Skilled nursing facility · CMS certification number 525331

INGLESIDE MANOR

MOUNT HOREB, Wisconsin · Medicare and Medicaid

Certified beds, as filed in Care Compare: 80

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
Figure	As filed	Where it comes from
Total patient revenue	$10,452,339	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$749,811	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,702,528	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,960,667	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$258,139	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$169,520	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$88,619	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$88,619 (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
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	29,280	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,870	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	10,372	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	7,173	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	20,415	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	73	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	50	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	72	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	195	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.32	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	207.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	104.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438169, 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 19 July 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$10,428,174	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$350,558	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,077,616	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,646,974	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$430,642	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,368	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$445,010	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $445,010 (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
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,450	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	182	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.7	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	333.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	117.86	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1388883, 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 8 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$10,015,928	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,356,330	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,659,598	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,612,098	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$47,500	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$91,804	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$139,304	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $139,304 (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
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,269	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	173	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	430.22	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	117.16	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361443, 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 20 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$7,486,678	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$293,404	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,193,274	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,163,126	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$969,852	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,199,514	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$229,662	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $229,662 (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
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,823	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	124	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.58	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	7,379	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	151.8	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1333210, 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 November 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$7,308,549	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$318,978	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,989,571	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,340,411	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$350,840	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,913,214	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,562,374	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,562,374 (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
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,906	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	102	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	7,552	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	175.55	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1304652, 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 21 August 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$8,553,964	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$730,411	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,823,553	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,505,248	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$318,305	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$27,545	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$345,850	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $345,850 (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
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,206	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	131	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.62	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	474.79	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	161.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1264625, 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 6 June 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$6,659,119	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$918,102	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,741,017	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,428,382	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$687,365	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,405,304	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$717,939	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $717,939 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,871	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	187	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	154.96	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	106.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1226921, 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.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$6,728,785	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,004,479	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,724,306	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,608,249	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$883,943	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,480,749	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$596,806	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $596,806 (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
Figure	As filed	Where it comes from
Total facility beds, all components	89	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,639	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	188	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.58	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	232.74	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	109.78	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1200084, 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 4 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$6,325,395	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$949,340	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,376,055	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,356,656	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$980,601	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,497,205	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$516,604	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $516,604 (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
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,373	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	148	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.51	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	459.95	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	144.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171981, 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 1 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$6,774,093	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,062,727	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,711,366	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,739,512	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,028,146	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,309,789	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$281,643	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $281,643 (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
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,122	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	164	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	260.26	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	140.99	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1139090, 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 5 June 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$7,403,270	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,264,684	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,138,586	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,778,419	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$639,833	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$970,442	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$330,609	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $330,609 (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
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,196	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	151	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.39	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	584.15	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	173.48	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1093748, 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 5 August 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$7,635,350	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,217,321	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,418,029	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,697,291	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$279,262	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$761,524	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$482,262	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $482,262 (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
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,045	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	145	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	456.68	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	186.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1074976, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 9 August 2012 to 31 December 2012 — a reporting period of 144 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$3,108,733	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$588,162	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,520,571	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,814,713	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$294,142	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$339,729	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$45,587	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $45,587 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,292	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	66	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.51	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	379.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	171.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1043744, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 30 June 2011

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

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$8,677,222	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,457,492	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$219,730	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$37,363	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$96,591	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $160,502 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,471	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	132	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	58.23	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	253.57	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 420727, read from the public cost report file SNFFY2010.zip.

Fiscal year 2010, ended 30 June 2010

Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 January 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$9,010,785	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,758,587	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$252,198	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$21,123	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$99,664	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $173,657 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	114	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	37,062	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	141	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	48.47	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	262.85	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 393496, read from the public cost report file SNFFY2009.zip.

Fiscal year 2009, ended 30 June 2009

Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 December 2009.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$8,952,142	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,585,236	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$366,906	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$34,928	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$178,203	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $223,631 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	37,601	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	148	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.27	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	254.06	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 361359, read from the public cost report file SNFFY2008.zip.

Fiscal year 2008, ended 30 June 2008

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

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$8,865,604	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,388,265	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$477,339	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$51,774	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$206,041	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $323,072 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	38,638	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	173	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.52	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	223.34	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 332099, read from the public cost report file SNFFY2007.zip.

Fiscal year 2007, ended 30 June 2007

Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 September 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$8,838,231	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,316,258	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$521,973	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$102,125	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$258,605	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $365,493 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,732	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	171	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.66	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	238.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 326011, read from the public cost report file SNFFY2006.zip.

Fiscal year 2006, ended 30 June 2006

Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 August 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$8,623,225	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,109,817	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$513,408	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$90,054	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$234,218	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $369,244 (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
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,030	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	154	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.09	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	253.44	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 292822, read from the public cost report file SNFFY2005.zip.

Fiscal year 2005, ended 30 June 2005

Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 July 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$8,871,663	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,025,604	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$846,059	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$59,804	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$342,010	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $563,853 (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
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	38,162	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	130	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.55	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	293.55	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 259169, read from the public cost report file SNFFY2004.zip.

Fiscal year 2004, ended 30 June 2004

Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 3 August 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$8,330,584	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,726,106	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$604,478	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$31,010	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$260,239	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $375,249 (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
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,379	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	147	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	43.38	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	267.88	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 229893, read from the public cost report file SNFFY2003.zip.

Fiscal year 2003, ended 30 June 2003

Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 June 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$7,730,747	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,111,782	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$618,965	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$55,158	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$283,200	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $390,923 (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
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,874	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	121	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.9	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	329.54	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 182811, read from the public cost report file SNFFY2002.zip.

Fiscal year 2002, ended 30 June 2002

Cost report for 1 July 2001 to 30 June 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 May 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$7,594,985	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,865,040	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$729,945	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$55,918	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$317,030	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $468,833 (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
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,367	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	116	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	44.43	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	356.61	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 178495, read from the public cost report file SNFFY2001.zip.

Fiscal year 2001, ended 30 June 2001

Cost report for 1 July 2000 to 30 June 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 April 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$6,674,198	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,181,883	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$492,315	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$69,402	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$227,988	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $333,729 (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
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,281	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	126	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.76	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,098.52	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	327.63	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 134012, read from the public cost report file SNFFY2000.zip.

Fiscal year 2000, ended 30 June 2000

Cost report for 1 July 1999 to 30 June 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 7 January 2002.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$5,530,001	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,612,195	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$82,194	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$508,905	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$193,114	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $233,597 (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
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,512	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	122	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	56.59	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	799.78	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	340.26	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71358, read from the public cost report file SNFFY1999.zip.

Fiscal year 1999, ended 30 June 1999

Cost report for 1 July 1998 to 30 June 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 May 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$5,466,742	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,407,679	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$59,063	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$528,019	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$252,358	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $334,724 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,316	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	111	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	39.94	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	372.22	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71356, read from the public cost report file SNFFY1998.zip.

Fiscal year 1998, ended 30 June 1998

Cost report for 1 July 1997 to 30 June 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 April 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$5,136,572	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,898,967	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$237,605	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$479,078	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$449,391	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $267,292 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,381	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	123	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.43	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	336.43	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71354, read from the public cost report file SNFFY1997.zip.

Fiscal year 1997, ended 30 June 1997

Cost report for 1 July 1996 to 30 June 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 July 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$5,117,124	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,875,644	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$241,480	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$436,474	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$426,965	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $250,989 (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 1997
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,663	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	181	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.77	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	230.18	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71353, read from the public cost report file SNFFY1996.zip.

Fiscal year 1996, ended 30 June 1996

Cost report for 1 July 1995 to 30 June 1996 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 8 May 1997.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$5,137,769	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,799,549	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$338,220	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$416,653	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$461,405	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $293,468 (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 1996
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,224	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	266	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.32	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	154.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71352, read from the public cost report file SNFFY1995.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 manager	Role	Type	Ownership percentage	Association
CARRIAGE HEALTHCARE COMPANIES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/06/2025
HBT IT LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/01/2024
JT AND ASSOCIATES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2010
PARTNERS IN WEALTH MANAGEMENT, INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2024
PASZCZAK, MATTHEW	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/05/2023
PINION, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/1995
REHAB SOLUTIONS GROUP, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2024
SHERMAN, STEPHANIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/12/2012
TWOMAGNETS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2022
DUPONT, LORI	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/25/2016
GEHLER, MIRIAM	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2017
KERWIN, ANDREW	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 06/26/2009
KUMAR, RAJEEV SHIVA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/24/2012
LACKE (CARRIG), KAREN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2016
LYNN, NICHOLAS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 03/14/2011
CARRIAGE HEALTHCARE COMPANIES INC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/09/2012
PASZCZAK, MATTHEW	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/05/2023
SHERMAN, STEPHANIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/12/2012

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WISCONSIN ILLINOIS SENIOR HOUSING INC (enrollment ID O20120724000664).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
CARRIAGE HEALTHCARE COMPANIES INC	Organization	ADP OF THE SNF	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.	10/6/2025	Private equity company: No Real estate investment trust: No Holding company: No
HBT IT LLC	Organization	ADP OF THE SNF	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.	7/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
JT AND ASSOCIATES LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2010	Private equity company: No Real estate investment trust: No Holding company: No
MATTHEW PASZCZAK	Individual	ADP OF THE SNF	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.	3/5/2023	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.
PARTNERS IN WEALTH MANAGEMENT, INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
PINION, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/1995	Private equity company: No Real estate investment trust: No Holding company: No
REHAB SOLUTIONS GROUP, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
STEPHANIE L SHERMAN	Individual	ADP OF THE SNF	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.	8/12/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TWOMAGNETS LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2022	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.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2010	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.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.	Individual	ADP OF THE SNF	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.	10/10/2022	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.
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.	Individual	ADP OF THE SNF	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.	7/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/1995	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/1995	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.	Individual	ADP OF THE SNF	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.	7/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANDREW C. KERWIN	Individual	CORPORATE DIRECTOR	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.	6/26/2009	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.
KAREN M LACKE (CARRIG)	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LORI DUPONT	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/25/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MIRIAM GEHLER	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NICHOLAS LYNN	Individual	CORPORATE DIRECTOR	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.	3/14/2011	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.
RAJEEV SHIVA KUMAR	Individual	CORPORATE DIRECTOR	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.	4/24/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CARRIAGE HEALTHCARE COMPANIES INC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	8/9/2012	Private equity company: No Real estate investment trust: No Holding company: No
MATTHEW PASZCZAK	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/5/2023	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.
STEPHANIE L SHERMAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	8/12/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: ANDREW C. KERWIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: REHAB SOLUTIONS GROUP, LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANDREW C. KERWIN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: REHAB SOLUTIONS GROUP, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2026: ROBERT V. SIEBEL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: HBT IT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: STEPHANIE L SHERMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TWOMAGNETS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: PINION, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MATTHEW PASZCZAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MATTHEW PASZCZAK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JT AND ASSOCIATES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CARRIAGE HEALTHCARE COMPANIES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: PARTNERS IN WEALTH MANAGEMENT, INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: REHAB SOLUTIONS GROUP, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv

Recent changes on this record

1 July 2026: ANDREW C. KERWIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: REHAB SOLUTIONS GROUP, LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANDREW C. KERWIN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: REHAB SOLUTIONS GROUP, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2026: ROBERT V. SIEBEL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: HBT IT LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: STEPHANIE L SHERMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TWOMAGNETS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: PINION, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MATTHEW PASZCZAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MATTHEW PASZCZAK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JT AND ASSOCIATES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CARRIAGE HEALTHCARE COMPANIES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: PARTNERS IN WEALTH MANAGEMENT, INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: REHAB SOLUTIONS GROUP, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
19 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
8 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
20 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
16 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
21 August 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
6 June 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
4 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
1 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
5 June 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
5 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
25 July 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
7 February 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
3 December 2012: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
30 November 2011: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
31 January 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
18 December 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
20 January 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
19 September 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
27 August 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
19 July 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
3 August 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
17 June 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	13 October 2025	13 October 2025	34	18
2	11 July 2024	11 July 2024	30	11
3	30 March 2023	30 March 2023	10	11

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

Deficiencies cited

74 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
13 October 2025	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	E	No	Deficient, Provider has date of correction	10 November 2025
13 October 2025	Health	F 0578	Resident Rights Deficiencies	Honor 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.	E	No	Deficient, Provider has date of correction	10 November 2025
13 October 2025	Health	F 0584	Resident Rights Deficiencies	Honor 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.	E	No	Deficient, Provider has date of correction	10 November 2025
13 October 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	10 November 2025
13 October 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E	No	Deficient, Provider has date of correction	10 November 2025
13 October 2025	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	J	No	Deficient, Provider has date of correction	16 December 2025
13 October 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	No	Deficient, Provider has date of correction	10 November 2025
13 October 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	10 November 2025
13 October 2025	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	10 November 2025
13 October 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	10 November 2025
13 October 2025	Health	F 0806	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D	No	Deficient, Provider has date of correction	10 November 2025
13 October 2025	Health	F 0849	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D	No	Deficient, Provider has date of correction	10 November 2025
13 October 2025	Health	F 0867	Administration Deficiencies	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	D	No	Deficient, Provider has date of correction	10 November 2025
13 October 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	10 November 2025
13 October 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	10 November 2025
15 September 2025	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Deficient, Provider has date of correction	14 October 2025
15 September 2025	Health	F 0584	Resident Rights Deficiencies	Honor 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.	E	Yes	Deficient, Provider has date of correction	14 October 2025
15 September 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G	Yes	Deficient, Provider has date of correction	14 October 2025
15 September 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	14 October 2025
15 September 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	14 October 2025
15 September 2025	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	Yes	Deficient, Provider has date of correction	14 October 2025
15 September 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	14 October 2025
15 September 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	14 October 2025
13 August 2025	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	7 September 2025
13 August 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	Yes	Deficient, Provider has date of correction	7 September 2025
13 August 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	7 September 2025
13 August 2025	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	14 October 2025
13 August 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.	D	Yes	Deficient, Provider has date of correction	7 September 2025
13 August 2025	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	Yes	Deficient, Provider has date of correction	7 September 2025
13 August 2025	Health	F 0712	Nursing and Physician Services Deficiencies	Ensure that the resident and his/her doctor meet face-to-face at all required visits.	D	Yes	Deficient, Provider has date of correction	7 September 2025
13 August 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.	D	Yes	Deficient, Provider has date of correction	7 September 2025
13 August 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	7 September 2025
13 August 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	7 September 2025
13 August 2025	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	Yes	Deficient, Provider has date of correction	7 September 2025
9 July 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	Yes	Deficient, Provider has date of correction	6 August 2025
9 July 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	6 August 2025
9 July 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	F	Yes	Deficient, Provider has date of correction	6 August 2025
9 July 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.	J	Yes	Deficient, Provider has date of correction	6 August 2025
9 July 2025	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	J	Yes	Deficient, Provider has date of correction	6 August 2025
9 July 2025	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D	Yes	Deficient, Provider has date of correction	6 August 2025
9 July 2025	Health	F 0730	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	F	Yes	Deficient, Provider has date of correction	6 August 2025
9 July 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	6 August 2025
9 July 2025	Health	F 0868	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	F	Yes	Deficient, Provider has date of correction	6 August 2025
10 June 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.	D	Yes	Deficient, Provider has date of correction	6 August 2025
14 March 2025	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	14 April 2025
14 March 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	Yes	Deficient, Provider has date of correction	14 April 2025
14 March 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	14 April 2025
14 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.	D	Yes	Deficient, Provider has date of correction	14 April 2025
14 March 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	14 April 2025
11 July 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	E	No	Deficient, Provider has date of correction	5 August 2024
11 July 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	5 August 2024
11 July 2024	Health	F 0584	Resident Rights Deficiencies	Honor 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.	E	No	Deficient, Provider has date of correction	5 August 2024
11 July 2024	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	5 August 2024
11 July 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G	No	Deficient, Provider has date of correction	5 August 2024
11 July 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	5 August 2024
11 July 2024	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	5 August 2024
11 July 2024	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.	D	No	Deficient, Provider has date of correction	5 August 2024
11 July 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	5 August 2024
11 July 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	5 August 2024
11 July 2024	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	5 August 2024
11 July 2024	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	5 August 2024
11 July 2024	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	F	No	Deficient, Provider has date of correction	5 August 2024
11 July 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	5 August 2024
11 July 2024	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	5 August 2024
1 November 2023	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.	G	Yes	Deficient, Provider has date of correction	27 November 2023
30 March 2023	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	5 May 2023
30 March 2023	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	E	No	Deficient, Provider has date of correction	5 May 2023
30 March 2023	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	5 May 2023
30 March 2023	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.	E	No	Deficient, Provider has date of correction	5 May 2023
30 March 2023	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	5 May 2023
30 March 2023	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	5 May 2023
30 March 2023	Health	F 0809	Nutrition and Dietary Deficiencies	Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.	F	No	Deficient, Provider has date of correction	5 May 2023
30 March 2023	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	5 May 2023
30 March 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	28 April 2023

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
13 October 2025	Fine	$83,597			137573
13 October 2025	Payment Denial		11 November 2025	35
10 June 2025	Fine	$20,420			138716
10 June 2025	Fine	$128,700			138717
10 June 2025	Payment Denial		7 August 2025	68
11 July 2024	Fine	$36,946			61180
1 November 2023	Fine	$13,397			61026

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	Non profit - Corporation
Legal Business Name	WISCONSIN ILLINOIS SENIOR HOUSING INC
Date First Approved to Provide Medicare and Medicaid Services	1983-04-07
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Dane
Telephone Number	6084375511
Chain Name	WISCONSIN ILLINOIS SENIOR HOUSING, INC.
Chain ID	569
Special Focus Status	SFF
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	80
Average Number of Residents per Day	40.1
Processing Date	2026-08-01

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

Get an email when this record changes

One email a day naming what moved on INGLESIDE MANOR: the field, the value before, the value after, and the date of the file that first showed it.

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

On 1 July 2026: ANDREW C. KERWIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

What the alerts are, and what a day of them looks like, is on the alerts page.

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for INGLESIDE MANOR

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Wisconsin at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 525331.