Skilled nursing facility · CMS certification number 525488

MEADOWBROOK AT BLACK RIVER FALLS

BLACK RIVER FALLS, Wisconsin · Medicare and Medicaid

Certified beds, as filed in Care Compare: 45

Finances, as filed

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

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

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$4,408,885	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$315,379	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,724,264	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,192,974	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,468,710	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$905,177	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$563,533	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$563,533 (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	722	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	8,245	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	2,897	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	11,864	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	27	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	40	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	10	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	77	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.74	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	206.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	154.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438515, 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 12 June 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$5,277,630	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$562,959	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,714,671	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,319,439	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,604,768	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,069,952	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$534,816	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$534,816 (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	40	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,709	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	128	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	132.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	99.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1383129, 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 25 May 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$5,224,918	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,049,031	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,175,887	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,492,478	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$316,591	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$229,522	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$87,069	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$87,069 (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	40	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,222	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	85	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.51	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	149.03	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	120.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1348423, 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 11 August 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,051,025	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,626,011	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,425,014	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,936,931	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$511,917	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$962,904	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$450,987	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $450,987 (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	40	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,053	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	84	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	74.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	160.72	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	119.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329573, 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 September 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$4,120,304	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,674,759	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,445,545	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,066,515	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$620,970	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$755,627	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$134,657	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $134,657 (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	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	7,839	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	114	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.72	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	95.86	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	68.76	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1299947, 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 9 September 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,925,744	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,655,253	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,270,491	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,267,733	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$997,242	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,093	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$996,149	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$996,149 (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	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	8,792	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	78	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	394.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	112.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1266691, 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 22 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$4,923,863	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,955,917	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,967,946	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,857,995	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$109,951	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$1,798	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$108,153	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $108,153 (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	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,073	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	45	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54.14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,349.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	290.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241825, 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	$6,247,556	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,628,427	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,619,129	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,919,433	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$699,696	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$4,629	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$695,067	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $695,067 (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	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,807	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	91	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	325.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	162.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209465, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 March 2016 to 31 December 2016 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on 8 September 2017.

None of these figures is carried on this report.

CMS report record 1175557, 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 29 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$3,808,652	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$807,001	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,001,651	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,141,394	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$139,743	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,157	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$137,586	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$137,586 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,497	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	84	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	894.09	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	184.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1138712, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 August 2014 to 31 December 2014 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 July 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$1,556,256	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$292,609	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,263,647	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,394,261	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$130,614	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,431	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$129,183	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$129,183 (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	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	6,244	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	39	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	798	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	160.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1105638, 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
Figure	As filed	Where it comes from
Total patient revenue	$2,826,443	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$2,826,443	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,845,132	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$18,689	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$18,689	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$18,689 (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	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,312	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	128	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.39	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	168.7	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	119.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1076031, 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 1 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$2,986,634	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$2,986,634	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,824,020	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$162,614	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$162,614	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $162,614 (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	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,210	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	36.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	161.66	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	139.74	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1044521, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 13 December 2010 to 31 December 2011 — a reporting period of 383 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	$3,071,716	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$3,071,716	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,854,271	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$217,445	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$217,445	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $217,445 (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	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,568	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	120	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	129.73	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1018696, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 12 December 2010

Cost report for 1 January 2010 to 12 December 2010 — a reporting period of 345 days, on form CMS-2540-96, as submitted, processed by CMS on 27 September 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$2,830,988	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,743,434	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$87,554	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,662	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$93,905	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$3,689 (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	50	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,067	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	88	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	72.6	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	340	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	159.85	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 418507, 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 18 August 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$3,494,309	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,108,245	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$386,064	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,306	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $389,370 (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	50	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,082	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	108	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	55.51	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	377.22	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	148.91	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 385893, 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 21 August 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,161,403	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,994,133	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$167,270	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$37,288	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $204,558 (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	50	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,903	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	98	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	19.08	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	467.48	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	162.28	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 355182, 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 1 August 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$2,888,249	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,870,154	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$18,095	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,987	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $21,082 (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	50	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,450	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	156	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22.08	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	211.76	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	99.04	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 322591, 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 23 April 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,849,324	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,695,098	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$154,226	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$16,947	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $171,173 (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	50	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,304	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	75	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.42	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	461.65	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	230.72	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 306656, 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 1 June 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,850,134	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,559,693	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$290,441	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,149	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $295,590 (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	50	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,098	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	75	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	807.69	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	227.97	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 280535, 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 20 April 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$2,479,090	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,414,282	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$64,808	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$60,826	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1,449	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $124,185 (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	50	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,681	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	93	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	34.73	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	453.77	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	168.61	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 247612, 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 20 July 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$2,201,791	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,391,154	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$189,363	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$70,043	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$119,320 (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	50	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,612	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	38.69	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	139.16	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 228493, 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 29 December 2003.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$2,227,429	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,187,204	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$40,225	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$72,506	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $112,731 (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	50	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,195	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	118	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.02	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	128.77	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 166158, 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	$2,067,634	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,116,799	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$49,165	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$88,837	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $39,672 (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	50	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,372	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	95	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	161.81	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 152738, 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 25 February 2002.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$1,983,640	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,074,714	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$91,074	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$8,316	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$82,758 (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	54	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,454	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	155	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	21.76	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	106.15	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 72108, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 31 December 1999

Cost report for 1 June 1999 to 31 December 1999 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 26 April 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$1,182,941	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,139,223	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$43,718	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$200	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $43,918 (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	54	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,421	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	54	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.88	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	320.05	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	192.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 72106, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 30 September 1998

Cost report for 1 October 1997 to 30 September 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	$1,680,902	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,148,571	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$467,669	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$316	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$467,353 (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	62	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,899	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	39.89	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	713.44	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	220.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 72102, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 July 1997

Cost report for 1 June 1997 to 31 July 1997 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 30 September 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$292,665	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$350,618	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$57,953	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$58	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$57,895 (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	62	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	3,192	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	10	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51.33	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	593.25	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	319.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 65598, read from the public cost report file SNFFY1997.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
FILLA, LAURIANN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/16/2024
LINDEMANN, MITUL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2019
MAHAN, MICHAEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/23/1997
MASLOVSKY, BORIS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2019
OCONTO FALLS NURSING AND REHAB LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/28/2022
PUKSHANSKY, ROSTISLAV	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2019
REINHART BOERNER VAN DEUREN S.C.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2019
ROTH & CO, LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2019
SYNERGY SENIOR CARE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/03/2025
VANDER VELDEN, BARBARA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2019
WIPFLI LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2019
VANDER VELDEN, BARBARA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/01/2019
LINDEMANN, MITUL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 12/01/2019
FILLA, LAURIANN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/16/2024
LINDEMANN, MITUL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2019
MAHAN, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/23/1997
PUKSHANSKY, ROSTISLAV	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2019
SYNERGY SENIOR CARE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/01/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BRF NURSING AND REHAB LLC (enrollment ID O20191209001784).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
BORIS MASLOVSKY	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	50	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.
ROSTISLAV PUKSHANSKY	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	50	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.
BARBARA M VANDER VELDEN	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.
BORIS MASLOVSKY	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.
LAURIANN STELLA FILLA	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.	12/16/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL A MAHAN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/23/1997	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.
MITUL R LINDEMANN	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.
OCONTO FALLS NURSING AND REHAB LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/28/2022	Private equity company: No Real estate investment trust: No Holding company: No
REINHART BOERNER VAN DEUREN S.C.	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
ROSTISLAV PUKSHANSKY	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.
ROTH & CO, 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.	12/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
SYNERGY SENIOR CARE 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.	3/3/2025	Private equity company: No Real estate investment trust: No Holding company: No
WIPFLI LLP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
BARBARA M VANDER VELDEN	Individual	CORPORATE DIRECTOR	100	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.
MITUL R LINDEMANN	Individual	CORPORATE OFFICER	100	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.
LAURIANN STELLA FILLA	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.	12/16/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL A MAHAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/23/1997	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.
MITUL R LINDEMANN	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.	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.
ROSTISLAV PUKSHANSKY	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.	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.
SYNERGY SENIOR CARE 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.	12/1/2019	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: MICHAEL A MAHAN 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: MICHAEL A MAHAN 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: MICHAEL A MAHAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MICHAEL A MAHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 August 2025: GAIL L JACOBSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: GAIL L JACOBSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: GAIL L JACOBSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MITUL R LINDEMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MITUL R LINDEMANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: OCONTO FALLS NURSING AND REHAB LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SYNERGY SENIOR CARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SYNERGY SENIOR CARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: BORIS MASLOVSKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: REINHART BOERNER VAN DEUREN S.C. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: ROSTISLAV PUKSHANSKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: ROSTISLAV PUKSHANSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: WIPFLI LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: ROTH & COMPANY, LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: LAURIANN STELLA FILLA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: LAURIANN STELLA FILLA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: BARBARA M VANDER VELDEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MICHAEL A MAHAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MICHAEL A MAHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv

Recent changes on this record

1 July 2026: MICHAEL A MAHAN 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: MICHAEL A MAHAN 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: MICHAEL A MAHAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MICHAEL A MAHAN appears as OPERATIONAL/MANAGERIAL CONTROL 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
1 August 2025: GAIL L JACOBSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: GAIL L JACOBSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: GAIL L JACOBSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MITUL R LINDEMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MITUL R LINDEMANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: OCONTO FALLS NURSING AND REHAB LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SYNERGY SENIOR CARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SYNERGY SENIOR CARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: BORIS MASLOVSKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: REINHART BOERNER VAN DEUREN S.C. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: ROSTISLAV PUKSHANSKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: ROSTISLAV PUKSHANSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: WIPFLI LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: ROTH & COMPANY, LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: LAURIANN STELLA FILLA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: LAURIANN STELLA FILLA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: BARBARA M VANDER VELDEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MICHAEL A MAHAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: MICHAEL A MAHAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
12 June 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
25 May 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
11 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
16 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
9 September 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
22 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
8 September 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
10 November 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
29 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
28 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
27 May 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
1 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

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	14 January 2026	14 January 2026	7	7
2	16 October 2024	16 October 2024	24	17
3	18 October 2023	18 October 2023	8	12

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

Deficiencies cited

39 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
14 January 2026	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	E	No	Deficient, Provider has date of correction	14 February 2026
14 January 2026	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	E	No	Deficient, Provider has date of correction	14 February 2026
14 January 2026	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	14 February 2026
14 January 2026	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	E	No	Deficient, Provider has date of correction	14 February 2026
14 January 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	14 February 2026
14 January 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	14 February 2026
22 October 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	Yes	Deficient, Provider has date of correction	11 December 2025
1 April 2025	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	Yes	Deficient, Provider has date of correction	23 April 2025
22 January 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	Yes	Deficient, Provider has date of correction	16 February 2025
22 January 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	G	Yes	Deficient, Provider has date of correction	24 March 2025
22 January 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	Yes	Deficient, Provider has date of correction	16 February 2025
18 December 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	Yes	Deficient, Provider has date of correction	23 December 2024
18 December 2024	Health	F 0801	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	F	Yes	Deficient, Provider has date of correction	23 December 2024
18 December 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	Yes	Deficient, Provider has date of correction	23 December 2024
18 December 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	23 December 2024
16 October 2024	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	11 November 2024
16 October 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	11 November 2024
16 October 2024	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D	No	Deficient, Provider has date of correction	11 November 2024
16 October 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	11 November 2024
16 October 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	11 November 2024
16 October 2024	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D	No	Deficient, Provider has date of correction	11 November 2024
16 October 2024	Health	F 0637	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D	Yes	Deficient, Provider has date of correction	11 November 2024
16 October 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	11 November 2024
16 October 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	Yes	Past Non-Compliance	27 August 2024
16 October 2024	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	11 November 2024
16 October 2024	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D	No	Deficient, Provider has date of correction	11 November 2024
16 October 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	11 November 2024
16 October 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	11 November 2024
16 October 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	11 November 2024
16 October 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	11 November 2024
16 October 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	11 November 2024
10 July 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	J	Yes	Deficient, Provider has date of correction	11 September 2024
10 July 2024	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	D	Yes	Deficient, Provider has date of correction	11 September 2024
4 April 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	3 May 2024
18 October 2023	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	10 November 2023
18 October 2023	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	10 November 2023
18 October 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	10 November 2023
18 October 2023	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	C	No	Deficient, Provider has date of correction	10 November 2023
18 October 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	10 November 2023

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
22 January 2025	Fine	$56,898			61275
22 January 2025	Payment Denial		20 February 2025	32
16 October 2024	Fine	$17,250			61226
10 July 2024	Fine	$34,190			61174
10 July 2024	Payment Denial		6 August 2024	36

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	BRF NURSING AND REHAB LLC
Date First Approved to Provide Medicare and Medicaid Services	1992-05-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Jackson
Telephone Number	7152844396
Chain Name	SYNERGY SENIOR CARE
Chain ID	502
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	45
Average Number of Residents per Day	40.7
Overall Rating	1
Health Inspection Rating	2
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.

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The citable document for MEADOWBROOK AT BLACK RIVER FALLS

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