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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,431,028 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$834,147 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,265,175 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,717,669 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $547,506 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $80,381 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $627,887 | CMS-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%).
| 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 | 2,140 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 8,619 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,859 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 15,618 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 47 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 16 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 37 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 538.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.18 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,910,525 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$327,625 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,238,150 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,827,525 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,589,375 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $819,349 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$770,026 | CMS-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%).
| 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 | 14,043 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 260.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.11 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,412,164 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $229,511 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,182,653 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,859,925 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$677,272 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $51,588 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$625,684 | CMS-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%).
| 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 | 13,720 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 353.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.76 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,829,686 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $337,992 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,491,694 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,580,313 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$88,619 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,695,033 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,606,414 | CMS-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%).
| 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 | 15,263 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 82 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,007.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 186.13 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,733,565 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $850,337 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,883,228 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,682,907 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $200,321 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $94,102 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $294,423 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,401 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 82 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,887.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 200.01 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,528,024 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $750,909 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,777,115 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,029,989 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$252,874 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $434,531 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $181,657 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,311 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 1,246.27 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,508,148 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,501,167 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,006,981 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,470,980 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$463,999 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $120,073 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$343,926 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,614 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 1,278.25 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,501,680 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,543,467 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,958,213 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,623,771 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$665,558 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $144,796 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$520,762 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,306 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 1,139.67 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,626,183 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,567,674 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,058,509 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,555,164 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$496,655 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $167,815 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$328,840 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,360 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 149 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,360,541 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,626,554 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,733,987 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,211,794 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$477,807 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $193,800 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$284,007 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,023 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,865,696 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,700,246 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,165,450 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,346,673 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$181,223 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $218,283 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $37,060 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,936 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,684,591 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,851,393 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,833,198 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,501,729 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$668,531 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $226,885 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$441,646 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,563 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 144 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,592,573 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,196,207 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,396,366 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,742,897 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,346,531 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $987,327 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$359,204 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,934 | 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, Medicaid, in days | 490.45 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,075,890 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,774,346 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,301,544 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,110,689 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$809,145 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $337,362 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$471,783 | CMS-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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,337 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 516.27 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,760,091 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,208,816 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$448,725 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $333,302 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,516 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,909 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 702.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 199.27 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,715,752 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,393,172 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$677,420 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $229,697 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,055 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,521 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 117 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 678.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 209.58 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,154,477 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,363,694 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$209,217 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $195,345 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,301 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 132 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 96.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 533.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 191.67 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,654,137 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,620,066 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $34,071 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $126,898 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,974 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,324 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 738.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 255.8 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,316,071 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,266,948 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $49,123 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $98,714 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,846 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 134 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.99 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 769 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 185.42 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,026,614 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,093,467 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$66,853 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $76,464 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $608 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,522 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 622.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 245.22 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,258,970 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,309,242 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$50,272 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,990 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $266 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,466 | 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 | 51.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,037.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 259.86 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,143,473 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,172,908 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$29,435 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,928 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,189 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 94 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 700.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 267.97 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,855,128 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,843,452 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $11,676 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,037 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,735 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 64 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,006 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 402.11 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,419,851 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,403,365 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $16,486 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,882 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,745 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 812 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 330.06 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,291,359 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,272,886 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $18,473 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $61,071 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,504 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,214.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 358.16 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,205,436 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,173,267 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $32,169 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $37,383 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,910 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,010.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 261.72 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,949,916 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,880,532 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $69,384 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $112,172 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $172,823 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,237 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 190.47 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,643,089 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,664,378 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$21,289 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,682 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $68,077 | CMS-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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 80 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,948 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 477.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 256.91 | CMS-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.
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 |
|---|---|---|---|---|
| HEALTH DIMENSIONS CONSULTING INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/18/2025 |
| OGLE, KIM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2024 |
| SANTIKKO, NOLAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/31/2025 |
| AIKEN, SUSAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2023 |
| AVOL LAW, ELLEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/17/2018 |
| BOUTON, DICK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2019 |
| COX, YVONNE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/01/2024 |
| EHLERS, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/22/2021 |
| JACOBSON, AMY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2023 |
| RASPOTNIK, SANDRA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/01/2023 |
| STRZOK, DIANA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2024 |
| AIKEN, SUSAN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2023 |
| AVOL LAW, ELLEN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/17/2018 |
| BOUTON, DICK | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2019 |
| COX, YVONNE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/01/2024 |
| EHLERS, MARK | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/22/2021 |
| JACOBSON, AMY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2023 |
| RASPOTNIK, SANDRA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/01/2023 |
| STRZOK, DIANA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2024 |
| BRISCOE, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2024 |
| BRISCOE, PATRICIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2024 |
| HEALTH DIMENSIONS CONSULTING INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/01/2024 |
| HENNESSEY, ERIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2024 |
| OGLE, KIM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2024 |
| ROGOTZKE, AMBER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2024 |
| SANTIKKO, NOLAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/31/2025 |
| SHVETZOFF, SERGEI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2024 |
| SHVETZOFF, TAMI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 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).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| HEALTH DIMENSIONS CONSULTING INC | 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. | 2/18/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| KIM OGLE | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2024 | 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 SANTIKKO | 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. | 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. | 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. | 9/14/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMY JACOBSON | Individual | CORPORATE DIRECTOR | 0 | 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 STRZOK | Individual | CORPORATE DIRECTOR | 0 | 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 BOUTON | Individual | CORPORATE DIRECTOR | 0 | 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 LAW | Individual | CORPORATE DIRECTOR | 0 | 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 EHLERS | Individual | CORPORATE DIRECTOR | 0 | 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 RASPOTNIK | Individual | CORPORATE DIRECTOR | 0 | 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 AIKEN | Individual | CORPORATE DIRECTOR | 0 | 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 COX | Individual | CORPORATE DIRECTOR | 0 | 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. |
| AMY JACOBSON | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused 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 STRZOK | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused 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 BOUTON | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused 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 LAW | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused 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 EHLERS | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused 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 RASPOTNIK | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused 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 AIKEN | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused 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 COX | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused 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 ROGOTZKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2024 | 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 BRISCOE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2024 | 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 HENNESSEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2024 | 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 INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| KIM OGLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2024 | 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 SANTIKKO | 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. | 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 BRISCOE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2024 | 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 SHVETZOFF | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2024 | 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 SHVETZOFF | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2024 | 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
- 1 July 2026: MARK EHLERS no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MARK EHLERS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SERGEI NICHOLAS SHVETZOFF 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: YVONNE COX no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: YVONNE COX no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MARK EHLERS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MARK EHLERS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SERGEI NICHOLAS SHVETZOFF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: YVONNE COX appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: YVONNE COX appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2025: CONNOR DOPPLER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SANDRA J RASPOTNIK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: TAMI LYN SHVETZOFF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DIANA STRZOK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DIANA STRZOK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: AMBER ROGOTZKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SUSAN AIKEN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: ELLEN AVOL LAW appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: AMY JACOBSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: NOLAN SANTIKKO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: NOLAN SANTIKKO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KIM OGLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KIM OGLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DAVID L BRISCOE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: ERIN L SHVETZOFF HENNESSEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DICK BOUTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PATRICIA LYNN BRISCOE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: HEALTH DIMENSIONS CONSULTING INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: HEALTH DIMENSIONS CONSULTING INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MARK EHLERS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SERGEI N SHVETZOFF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: YVONNE COX appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: YVONNE COX appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 September 2024: PETER BREMNER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: MICHAEL BAILEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: PAULINE H DARLING no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: PAULINE H DARLING no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: JOHN ANGSTER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: DAVID SIEGLER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: JULIE FLONES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: SANDRA J RASPOTNIK appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: SUSAN AIKEN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: AMY JACOBSON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: CONNOR DOPPLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: DICK BOUTON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- 1 July 2026: MARK EHLERS no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MARK EHLERS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SERGEI NICHOLAS SHVETZOFF 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: YVONNE COX no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: YVONNE COX no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MARK EHLERS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MARK EHLERS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SERGEI NICHOLAS SHVETZOFF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: YVONNE COX appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: YVONNE COX appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 July 2025: CONNOR DOPPLER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SANDRA J RASPOTNIK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: TAMI LYN SHVETZOFF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DIANA STRZOK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DIANA STRZOK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: AMBER ROGOTZKE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SUSAN AIKEN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: ELLEN AVOL LAW appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: AMY JACOBSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: NOLAN SANTIKKO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: NOLAN SANTIKKO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KIM OGLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KIM OGLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DAVID L BRISCOE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: ERIN L SHVETZOFF HENNESSEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DICK BOUTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PATRICIA LYNN BRISCOE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: HEALTH DIMENSIONS CONSULTING INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: HEALTH DIMENSIONS CONSULTING INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MARK EHLERS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SERGEI N SHVETZOFF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: YVONNE COX appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: YVONNE COX appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 September 2024: PETER BREMNER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: MICHAEL BAILEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: PAULINE H DARLING no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: PAULINE H DARLING no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- 1 September 2024: JOHN ANGSTER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 30 July 2025 | 30 July 2025 | 16 | 11 |
| 2 | 22 May 2024 | 22 May 2024 | 11 | 6 |
| 3 | 10 May 2023 | 10 May 2023 | 8 | 6 |
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 date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 11 May 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 27 May 2026 |
| 11 May 2026 | 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. | G | Yes | Past Non-Compliance | 19 April 2026 |
| 12 November 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 10 December 2025 |
| 12 November 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 10 December 2025 |
| 12 November 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | 10 December 2025 |
| 12 November 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 10 December 2025 |
| 30 July 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | 25 August 2025 |
| 30 July 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | 25 August 2025 |
| 30 July 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | C | No | Deficient, Provider has date of correction | 25 August 2025 |
| 30 July 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 25 August 2025 |
| 30 July 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 25 August 2025 |
| 30 July 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide 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. | D | No | Deficient, Provider has date of correction | 25 August 2025 |
| 30 July 2025 | 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 | 25 August 2025 |
| 30 July 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 25 August 2025 |
| 30 July 2025 | 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 | 25 August 2025 |
| 30 July 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 25 August 2025 |
| 29 January 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | 12 February 2025 |
| 22 May 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 | 17 June 2024 |
| 22 May 2024 | 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 | No | Deficient, Provider has date of correction | 17 June 2024 |
| 22 May 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 17 June 2024 |
| 22 May 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 17 June 2024 |
| 22 May 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide 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. | E | No | Deficient, Provider has date of correction | 17 June 2024 |
| 22 May 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | No | Deficient, Provider has date of correction | 17 June 2024 |
| 22 May 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 17 June 2024 |
| 22 May 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 | 17 June 2024 |
| 22 May 2024 | Health | F 0851 | Administration Deficiencies | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | No | Past Non-Compliance | 12 April 2024 |
| 22 May 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 17 June 2024 |
| 10 May 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | 9 June 2023 |
| 10 May 2023 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | 9 June 2023 |
| 10 May 2023 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | 9 June 2023 |
| 10 May 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 9 June 2023 |
| 10 May 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide 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. | E | No | Deficient, Provider has date of correction | 9 June 2023 |
| 10 May 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 9 June 2023 |
| 10 May 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 9 June 2023 |
| 10 May 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | 9 June 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 |
|---|---|---|---|---|---|
| 29 January 2025 | Fine | $10,364 | 61279 |
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 | Non profit - Corporation |
| Legal Business Name | NORTHERN LIGHTS SERVICES, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 1995-04-25 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Bayfield |
| Telephone Number | 7153735621 |
| Chain Name | HEALTH DIMENSIONS GROUP |
| Chain ID | 821 |
| 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 | 50 |
| Average Number of Residents per Day | 44.7 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on 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.
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.
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.