Velarion Records

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

Skilled nursing facility · CMS certification number 525567

NORTHERN LIGHTS HCC

WASHBURN, Wisconsin · Medicare and Medicaid

Certified beds, as filed in Care Compare: 50

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$6,431,028CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$834,147CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,265,175CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,717,669CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$547,506CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$80,381CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$627,887CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $627,887 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components18,300CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,140CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days8,619CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days4,859CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components15,618CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges47CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges16CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges37CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components100CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days538.69CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days156.18CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1435832, 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 8 August 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$4,910,525CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$327,625CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,238,150CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,827,525CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,589,375CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$819,349CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$770,026CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$770,026 (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 components50CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,043CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components115CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days53.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days260.79CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days122.11CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1391633, 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 14 July 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$5,412,164CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$229,511CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,182,653CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,859,925CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$677,272CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$51,588CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$625,684CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$625,684 (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 components50CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,720CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components125CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.55CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days353.05CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days109.76CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1356990, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$5,829,686CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$337,992CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,491,694CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,580,313CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$88,619CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,695,033CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,606,414CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,606,414 (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 components50CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,263CMS-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 days41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,007.44CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days186.13CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1331718, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$6,733,565CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$850,337CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,883,228CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,682,907CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$200,321CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$94,102CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$294,423CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $294,423 (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 components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,401CMS-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 days35.52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,887.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days200.01CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1300144, 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 17 November 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$6,528,024CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$750,909CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,777,115CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,029,989CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$252,874CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$434,531CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$181,657CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $181,657 (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 2019
FigureAs filedWhere it comes from
Total facility beds, all components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,311CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components74CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days1,246.27CMS-2540-10 worksheet S300001 line 800 column 1500

CMS report record 1273891, 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 27 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$7,508,148CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,501,167CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,006,981CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,470,980CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$463,999CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$120,073CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$343,926CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$343,926 (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 components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,614CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components87CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days1,278.25CMS-2540-10 worksheet S300001 line 800 column 1500

CMS report record 1242534, 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 23 August 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$7,501,680CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,543,467CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,958,213CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,623,771CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$665,558CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$144,796CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$520,762CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$520,762 (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 components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,306CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components87CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days1,139.67CMS-2540-10 worksheet S300001 line 800 column 1500

CMS report record 1210351, 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 8 September 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$7,626,183CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,567,674CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,058,509CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,555,164CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$496,655CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$167,815CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$328,840CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$328,840 (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 components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,360CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components149CMS-2540-10 worksheet S300001 line 800 column 1200

CMS report record 1175571, 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 18 August 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$7,360,541CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,626,554CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,733,987CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,211,794CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$477,807CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$193,800CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$284,007CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$284,007 (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 components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,023CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components83CMS-2540-10 worksheet S300001 line 800 column 1200

CMS report record 1141772, 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$7,865,696CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,700,246CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,165,450CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,346,673CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$181,223CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$218,283CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$37,060CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $37,060 (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 components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,936CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components117CMS-2540-10 worksheet S300001 line 800 column 1200

CMS report record 1107382, 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$7,684,591CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,851,393CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,833,198CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,501,729CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$668,531CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$226,885CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$441,646CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$441,646 (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 components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,563CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components144CMS-2540-10 worksheet S300001 line 800 column 1200

CMS report record 1076047, 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
FigureAs filedWhere it comes from
Total patient revenue$7,592,573CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,196,207CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,396,366CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,742,897CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,346,531CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$987,327CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$359,204CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$359,204 (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 components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,934CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components128CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days490.45CMS-2540-10 worksheet S300001 line 800 column 1500

CMS report record 1044524, 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, as submitted, processed by CMS on 29 October 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$8,075,890CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,774,346CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,301,544CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,110,689CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$809,145CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$337,362CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$471,783CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$473,876 (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
FigureAs filedWhere it comes from
Total facility beds, all components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,337CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components148CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days516.27CMS-2540-10 worksheet S300001 line 800 column 1500

CMS report record 1017439, 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 8 September 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$6,760,091CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,208,816CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$448,725CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$333,302CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$3,516CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$118,939 (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
FigureAs filedWhere it comes from
Total facility beds, all components75CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,909CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components125CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days55.74CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days702.62CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days199.27CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 417436, 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 27 August 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$5,715,752CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,393,172CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$677,420CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$229,697CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$8,055CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$455,778 (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 components75CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,521CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components117CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days48.85CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days678.75CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days209.58CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 386640, 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 31 August 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$5,154,477CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,363,694CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$209,217CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$195,345CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$13,872 (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 components75CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,301CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components132CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days96.3CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days533.09CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days191.67CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 355919, 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 31 August 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$4,654,137CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,620,066CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$34,071CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$126,898CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$2,974CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $157,995 (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 components75CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,324CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components99CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days56.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days738.3CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days255.8CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 355918, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 May 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$4,316,071CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,266,948CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$49,123CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$98,714CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $147,837 (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 components75CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,846CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components134CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days36.99CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days769CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days185.42CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 309136, 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, as submitted, processed by CMS on 31 July 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$4,026,614CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,093,467CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$66,853CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$76,464CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$608CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $9,003 (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 components75CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,522CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components100CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days50.86CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days622.93CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days245.22CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 260194, 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 14 June 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$4,258,970CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,309,242CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$50,272CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$43,990CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$266CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$6,548 (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
FigureAs filedWhere it comes from
Total facility beds, all components75CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,466CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components98CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days51.97CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,037.67CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days259.86CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 253678, 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 31 August 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$4,143,473CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,172,908CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$29,435CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$35,928CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $6,493 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components75CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,189CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components94CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days49.74CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days700.64CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days267.97CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 232215, 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 27 May 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$3,855,128CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,843,452CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$11,676CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$35,037CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $46,713 (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 2002
FigureAs filedWhere it comes from
Total facility beds, all components75CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,735CMS-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 days49.1CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days2,006CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days402.11CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 178503, 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 3 June 2004.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$3,419,851CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,403,365CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$16,486CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$53,882CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $70,368 (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
FigureAs filedWhere it comes from
Total facility beds, all components75CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,745CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components78CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days50.66CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days812CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days330.06CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 179503, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$3,291,359CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,272,886CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$18,473CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$61,071CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $79,544 (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 components75CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,504CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components74CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.11CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,214.63CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days358.16CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 122266, 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 4 October 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$3,205,436CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,173,267CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$32,169CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$37,383CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $69,552 (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
FigureAs filedWhere it comes from
Total facility beds, all components75CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,910CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components99CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.3CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,010.63CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days261.72CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 73252, 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 13 February 2003.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$2,949,916CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,880,532CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$69,384CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$112,172CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$172,823CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $8,733 (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 components78CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,237CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components122CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days36.98CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days190.47CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 130407, 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 3 May 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$2,643,089CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,664,378CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$21,289CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$26,682CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$68,077CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$62,684 (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 components80CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,948CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components101CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days477.95CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days256.91CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 72640, 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 managerRoleTypeOwnership percentageAssociation
HEALTH DIMENSIONS CONSULTING INCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/18/2025
OGLE, KIMADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2024
SANTIKKO, NOLANADP OF THE SNFIndividualNOT APPLICABLEsince 03/31/2025
AIKEN, SUSANCORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/01/2023
AVOL LAW, ELLENCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/17/2018
BOUTON, DICKCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2019
COX, YVONNECORPORATE DIRECTORIndividualNOT APPLICABLEsince 11/01/2024
EHLERS, MARKCORPORATE DIRECTORIndividualNOT APPLICABLEsince 12/22/2021
JACOBSON, AMYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/01/2023
RASPOTNIK, SANDRACORPORATE DIRECTORIndividualNOT APPLICABLEsince 11/01/2023
STRZOK, DIANACORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2024
AIKEN, SUSANMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 06/01/2023
AVOL LAW, ELLENMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/17/2018
BOUTON, DICKMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2019
COX, YVONNEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/01/2024
EHLERS, MARKMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 12/22/2021
JACOBSON, AMYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/01/2023
RASPOTNIK, SANDRAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/01/2023
STRZOK, DIANAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2024
BRISCOE, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2024
BRISCOE, PATRICIAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2024
HEALTH DIMENSIONS CONSULTING INCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 02/01/2024
HENNESSEY, ERINOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2024
OGLE, KIMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2024
ROGOTZKE, AMBEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2024
SANTIKKO, NOLANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/31/2025
SHVETZOFF, SERGEIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2024
SHVETZOFF, TAMIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NORTHERN LIGHTS SERVICES, INC. (enrollment ID O20030131000034).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
HEALTH DIMENSIONS CONSULTING INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/18/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
KIM OGLEIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2024
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.
NOLAN SANTIKKOIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/31/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/14/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
AMY JACOBSONIndividualCORPORATE DIRECTOR05/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DIANA STRZOKIndividualCORPORATE DIRECTOR010/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DICK BOUTONIndividualCORPORATE DIRECTOR01/1/2019
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.
ELLEN AVOL LAWIndividualCORPORATE DIRECTOR010/17/2018
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK EHLERSIndividualCORPORATE DIRECTOR012/22/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SANDRA J RASPOTNIKIndividualCORPORATE DIRECTOR011/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SUSAN AIKENIndividualCORPORATE DIRECTOR06/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
YVONNE COXIndividualCORPORATE DIRECTOR011/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AMY JACOBSONIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DIANA STRZOKIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2024
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.
DICK BOUTONIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2019
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.
ELLEN AVOL LAWIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/17/2018
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK EHLERSIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/22/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SANDRA J RASPOTNIKIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SUSAN AIKENIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
YVONNE COXIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2024
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.
AMBER ROGOTZKEIndividualOPERATIONAL/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.2/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID LINDSAY BRISCOEIndividualOPERATIONAL/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.2/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ERIN LEIGH SHVETZOFF HENNESSEYIndividualOPERATIONAL/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.2/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
HEALTH DIMENSIONS CONSULTING INCOrganizationOPERATIONAL/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.2/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
KIM OGLEIndividualOPERATIONAL/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.6/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NOLAN SANTIKKOIndividualOPERATIONAL/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.3/31/2025
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.
PATRICIA LYNN BRISCOEIndividualOPERATIONAL/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.2/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SERGEI NICHOLAS SHVETZOFFIndividualOPERATIONAL/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.2/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TAMI LYN SHVETZOFFIndividualOPERATIONAL/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.2/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
130 July 202530 July 20251611
222 May 202422 May 2024116
310 May 202310 May 202386

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

Deficiencies cited

35 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
11 May 2026HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction27 May 2026
11 May 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesPast Non-Compliance19 April 2026
12 November 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction10 December 2025
12 November 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction10 December 2025
12 November 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correction10 December 2025
12 November 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction10 December 2025
30 July 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.ENoDeficient, Provider has date of correction25 August 2025
30 July 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correction25 August 2025
30 July 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.CNoDeficient, Provider has date of correction25 August 2025
30 July 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction25 August 2025
30 July 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction25 August 2025
30 July 2025HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correction25 August 2025
30 July 2025HealthF 0693Quality of Life and Care DeficienciesEnsure 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.DNoDeficient, Provider has date of correction25 August 2025
30 July 2025HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correction25 August 2025
30 July 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction25 August 2025
30 July 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction25 August 2025
29 January 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesDeficient, Provider has date of correction12 February 2025
22 May 2024HealthF 0625Resident Rights DeficienciesNotify 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.DNoDeficient, Provider has date of correction17 June 2024
22 May 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction17 June 2024
22 May 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction17 June 2024
22 May 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction17 June 2024
22 May 2024HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.ENoDeficient, Provider has date of correction17 June 2024
22 May 2024HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.ENoDeficient, Provider has date of correction17 June 2024
22 May 2024HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction17 June 2024
22 May 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction17 June 2024
22 May 2024HealthF 0851Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FNoPast Non-Compliance12 April 2024
22 May 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction17 June 2024
10 May 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DNoDeficient, Provider has date of correction9 June 2023
10 May 2023HealthF 0637Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionDNoDeficient, Provider has date of correction9 June 2023
10 May 2023HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correction9 June 2023
10 May 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction9 June 2023
10 May 2023HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.ENoDeficient, Provider has date of correction9 June 2023
10 May 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction9 June 2023
10 May 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction9 June 2023
10 May 2023HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.ENoDeficient, Provider has date of correction9 June 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
29 January 2025Fine$10,36461279

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 TypeNon profit - Corporation
Legal Business NameNORTHERN LIGHTS SERVICES, INC.
Date First Approved to Provide Medicare and Medicaid Services1995-04-25
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishBayfield
Telephone Number7153735621
Chain NameHEALTH DIMENSIONS GROUP
Chain ID821
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds50
Average Number of Residents per Day44.7
Overall Rating2
Health Inspection Rating2
QM Rating3
Long-Stay QM Rating2
Short-Stay QM Rating3
Processing Date2026-08-01

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

Get an email when this record changes

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

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

On 1 July 2026: MARK EHLERS no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. That is one line of the alert.

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

See a sample

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

The citable document for NORTHERN LIGHTS HCC

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

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 525567.