Velarion Records

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

Skilled nursing facility · CMS certification number 525453

CLEARVIEW

JUNEAU, Wisconsin · Medicare and Medicaid

Certified beds, as filed in Care Compare: 40

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$28,580,312CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$28,580,312CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$25,370,167CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$3,210,145CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$181,422CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,391,567CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,391,567 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components60,756CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days772CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days14,828CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days14,210CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components29,810CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges24CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges11CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges58CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components93CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,348CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days320.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438187, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$27,412,970CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$27,412,970CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$24,781,868CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,631,102CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$284,474CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,915,576CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,915,576 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,485CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components67CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days469.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1388889, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 August 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$23,318,886CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$187,181CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$23,131,705CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$24,694,851CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,563,146CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,813,163CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$4,250,017CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $4,250,017 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,194CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components84CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days57.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days442.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1362051, 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 22 September 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$26,837,960CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$26,837,960CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$27,127,569CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$289,609CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,710,589CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$6,420,980CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $6,420,980 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components45,417CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components160CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.97CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days283.86CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1333707, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$26,620,194CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$26,620,194CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$26,829,606CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$209,412CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,155,708CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,946,296CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,946,296 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components264CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components75,404CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components147CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days512.95CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1302730, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 December 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$26,963,812CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$26,963,812CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$29,552,981CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,589,169CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,512,297CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$76,872CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$76,872 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components264CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components80,476CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components365CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days76.64CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days220.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1275368, 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 2 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$28,293,922CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$28,293,922CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$27,543,836CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$750,086CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,471,183CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,221,269CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,221,269 (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
FigureAs filedWhere it comes from
Total facility beds, all components264CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components83,397CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components190CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.92CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days438.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1239367, 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 27 June 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$25,892,869CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$25,892,869CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$28,410,006CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,517,137CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,638,996CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$121,859CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $121,859 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components236CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components83,915CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components257CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.02CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,142.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days326.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1196549, 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 27 July 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$23,737,041CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$23,737,041CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$27,285,448CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,548,407CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,982,286CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,566,121CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,566,121 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components236CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components76,889CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components200CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55.31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days384.45CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1170867, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 August 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$23,969,461CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$23,969,461CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$27,272,013CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,302,552CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,905,205CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,397,347CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,397,347 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components206CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components69,708CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components216CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.21CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days842.26CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days322.72CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1141410, 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 11 August 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$9,689,475CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$9,689,475CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$28,834,664CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$19,145,189CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$17,880,762CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,264,427CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,264,427 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components206CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components71,066CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components195CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.54CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days364.44CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1107366, 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 14 August 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$8,181,274CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$8,181,274CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$26,046,377CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$17,865,103CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$16,302,716CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,562,387CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,562,387 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components206CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components66,214CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components82CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.48CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days807.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1076026, 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 15 August 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$10,225,530CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$10,225,530CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$22,897,158CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$12,671,628CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$11,681,422CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$990,206CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$990,206 (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
FigureAs filedWhere it comes from
Total facility beds, all components206CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components59,833CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components73CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.16CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days819.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1046411, 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.

None of these figures is carried on this report.

CMS report record 1018690, 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.

None of these figures is carried on this report.

CMS report record 418464, 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 5 August 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$8,985,784CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$13,931,257CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$4,945,473CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,733,751CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,211,722 (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
FigureAs filedWhere it comes from
Total facility beds, all components103CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components30,972CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components62CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days396CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days531.54CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days499.55CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 384863, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 22 July 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$9,144,134CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$13,634,223CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$4,490,089CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,245,291CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,244,798 (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 2008
FigureAs filedWhere it comes from
Total facility beds, all components107CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,731CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components41CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days284CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days855.88CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days798.32CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 351851, 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 18 September 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$9,275,734CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$13,777,469CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$4,501,735CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,197,264CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,304,471 (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
FigureAs filedWhere it comes from
Total facility beds, all components204CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,375CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components66CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days234CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days535.98CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 325981, 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 29 February 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$8,777,651CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$13,474,492CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$4,696,841CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,733,105CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,963,736 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components117CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components36,041CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components63CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, all patients, in days572.08CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 303273, 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 20 December 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$8,587,992CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$13,478,344CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$4,890,352CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,396,312CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,494,040 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components117CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,497CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components64CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days84.2CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days554.64CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 269201, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 1 December 2005.

None of these figures is carried on this report.

CMS report record 237802, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 January 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$12,771,368CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$17,022,983CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$4,251,615CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,111,902CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$2,139,713 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components213CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components62,520CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components54CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days327CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days1,157.78CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 205555, 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 22 January 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$12,646,101CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$16,052,743CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$3,406,642CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,952,777CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $546,135 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components196CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components62,741CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components71CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days85.75CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days883.68CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 167382, 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, as submitted, processed by CMS on 13 February 2003.

Net income, stated at moderate confidence: −$645,057 (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.

CMS report record 125804, 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 15 March 2002.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$11,327,162CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$14,369,687CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$3,042,525CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,886,769CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$155,756 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components203CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components58,879CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components95CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days78.57CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days619.78CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71903, 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 13 February 2003.

Net income, stated at moderate confidence: −$820,490 (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.

CMS report record 130399, 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 31 August 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$10,488,326CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$13,851,791CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$3,363,465CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,581,862CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$781,603 (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
FigureAs filedWhere it comes from
Total facility beds, all components205CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components62,400CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components83CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days63.3CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days997.23CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days751.81CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71901, 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 9 September 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$10,820,033CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$12,388,171CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$1,568,138CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$46,289CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,521,849 (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
FigureAs filedWhere it comes from
Total facility beds, all components205CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components63,042CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components86CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days94.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days918.93CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days733.05CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71899, 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 29 April 1998.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$9,227,060CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$12,001,017CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$2,773,957CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,536,029CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,237,928 (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
FigureAs filedWhere it comes from
Total facility beds, all components205CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components61,407CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components51CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days124.13CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,511.23CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days1,204.06CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71898, 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 managerRoleTypeOwnership percentageAssociation
KOTTKE, RUSSELLCORPORATE DIRECTORIndividualNOT APPLICABLEsince 08/01/2010
COUNTY OF DODGEOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 08/01/2010
WILSON, DEANNAW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 01/04/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MARSH COUNTRY HEALTH ALLIANCE (enrollment ID O20100929000535).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
RUSSELL H KOTTKEIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2010
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
COUNTY OF DODGEOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2010
Private equity company: No
Real estate investment trust: No
Holding company: No
DEANNA WILSONIndividualW-2 MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/4/2019
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.

Changes in ownership

Recent changes on this record

  • 1 July 2026: DEANNA WILSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 1 July 2026: DEANNA WILSON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • 19 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • 11 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • 22 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • 20 October 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • 8 December 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • 2 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • 27 June 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • 27 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • 16 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • 11 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
  • 14 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • 15 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
  • 5 November 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
  • 27 September 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
  • 5 August 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
  • 22 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
  • 18 September 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
  • 29 February 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
  • 20 December 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
  • 1 December 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
  • 27 January 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
  • 22 January 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
  • 13 February 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
  • 13 February 2003: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
  • 15 March 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
  • 31 August 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
  • 9 September 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
  • 29 April 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
17 August 20257 August 202532
221 June 202421 June 202452
322 March 202322 March 202313

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

Deficiencies cited

9 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
7 August 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction26 August 2025
7 August 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GNoDeficient, Provider has date of correction29 August 2025
7 August 2025HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correction28 August 2025
21 June 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction12 July 2024
21 June 2024HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DYesDeficient, Provider has date of correction12 July 2024
21 June 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correction12 July 2024
21 June 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction12 July 2024
21 June 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction12 July 2024
22 March 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction14 April 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
7 August 2025Fine$9,110137940

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeGovernment - County
Legal Business NameMARSH COUNTRY HEALTH ALLIANCE
Date First Approved to Provide Medicare and Medicaid Services1989-12-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishDodge
Telephone Number9203863400
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds40
Average Number of Residents per Day46.9
Overall Rating5
Health Inspection Rating4
QM Rating3
Long-Stay QM Rating3
Short-Stay QM Rating3
Processing Date2026-08-01

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

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On 1 July 2026: DEANNA WILSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.

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