Skilled nursing facility · CMS certification number 525411
Willowdale Health Services
New Holstein, Wisconsin · Medicare and Medicaid
Certified beds, as filed in Care Compare: 49
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 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,339,677 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $220,209 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,119,468 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,808,683 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $310,785 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $54,306 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $365,091 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $365,091 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 17,934 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 374 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 4,819 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,790 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 10,983 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 12 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 35 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 113 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 137.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1435797, 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 13 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,781,071 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $237,907 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,543,164 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,310,493 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $232,671 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $78,581 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $311,252 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $311,252 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,875 | 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 | 53.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392055, 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 22 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,031,954 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $732,518 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,299,436 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,523,600 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$224,164 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $98,709 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$125,455 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$125,455 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,287 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 159.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362856, 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 16 August 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,154,731 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,501,346 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,653,385 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,691,991 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$38,606 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $456,585 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $417,979 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $417,979 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,205 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 126.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1329864, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,932,205 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,490,339 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,441,866 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,104,472 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$662,606 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $903,219 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $240,613 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $240,613 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,390 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 697.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304654, 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 23 October 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,266,734 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,529,041 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,737,693 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,694,556 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $43,137 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,609 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $65,746 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $65,746 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,533 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 153 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 211.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1272317, 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 15 January 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,980,776 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,501,980 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,478,796 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,434,993 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $43,803 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $197,942 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $241,745 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $241,745 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,321 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 148.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278415, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 October 2017 to 31 December 2017 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,238,990 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $375,964 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $863,026 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $786,941 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $76,085 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,408 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $88,493 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $88,493 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 3,280 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 33 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 311.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1209907, read from the public cost report file SNF10FY2018.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 26 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,691,278 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,012,185 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,679,093 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,674,987 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $4,106 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $40,783 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $44,889 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $44,889 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,936 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 147 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 94.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1175184, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 January 2015 to 30 June 2015 — a reporting period of 180 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 20 January 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,670,660 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $608,946 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,061,714 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,086,483 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$24,769 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,717 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$10,052 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$10,052 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,542 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 244 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 30.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117317, 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 29 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,153,167 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,174,730 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,978,437 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,872,808 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $105,629 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,246 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $132,875 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $132,874 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,249 | 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 | 32.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 81.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1106001, 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 31 July 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,893,203 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,031,725 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,861,478 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,942,843 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$81,365 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,049 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$54,316 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$54,316 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,309 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 219 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 69.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074597, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,850,362 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $917,847 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,932,515 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,773,846 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $158,669 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $39,679 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $198,348 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $198,348 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,263 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 233 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 69.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042825, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,817,464 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $857,136 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,960,328 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,645,184 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $315,144 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,613 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $339,757 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $339,757 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,988 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 215 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 9.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 74.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1017795, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 September 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,059,226 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,445,143 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $614,083 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,168 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $649,251 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,179 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 85.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418452, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 August 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,953,510 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,435,773 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $517,737 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,492 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $543,228 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,349 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 280 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 54.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 384663, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 22 July 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,649,639 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,517,958 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $131,681 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,210 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $157,890 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,572 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 251 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 62.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 351849, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 August 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,305,977 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,140,598 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $165,379 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $42,138 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $207,517 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,356 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 234 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 65.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 323217, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 September 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,202,873 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,065,006 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $137,867 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $82,883 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $220,750 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,135 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 244 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 66.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 293851, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 February 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,026,609 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,813,968 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $212,641 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,003 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $248,644 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,916 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 264 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 64.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 272435, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 21 September 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,883,800 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,698,048 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $185,752 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $71,054 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $256,806 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,433 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 269 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 64.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 233395, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 January 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,686,942 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,580,134 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $106,808 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,287 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $136,095 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,542 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 199.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205552, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 January 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,653,133 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,533,560 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $119,573 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $37,049 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $156,619 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,742 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 129 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 137.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 204210, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 February 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,518,373 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,382,024 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $136,349 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $63,062 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $199,411 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,031 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 109.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 169701, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,344,562 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,291,019 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $53,543 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $59,661 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $113,204 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,676 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 99.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 124980, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 October 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,188,313 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,106,235 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $82,078 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $49,240 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $131,318 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,670 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 99.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 71686, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 12 March 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,235,300 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,979,735 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $255,565 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $51,108 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $124 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $306,549 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 47 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,755 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 94 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 156.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 274408, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 20 December 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,313,068 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,171,499 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $141,569 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $50,929 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $114 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $192,384 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,323 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 122.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 269257, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 15 September 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,426,770 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,218,578 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $208,192 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $59,473 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $122 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $267,543 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,380 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 127.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159609, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| NSHF OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 07/24/2017 |
| MILLS, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 20% | since 06/29/2017 |
| CIBC BANK USA | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 12/31/2024 |
| BAUMANN, TROY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2017 |
| BEINE, ANDREW | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2023 |
| BELONGIA, CHRISTINA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2019 |
| CLIFTONLARSONALLEN LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/12/2025 |
| CONTINUUM THERAPY PARTNERS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/12/2025 |
| GEE, DARREN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/30/2021 |
| GREER, LAUREN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/29/2023 |
| HOEHN, JEFFREY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2017 |
| NORTH SHORE HEALTHCARE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/09/2025 |
| NSH REHAB LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/09/2025 |
| NSHF WISCONSIN LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/12/2025 |
| PATZER, COLLEEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/14/2023 |
| PURTELL, BRIAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2018 |
| STREU, ASHLEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/19/2026 |
| WILLOWDALE PROPERTY HOLDINGS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2022 |
| WIPFLI LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/12/2025 |
| BAUMANN, TROY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/29/2017 |
| HOEHN, JEFFREY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/29/2017 |
| BAUMANN, TROY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2017 |
| BEINE, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2023 |
| BELONGIA, CHRISTINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2019 |
| CIBC BANK USA | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/31/2024 |
| CLIFTONLARSONALLEN LLP | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/01/2025 |
| CONTINUUM THERAPY PARTNERS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/01/2025 |
| GEE, DARREN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/30/2021 |
| GREER, LAUREN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/29/2023 |
| HOEHN, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2017 |
| NORTH SHORE HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2017 |
| NSH REHAB LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/01/2025 |
| PATZER, COLLEEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/14/2023 |
| PURTELL, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2018 |
| STREU, ASHLEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/19/2026 |
| WIPFLI LLP | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/01/2025 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NSH NEW HOLSTEIN LLC (enrollment ID O20171207002574).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| NSHF OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/24/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID MILLS | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20 | 6/29/2017 | 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. |
| JEFFREY C HOEHN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40 | 6/29/2017 | 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. |
| TROY T BAUMANN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40 | 6/29/2017 | 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. |
| CIBC BANK USA | Organization | 5% OR GREATER SECURITY INTEREST | 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. | 12/31/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREW BEINE | 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. | 2/1/2023 | 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. |
| ASHLEY STREU | 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. | 1/19/2026 | 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. |
| BRIAN PURTELL | 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. | 6/1/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CHRISTINA BELONGIA | 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. | 11/1/2019 | 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. |
| CLIFTONLARSONALLEN LLP | 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. | 5/12/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| COLLEEN PATZER | 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. | 2/14/2023 | 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. |
| CONTINUUM THERAPY PARTNERS 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. | 5/12/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DARREN GEE | 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. | 11/30/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JEFFREY C HOEHN | 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. | 10/1/2017 | 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. |
| LAUREN GREER | 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. | 11/29/2023 | 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. |
| NORTH SHORE HEALTHCARE 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. | 5/9/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| NSH REHAB 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. | 6/9/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| NSHF WISCONSIN 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. | 5/12/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TROY T BAUMANN | 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. | 10/1/2017 | 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. |
| WILLOWDALE PROPERTY HOLDINGS, 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. | 5/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| WIPFLI LLP | 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. | 5/12/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JEFFREY C HOEHN | Individual | CORPORATE DIRECTOR | 40 | 6/29/2017 | 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. |
| TROY T BAUMANN | Individual | CORPORATE DIRECTOR | 40 | 6/29/2017 | 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. |
| ANDREW BEINE | 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. | 2/1/2023 | 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. |
| ASHLEY STREU | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/19/2026 | 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. |
| BRIAN PURTELL | 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. | 6/1/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CHRISTINA BELONGIA | 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. | 11/1/2019 | 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. |
| CIBC BANK USA | Organization | 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. | 12/31/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLIFTONLARSONALLEN LLP | Organization | 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. | 2/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| COLLEEN PATZER | 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. | 2/14/2023 | 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. |
| CONTINUUM THERAPY PARTNERS LLC | Organization | 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. | 3/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DARREN GEE | 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. | 11/30/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JEFFREY C HOEHN | 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. | 10/1/2017 | 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. |
| LAUREN GREER | 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. | 11/29/2023 | 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. |
| NORTH SHORE HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 10/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| NSH REHAB LLC | Organization | 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. | 2/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TROY T BAUMANN | 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. | 10/1/2017 | 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. |
| WIPFLI LLP | Organization | 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. | 2/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: TROY T BAUMANN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DARREN GEE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DARREN GEE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CIBC BANK USA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CIBC BANK USA appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COLLEEN PATZER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COLLEEN PATZER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CONTINUUM THERAPY PARTNERS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CONTINUUM THERAPY PARTNERS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NSH REHAB LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NSH REHAB LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: WIPFLI LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: WIPFLI LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BRIAN PURTELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BRIAN PURTELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CHRISTINA BELONGIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CHRISTINA BELONGIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TROY T BAUMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TROY T BAUMANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANDREW BEINE 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 BEINE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NORTH SHORE HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFFREY C HOEHN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFFREY C HOEHN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LAUREN GREER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LAUREN GREER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHLEY STREU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHLEY STREU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: WILLOWDALE PROPERTY HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NSHF WISCONSIN LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CLIFTONLARSONALLEN LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CLIFTONLARSONALLEN LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- 1 July 2026: TROY T BAUMANN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DARREN GEE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DARREN GEE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CIBC BANK USA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CIBC BANK USA appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COLLEEN PATZER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COLLEEN PATZER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CONTINUUM THERAPY PARTNERS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CONTINUUM THERAPY PARTNERS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NSH REHAB LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NSH REHAB LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: WIPFLI LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: WIPFLI LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BRIAN PURTELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BRIAN PURTELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CHRISTINA BELONGIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CHRISTINA BELONGIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TROY T BAUMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TROY T BAUMANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANDREW BEINE 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 BEINE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NORTH SHORE HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFFREY C HOEHN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JEFFREY C HOEHN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LAUREN GREER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LAUREN GREER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHLEY STREU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHLEY STREU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: WILLOWDALE PROPERTY HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: NSHF WISCONSIN LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CLIFTONLARSONALLEN LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CLIFTONLARSONALLEN LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 13 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 22 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 16 August 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
- 15 January 2021: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 23 October 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2018.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 11 February 2026 | 11 February 2026 | 6 | 4 |
| 2 | 2 October 2024 | 2 October 2024 | 8 | 9 |
| 3 | 8 November 2023 | 8 November 2023 | 5 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
19 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 11 February 2026 | 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 | 10 March 2026 |
| 11 February 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 10 March 2026 |
| 11 February 2026 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | 10 March 2026 |
| 11 February 2026 | 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 | 10 March 2026 |
| 11 February 2026 | 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 | 10 March 2026 |
| 11 February 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 10 March 2026 |
| 22 January 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | 22 February 2025 |
| 2 October 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | 2 November 2024 |
| 2 October 2024 | 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 | 2 November 2024 |
| 2 October 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 2 November 2024 |
| 2 October 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 2 November 2024 |
| 2 October 2024 | 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 | 2 November 2024 |
| 2 October 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 | 2 November 2024 |
| 2 October 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | 2 November 2024 |
| 8 November 2023 | 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. | D | No | Deficient, Provider has date of correction | 8 December 2023 |
| 8 November 2023 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 8 December 2023 |
| 8 November 2023 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | E | No | Deficient, Provider has date of correction | 8 December 2023 |
| 8 November 2023 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | No | Deficient, Provider has date of correction | 8 December 2023 |
| 8 November 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 | 8 December 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | NSH NEW HOLSTEIN LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1987-12-11 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Calumet |
| Telephone Number | 9208985706 |
| Chain Name | NORTH SHORE HEALTHCARE |
| Chain ID | 377 |
| 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 | 49 |
| Average Number of Residents per Day | 26.1 |
| Overall Rating | 3 |
| Health Inspection Rating | 4 |
| QM Rating | 1 |
| Long-Stay QM Rating | 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 Willowdale Health Services: 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: TROY T BAUMANN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for Willowdale Health Services
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.
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 525411.