Skilled nursing facility · CMS certification number 525660
ST DOMINIC VILLA
HAZEL GREEN, Wisconsin · Medicare and Medicaid
Certified beds, as filed in Care Compare: 62
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 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 January 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,041,213 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,191,348 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,849,865 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,570,833 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $279,032 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,291 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $311,323 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $311,323 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 22,630 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 961 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 7,818 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,708 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 18,487 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 17 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 5 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 26 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,563.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 711.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446321, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 30 June 2024
Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 December 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,856,911 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,786,645 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,070,266 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,559,742 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$489,476 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $35,108 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$454,368 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$454,368 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,061 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 38 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,331.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 554.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401421, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 30 June 2023
Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 December 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,117,482 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,825,808 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,291,674 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,735,069 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$443,395 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $59,404 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$383,991 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$383,991 (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 | 18,197 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 636.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 242.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1370325, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 30 June 2022
Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,877,338 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,312,850 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,564,488 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,721,454 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$156,966 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,102 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$120,864 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$120,864 (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 | 13,445 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 73 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 320.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 184.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341656, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 30 June 2021
Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 February 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,690,975 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,769,148 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,921,827 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,599,037 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$677,210 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,178,358 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,501,148 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,501,148 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,638 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 31 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 7,033.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 568.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310507, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 30 June 2020
Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 January 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,633,125 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,664,673 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,968,452 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,754,523 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$786,071 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,421,082 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,635,011 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,635,011 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,131 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 12 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 565 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 4,540 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,760.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279217, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 30 June 2019
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 January 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,339,670 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,929,536 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,410,134 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,352,761 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$942,627 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,536 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$933,091 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$933,091 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,697 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 3 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 230 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 19,334 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 6,899 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249641, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,856,641 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,252,244 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,604,397 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,112,843 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$508,446 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,397 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$507,049 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$507,049 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,537 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 18 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 334.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,987.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,252.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217790, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 February 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,838,370 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,246,934 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,591,436 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,173,479 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$582,043 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$214 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$582,257 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$582,257 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,449 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 20 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 75.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,932.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,122.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1183568, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 January 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,551,287 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,992,002 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,559,285 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,364,138 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$804,853 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $163,662 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$641,191 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$641,191 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,567 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 133.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,346.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 262.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151847, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 January 2016.
None of these figures is carried on this report.
CMS report record 1116890, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 January 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,145,467 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,701,607 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,443,860 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,441,792 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,068 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $26,427 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $28,495 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $28,495 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,098 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 23 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 592 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,237.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 917.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084709, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 November 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,755,907 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,424,195 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,331,712 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,116,925 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $214,787 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,597 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $233,384 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $228,461 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,531 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 11 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 527 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,122.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 2,048.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1080228, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,661,137 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,128,114 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,533,023 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,071,722 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $461,301 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,891 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $480,192 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $475,602 (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 | 62 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,600 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 18 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 1,200 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,255.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023464, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,507,419 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,027,821 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $479,598 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,685 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,590 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $493,693 (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 | 62 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,507 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 17 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 111.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,798.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,323.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423462, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 January 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,419,788 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,953,294 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $466,494 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,693 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6,248 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $477,939 (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 | 62 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,530 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 15 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 92.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,813.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,502 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392830, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 January 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,189,110 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,067,589 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $121,521 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,785 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,269 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $129,037 (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 | 62 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,562 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 17 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 3,030.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,327.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362209, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 19 June 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,053,530 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,891,570 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $161,960 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,984 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,866 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $174,078 (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 | 62 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,609 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 9 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 21,062 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 2,512.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 346330, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 30 June 2007
Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 July 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,039,644 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,786,817 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $252,827 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,992 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,482 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $280,337 (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 | 62 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,427 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 20 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 113.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,488.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,121.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 319324, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 August 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,791,513 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,692,528 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $98,985 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,041 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,465 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $140,561 (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 | 62 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,366 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 29 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 80.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,084.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 736.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 292794, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 December 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,728,327 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,587,889 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $140,438 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,037 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,040 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $168,435 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,052 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 19 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 145.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,256.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,108 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 269209, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 30 June 2004
Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 August 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,629,180 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,515,101 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $114,079 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,634 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $881 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $121,832 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,122 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 14 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 146.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,700.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,508.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 231658, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 30 June 2003
Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 July 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,451,917 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,332,762 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $119,155 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,436 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,146 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $119,445 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,037 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 15 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 144.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,567.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,402.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 188556, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 30 June 2002
Cost report for 1 July 2001 to 30 June 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 July 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,359,180 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,372,702 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$13,522 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,637 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $858 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$1,743 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,900 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 19 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,444.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,100 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 186403, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 30 June 2001
Cost report for 8 December 2000 to 30 June 2001 — a reporting period of 204 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 8 July 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,506,025 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,620,192 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$114,167 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,937 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $525 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$110,755 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,793 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 17 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 129 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,185.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 811.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 152744, read from the public cost report file SNFFY2001.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 |
|---|---|---|---|---|
| SOUTHWEST HEALTH CENTER INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 06/10/2020 |
| SWR1 INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 06/10/2020 |
| BRUNER, JOSHUA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/25/2025 |
| DROESZLER, ZACHARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2024 |
| ILLUMINUS INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/17/2025 |
| MARKS, JULIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/09/2025 |
| MAUTHE, MATTHEW | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/10/2020 |
| MAUTHE, MATTHEW | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/10/2020 |
| ROGERS, DOUG | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2020 |
| ROSEMEYER, JOSEPH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/01/2024 |
| SMITH, KENNETH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/01/2024 |
| SOOKOCHOFF, JESSE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2020 |
| MARKS, JULIE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/09/2025 |
| MAUTHE, MATTHEW | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/10/2020 |
| THE HILLS AT CORTLAND RIDGE, INC. | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 06/10/2020 |
| BRUNER, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/06/2024 |
| DROESZLER, ZACHARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2024 |
| ILLUMINUS INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/10/2020 |
| MARKS, JULIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/09/2025 |
| MAUTHE, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/10/2020 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SINSINAWA NURSING INC (enrollment ID O20110105000932).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| SOUTHWEST HEALTH CENTER INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 6/10/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| SWR1 INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/10/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE HILLS AT CORTLAND RIDGE, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 6/10/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| ILLUMINUS 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. | 10/17/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOSHUA BRUNER | 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. | 4/25/2025 | 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. |
| JULIE MARKS | 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. | 6/9/2025 | 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. |
| MATTHEW R MAUTHE | 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. | 6/10/2020 | 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. |
| ZACHARY J DROESZLER | 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. | 8/1/2024 | 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. |
| DOUG ROGERS | Individual | CORPORATE DIRECTOR | 0 | 12/1/2020 | 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. |
| JESSE SOOKOCHOFF | Individual | CORPORATE DIRECTOR | 0 | 12/1/2020 | 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. |
| JOSEPH R ROSEMEYER | 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. |
| KENNETH SMITH | 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. |
| MATTHEW R MAUTHE | Individual | CORPORATE DIRECTOR | 0 | 6/10/2020 | 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. |
| JULIE MARKS | Individual | CORPORATE OFFICER | 0 | 6/9/2025 | 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. |
| MATTHEW R MAUTHE | Individual | CORPORATE OFFICER | 0 | 6/10/2020 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| THE HILLS AT CORTLAND RIDGE, INC. | Organization | DIRECT OWNERSHIP INTEREST | 50 | 6/10/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| ILLUMINUS INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 6/10/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOSHUA BRUNER | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/6/2024 | 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. |
| JULIE MARKS | 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. | 6/9/2025 | 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. |
| MATTHEW R MAUTHE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 6/10/2020 | 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. |
| ZACHARY J DROESZLER | 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. | 8/1/2024 | 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: MATTHEW R MAUTHE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW R MAUTHE 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: MATTHEW R MAUTHE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW R MAUTHE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW R MAUTHE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW R MAUTHE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW R MAUTHE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW R MAUTHE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 January 2026: NICOLE L CHWALA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: NICOLE L CHWALA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: NICOLE L CHWALA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MICHAEL J LIBBY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MICHAEL J LIBBY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JULIE MARKS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JULIE MARKS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JULIE MARKS appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JOSHUA BRUNER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JOSHUA BRUNER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JOSEPH R ROSEMEYER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: DOUG ROGERS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ZACHARY J DROESZLER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ZACHARY J DROESZLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JESSE SOOKOCHOFF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: THE HILLS AT CORTLAND RIDGE, INC. appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: THE HILLS AT CORTLAND RIDGE, INC. appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: SOUTHWEST HEALTH CENTER INC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: KENNETH SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: SWR1 INC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ILLUMINUS INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MATTHEW R MAUTHE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
Recent changes on this record
- 1 July 2026: MATTHEW R MAUTHE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW R MAUTHE 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: MATTHEW R MAUTHE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW R MAUTHE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW R MAUTHE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW R MAUTHE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW R MAUTHE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MATTHEW R MAUTHE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 9 January 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 1 January 2026: NICOLE L CHWALA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: NICOLE L CHWALA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: NICOLE L CHWALA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MICHAEL J LIBBY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MICHAEL J LIBBY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JULIE MARKS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JULIE MARKS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JULIE MARKS appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JOSHUA BRUNER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JOSHUA BRUNER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JOSEPH R ROSEMEYER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: DOUG ROGERS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ZACHARY J DROESZLER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ZACHARY J DROESZLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: JESSE SOOKOCHOFF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: THE HILLS AT CORTLAND RIDGE, INC. appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: THE HILLS AT CORTLAND RIDGE, INC. appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: SOUTHWEST HEALTH CENTER INC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: KENNETH SMITH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: SWR1 INC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ILLUMINUS INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MATTHEW R MAUTHE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 20 December 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 12 December 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 2 February 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 16 February 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 28 January 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 21 January 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 24 January 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 8 February 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 25 January 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 22 December 2025 | 22 December 2025 | 4 | 5 |
| 2 | 15 August 2024 | 15 August 2024 | 11 | 5 |
| 3 | 19 April 2023 | 19 April 2023 | 19 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
34 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 22 December 2025 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | J | No | Deficient, Provider has date of correction | 23 January 2026 |
| 22 December 2025 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | 23 January 2026 |
| 22 December 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 | 23 January 2026 |
| 22 December 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 23 January 2026 |
| 15 August 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | 16 September 2024 |
| 15 August 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | No | Deficient, Provider has date of correction | 16 September 2024 |
| 15 August 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 | 16 September 2024 |
| 15 August 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | No | Deficient, Provider has date of correction | 16 September 2024 |
| 15 August 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | 1 November 2024 |
| 15 August 2024 | Health | F 0729 | Nursing and Physician Services Deficiencies | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | No | Deficient, Provider has date of correction | 16 September 2024 |
| 15 August 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 16 September 2024 |
| 15 August 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | 16 September 2024 |
| 15 August 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 | 16 September 2024 |
| 15 August 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 16 September 2024 |
| 15 August 2024 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | No | Deficient, Provider has date of correction | 16 September 2024 |
| 12 February 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | 1 March 2024 |
| 12 February 2024 | Health | F 0711 | Nursing and Physician Services Deficiencies | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Yes | Deficient, Provider has date of correction | 1 March 2024 |
| 12 February 2024 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | 1 March 2024 |
| 30 November 2023 | 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 | 9 February 2024 |
| 6 October 2023 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Yes | Deficient, Provider has date of correction | 30 October 2023 |
| 6 October 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. | J | Yes | Deficient, Provider has date of correction | 30 October 2023 |
| 6 October 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 30 October 2023 |
| 6 October 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 30 October 2023 |
| 6 October 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 30 October 2023 |
| 6 October 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 30 October 2023 |
| 6 October 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 | Yes | Deficient, Provider has date of correction | 30 October 2023 |
| 6 October 2023 | 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. | F | Yes | Deficient, Provider has date of correction | 30 October 2023 |
| 6 October 2023 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Yes | Deficient, Provider has date of correction | 30 October 2023 |
| 6 October 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 30 October 2023 |
| 19 April 2023 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 19 May 2023 |
| 19 April 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | 19 May 2023 |
| 19 April 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | 19 May 2023 |
| 19 April 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 19 May 2023 |
| 19 April 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 19 May 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 |
|---|---|---|---|---|---|
| 15 August 2024 | Fine | $49,823 | 61206 | ||
| 15 August 2024 | Payment Denial | 13 September 2024 | 49 | ||
| 6 October 2023 | Fine | $79,644 | 61065 | ||
| 6 October 2023 | Payment Denial | 3 November 2023 | 119 |
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 | SINSINAWA NURSING INC |
| Date First Approved to Provide Medicare and Medicaid Services | 2000-12-08 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Grant |
| Telephone Number | 6087489814 |
| Chain Name | ILLUMINUS |
| Chain ID | 874 |
| 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 | 62 |
| Average Number of Residents per Day | 59.3 |
| Overall Rating | 2 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 2 |
| 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 ST DOMINIC VILLA: 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: MATTHEW R MAUTHE no longer appears as ADP OF THE SNF 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 ST DOMINIC VILLA
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 525660.