealthF 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 correction22 August 2025
7 August 2025HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correction22 August 2025
7 August 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction22 August 2025
12 March 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DYesDeficient, Provider has date of correction28 March 2025
12 March 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction28 March 2025
26 November 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesDeficient, Provider has date of correction16 December 2024
26 November 2024HealthF 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.DYesDeficient, Provider has date of correction16 December 2024
7 August 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correction13 September 2024
18 March 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction11 April 2024
18 March 2024HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DNoDeficient, Provider has date of correction11 April 2024
18 March 2024HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.FNoDeficient, Provider has date of correction11 April 2024
18 March 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction11 April 2024
18 March 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correction11 April 2024
18 March 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction11 April 2024
18 March 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction11 April 2024
18 March 2024HealthF 0909Environmental DeficienciesRegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.DNoDeficient, Provider has date of correction11 April 2024
28 December 2023HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correction1 February 2024
8 March 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.ENoDeficient, Provider has date of correction14 April 2023
8 March 2023HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction14 April 2023
8 March 2023HealthF 0678Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.ENoDeficient, Provider has date of correction14 April 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
19 November 2025Fine$122,476136874
17 September 2025Fine$8,608136878
7 August 2025Fine$11,713136884
26 November 2024Fine$12,149100259

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NamePALISADE SNF OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid Services1998-10-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishMinnehaha
Telephone Number6055943466
Chain NameEVERGREEN HEALTHCARE GROUP
Chain ID846
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds55
Average Number of Residents per Day49.0
Overall Rating1
Health Inspection Rating1
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating3
Processing Date2026-08-01

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 PALISADE HEALTHCARE CENTER: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 March 2026: HAROLD PERLMAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for PALISADE HEALTHCARE CENTER

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in South 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.

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