Skilled nursing facility · CMS certification number 525412

Birch Hill Health Services

Shawano, Wisconsin · Medicare and Medicaid

Certified beds, as filed in Care Compare: 50

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 16 June 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$5,920,638	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$429,107	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,491,531	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,627,095	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$864,436	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$25,806	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$890,242	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $890,242 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	18,300	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	612	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	9,172	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	5,062	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	14,846	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	21	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	62	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	104	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	187	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	147.94	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	79.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1432239, 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.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$4,371,839	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$293,993	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,077,846	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,686,911	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$390,935	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$76,876	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$467,811	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $467,811 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,852	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	70	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	58.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	166.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	169.31	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1392056, 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.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,847,141	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$963,734	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,883,407	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,861,367	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$22,040	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$638,626	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$660,666	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $660,666 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,709	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	111	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	315.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	105.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1362857, 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.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$4,866,695	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,211,428	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,655,267	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,619,736	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$35,531	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$486,297	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$521,828	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $521,828 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,058	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	101	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	184.85	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	119.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329865, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 December 2019 to 31 December 2020 — a reporting period of 396 days, on form CMS-2540-10, settled, processed by CMS on 16 November 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$3,553,261	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,004,139	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,549,122	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,919,615	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$370,493	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$397,254	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$26,761	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $26,761 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,299	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	116	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	108.21	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	80.16	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1304655, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 30 November 2019

Cost report for 1 January 2019 to 30 November 2019 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$4,349,096	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,923,099	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,425,997	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,399,907	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$973,910	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,023	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$969,887	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$969,887 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,508	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	92	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	210.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	103.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1261470, 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 23 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$4,626,581	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,895,234	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,731,347	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,210,230	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$478,883	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$669	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$478,214	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$478,214 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,535	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	104	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.18	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	300.53	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	110.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1242221, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$5,980,230	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,354,245	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,625,985	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,617,382	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$8,603	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$1,619	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$6,984	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $6,984 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,115	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	132	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	17.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	258.72	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	106.93	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1208897, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$6,943,839	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,834,509	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,109,330	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,791,526	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$317,804	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,585	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$324,389	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $323,854 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,134	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	121	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.49	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	486.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	141.6	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1175243, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled with audit, processed by CMS on 4 August 2016.

None of these figures is carried on this report.

CMS report record 1139695, 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 9 September 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$6,287,883	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,207,158	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,080,725	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,113,403	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$32,678	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,485	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$25,193	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$25,193 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,345	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	89	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.34	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	819.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	194.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1109083, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$5,164,499	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,152,506	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,011,993	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,961,331	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$50,662	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,945	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$67,607	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $59,172 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,572	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	132	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	444.85	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	133.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1077294, 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 22 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$5,647,986	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,298,810	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,349,176	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,309,679	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$39,497	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,835	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$51,332	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $42,893 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,691	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	40.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	758.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	165.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1047247, 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 5 November 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$5,375,929	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,209,195	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,166,734	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,169,634	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,900	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$10,073	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$7,173	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$188 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	74	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,556	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	131	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	66.94	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	536.45	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	149.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1018689, 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.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$4,499,895	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,250,977	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$248,918	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$11,294	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$7,097	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $253,115 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	74	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,615	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	149	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.23	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	509.04	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	151.78	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 418453, 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.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$4,386,150	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,881,790	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$504,360	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,647	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$7,037	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $509,970 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	74	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,913	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	109	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	47.41	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	995.13	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	210.21	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 384664, 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 4 August 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$4,610,785	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,873,606	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$737,179	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$15,705	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$7,037	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $745,847 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	74	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,909	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	126	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.65	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	757.06	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	181.82	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 353687, 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 14 August 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$4,266,400	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,725,532	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$540,868	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,967	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$7,037	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $546,798 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	74	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,336	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	127	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	44.11	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	411.03	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	175.87	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 323865, 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 15 May 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,719,544	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,338,417	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$381,127	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$8,095	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$6,702	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $382,520 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	74	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,557	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	117	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	47.02	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	366.79	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	175.7	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 309126, 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 19 September 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$3,507,518	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,341,029	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$166,489	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$4,043	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$6,396	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $164,136 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	74	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,080	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	109	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.36	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	683.55	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	193.39	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 263493, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 December 2003 to 31 December 2004 — a reporting period of 396 days, on form CMS-2540-96, settled, processed by CMS on 31 August 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$3,751,365	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,409,815	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$341,550	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,094	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$5,416	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $341,228 (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.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	74	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,462	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	84	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	43.46	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,095.28	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	303.12	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 232223, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 30 November 2003

Cost report for 1 January 2003 to 30 November 2003 — a reporting period of 333 days, on form CMS-2540-96, settled, processed by CMS on 30 September 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$3,283,237	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,256,664	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$26,573	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$43,875	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$47,642	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $22,806 (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.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,499	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	139	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.04	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	169.06	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 196536, 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 1 September 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$3,410,883	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,483,023	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$72,140	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13,147	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$9,892	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$68,885 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,204	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	97	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.68	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	270.14	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 191208, 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 8 July 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$3,145,056	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,313,995	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$168,939	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$7,988	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$160,951 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,039	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	105	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	257.51	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 152645, 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 11 February 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$2,762,050	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,719,247	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$42,803	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$9,910	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$26,040	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $26,673 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	93	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,656	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	121	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.28	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	212.03	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 114036, 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 20 July 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$2,594,899	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,682,361	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$87,462	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$16,415	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$103,877 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	93	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,800	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	86	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.29	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	323.26	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71694, 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, settled, processed by CMS on 21 November 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$3,309,845	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,065,272	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$244,573	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$19,301	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $225,272 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	93	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,164	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	30.63	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	498.68	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	241.31	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71692, 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, settled, processed by CMS on 12 November 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$3,066,795	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,010,894	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$55,901	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$19,541	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $36,360 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	93	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,027	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	169	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.06	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	562.9	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	177.67	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71690, 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, settled, processed by CMS on 7 October 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$3,014,267	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,987,200	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$27,067	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$11,831	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$30,847	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $8,051 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	93	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	31,444	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	81	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	388.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71689, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
NSHR OPERATIONS LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 10/01/2019
ARROWHEAD 123 LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	10%	since 10/01/2019
MILLS, DAVID	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Individual	18%	since 10/01/2019
THE LANE MORRELL BOWEN TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	10%	since 10/01/2019
CIBC BANK USA	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 12/31/2024
CIBC BANK USA	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 12/31/2024
ARROWHEAD 123 LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2019
BAUMANN, TROY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2019
BELONGIA, CHRISTINA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2019
BRUNO, JAMES	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2026
CLIFTONLARSONALLEN LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/23/2025
CONTINUUM THERAPY PARTNERS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/23/2025
GEE, DARREN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2019
GREER, LAUREN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/29/2023
HOEHN, JEFFREY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2019
JASHINSKY, CHERYL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/04/2016
NORTH SHORE HEALTHCARE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/15/2025
NSH 1475 BIRCH HILL LANE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2019
NSH REHAB LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/23/2025
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
THE LANE MORRELL BOWEN TRUST	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2019
WIPFLI LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/23/2025
BAUMANN, TROY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/2019
HOEHN, JEFFREY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/2019
BOWEN, LANE	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 12/11/2019
BAUMANN, TROY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2019
BELONGIA, CHRISTINA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2019
BRUNO, JAMES	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2026
CIBC BANK USA	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/31/2024
CLIFTONLARSONALLEN LLP	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/01/2019
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 12/01/2019
JASHINSKY, CHERYL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/04/2016
NORTH SHORE HEALTHCARE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/01/2019
NSH REHAB LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2025
PATZER, COLLEEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/14/2023
PURTELL, BRIAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2018
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 SHAWANO-BIRCH LLC (enrollment ID O20191220001208).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
NSHR OPERATIONS LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	10/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
ARROWHEAD 123 LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	10	10/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
DAVID MILLS	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	18	10/1/2019	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.
JEFFREY C HOEHN	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	36	10/1/2019	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.
THE LANE MORRELL BOWEN TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	10	10/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
TROY T BAUMANN	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	36	10/1/2019	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	5% OR GREATER MORTGAGE INTEREST	100	12/31/2024	Private equity company: No Real estate investment trust: No Holding company: No
CIBC BANK USA	Organization	5% OR GREATER SECURITY INTEREST	100	12/31/2024	Private equity company: No Real estate investment trust: No Holding company: No
ARROWHEAD 123 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.	12/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
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.
CHERYL JASHINSKY	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.	5/4/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.	5/23/2025	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.	5/23/2025	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.	12/1/2019	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.
JAMES R BRUNO	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.	6/1/2026	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.
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.	12/1/2019	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.
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.	5/15/2025	Private equity company: No Real estate investment trust: No Holding company: No
NSH 1475 BIRCH HILL LANE 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.	12/1/2019	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.	5/23/2025	Private equity company: No Real estate investment trust: No Holding company: No
THE LANE MORRELL BOWEN TRUST	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.	12/1/2019	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.	12/1/2019	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.
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.	5/23/2025	Private equity company: No Real estate investment trust: No Holding company: No
JEFFREY C HOEHN	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2019	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.
TROY T BAUMANN	Individual	CORPORATE DIRECTOR	36	10/1/2019	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.
LANE MORRELL BOWEN	Individual	INDIRECT OWNERSHIP INTEREST	10	12/11/2019	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.
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.
CHERYL JASHINSKY	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.	5/4/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.	12/1/2019	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.
JAMES R BRUNO	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.	6/1/2026	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.
JEFFREY C HOEHN	Individual	OPERATIONAL/MANAGERIAL CONTROL	36	12/1/2019	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.
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	12/1/2019	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.	3/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
TROY T BAUMANN	Individual	OPERATIONAL/MANAGERIAL CONTROL	36	12/1/2019	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.
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 August 2026: MADHAVI REDDY CHERUKULA no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: MADHAVI REDDY CHERUKULA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: JAMES R BRUNO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: JAMES R BRUNO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 July 2026: BRIAN PURTELL no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRIAN PURTELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NSHR OPERATIONS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: 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: NSHR OPERATIONS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2026: DAVID MILLS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DARREN GEE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DARREN GEE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LANE M BOWEN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CIBC BANK USA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CIBC BANK USA appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CIBC BANK USA appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ARROWHEAD 123 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MADHAVI REDDY CHERUKULA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MADHAVI REDDY CHERUKULA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: COLLEEN PATZER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: COLLEEN PATZER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CONTINUUM THERAPY PARTNERS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CONTINUUM THERAPY PARTNERS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NSH 1475 BIRCH HILL LANE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NSH REHAB LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NSH REHAB LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CHERYL JASHINSKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CHERYL JASHINSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: WIPFLI LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: WIPFLI LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CHRISTINA BELONGIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CHRISTINA BELONGIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: THE LANE MORRELL BOWEN TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TROY T BAUMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NORTH SHORE HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JEFFREY C HOEHN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LAUREN GREER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LAUREN GREER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CLIFTONLARSONALLEN LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CLIFTONLARSONALLEN LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BRIAN PURTELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BRIAN PURTELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv

Recent changes on this record

1 August 2026: MADHAVI REDDY CHERUKULA no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: MADHAVI REDDY CHERUKULA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: JAMES R BRUNO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: JAMES R BRUNO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 July 2026: BRIAN PURTELL no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRIAN PURTELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NSHR OPERATIONS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: 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: NSHR OPERATIONS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2026: DAVID MILLS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DARREN GEE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DARREN GEE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LANE M BOWEN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CIBC BANK USA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CIBC BANK USA appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CIBC BANK USA appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ARROWHEAD 123 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MADHAVI REDDY CHERUKULA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MADHAVI REDDY CHERUKULA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: COLLEEN PATZER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: COLLEEN PATZER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CONTINUUM THERAPY PARTNERS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CONTINUUM THERAPY PARTNERS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NSH 1475 BIRCH HILL LANE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NSH REHAB LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NSH REHAB LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CHERYL JASHINSKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CHERYL JASHINSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: WIPFLI LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: WIPFLI LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CHRISTINA BELONGIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CHRISTINA BELONGIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: THE LANE MORRELL BOWEN TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TROY T BAUMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NORTH SHORE HEALTHCARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JEFFREY C HOEHN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LAUREN GREER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LAUREN GREER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CLIFTONLARSONALLEN LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	11 February 2026	11 February 2026	11	2
2	25 September 2024	25 September 2024	9	4
3	30 August 2023	30 August 2023	2	9

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

Deficiencies cited

22 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
1 July 2026	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	Yes	Deficient, Provider has date of correction	29 July 2026
1 July 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	29 July 2026
11 February 2026	Health	F 0551	Resident Rights Deficiencies	Give the resident's representative the ability to exercise the resident's rights.	D	No	Deficient, Provider has date of correction	11 March 2026
11 February 2026	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	11 March 2026
11 February 2026	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	No	Deficient, Provider has date of correction	11 March 2026
11 February 2026	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	11 March 2026
11 February 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	11 March 2026
10 November 2025	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	18 December 2025
10 November 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	18 December 2025
10 November 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	18 December 2025
10 November 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	18 December 2025
20 May 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	13 June 2025
20 May 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	13 June 2025
25 September 2024	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	25 October 2024
25 September 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	Yes	Deficient, Provider has date of correction	25 October 2024
25 September 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	25 October 2024
25 September 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	25 October 2024
25 September 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	25 October 2024
25 September 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	25 October 2024
25 September 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	25 October 2024
30 August 2023	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	30 September 2023
30 August 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	30 September 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 SHAWANO-BIRCH LLC
Date First Approved to Provide Medicare and Medicaid Services	1988-06-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Shawano
Telephone Number	7155263161
Chain Name	NORTH SHORE HEALTHCARE
Chain ID	377
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Both
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	50
Average Number of Residents per Day	41.9
Overall Rating	2
Health Inspection Rating	3
QM Rating	1
Long-Stay QM Rating	2
Short-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

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On 1 August 2026: MADHAVI REDDY CHERUKULA no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Birch Hill 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.

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