Skilled nursing facility · CMS certification number 525673

DOVE HEALTHCARE - SPOONER

SPOONER, 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 May 2024 to 31 December 2024 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$3,841,401	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$454,608	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,296,009	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,412,918	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$116,909	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$233,265	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$116,356	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $116,356 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	18,375	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	568	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	8,249	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	2,827	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	11,644	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	10	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	16	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	48	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	74	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.8	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	515.56	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	157.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438213, 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 21 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$7,462,454	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$497,449	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,965,005	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,459,311	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$494,306	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$83,753	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$410,553	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$410,553 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,225	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	164	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	194.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	111.13	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1392842, 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 16 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$6,456,394	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$467,874	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,988,520	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,875,380	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$886,860	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$155,484	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$731,376	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$731,376 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,064	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	114	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62.39	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	258.22	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	158.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1362366, 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 19 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$6,411,538	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$748,497	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,663,041	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,304,450	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$641,409	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$995,377	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$353,968	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $353,968 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,668	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	47.74	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	575.45	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	248.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1332858, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

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

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$6,612,808	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,188,395	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,424,413	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,372,320	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$947,907	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,374,772	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$426,865	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $426,865 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,953	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	68	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	812.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	308.13	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1302735, 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 6 August 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$7,310,530	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,993,280	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,317,250	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,955,200	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$637,950	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$75,134	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$562,816	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$562,816 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,254	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	278	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.37	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	199.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	83.65	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1262848, 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 June 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$7,100,555	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,944,217	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,156,338	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,772,845	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$616,507	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$521,504	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$95,003	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$95,003 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,579	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	149	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.81	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	310.95	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	164.96	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1233772, 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 5 June 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$5,988,945	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,239,322	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,749,623	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,255,651	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$506,028	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$53,397	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$452,631	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$452,631 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,886	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	134	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.37	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	301.81	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	178.25	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1191725, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 8 September 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$5,695,048	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,239,010	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,456,038	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,783,534	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$327,496	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,359,918	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$4,032,422	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $4,032,422 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,422	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	58	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,440.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	386.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1175615, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 May 2015 to 31 December 2015 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 29 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$3,814,678	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$752,676	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,062,002	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,159,486	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$97,484	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,162,345	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$3,064,861	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,064,861 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,004	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	67	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	776.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	223.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1138718, read from the public cost report file SNF10FY2015.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 6 February 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$5,094,122	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$416,623	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,677,499	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,589,990	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$912,491	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$595,554	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$316,937	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$319,296 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,279	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	100	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,029	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	252.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1085568, 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 7 May 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$4,824,623	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$281,353	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,543,270	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,816,886	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,273,616	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$435,824	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$837,792	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$851,177 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,402	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	124	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.78	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	648.57	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	204.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1090069, 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 25 January 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$5,770,329	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$102,711	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,667,618	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,364,045	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$696,427	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$466,161	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$230,266	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$232,762 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,591	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	114	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.98	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	646.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	259.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1024098, read from the public cost report file SNF10FY2011.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
SPOONER OPCO HOLDCO LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 05/01/2024
DIVINE HC HOLDCO LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 05/01/2024
GOLDSTAR - DIVINE HOLDINGS SPOONER LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 05/01/2024
GOLDSTAR CAPITAL PARTNERS LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 05/01/2024
GOLDSTAR WISCONSIN ASSOCIATES, LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 05/01/2024
MARKOVITS, ISAAK	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 05/01/2024
RICHLAND, ILAN	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 05/01/2024
DUNHAM, JEFFREY	CONTRACTED MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 05/01/2024
GOLDNER, DAVID	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/01/2024
MARKOVITS, ISAAK	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/01/2024
MERTENS, KALI	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 05/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SPOONER REHABILITATION AND NURSING CENTER LLC (enrollment ID O20240523002257).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
SPOONER OPCO HOLDCO LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	5/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
DIVINE HC HOLDCO LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	50	5/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
GOLDSTAR - DIVINE HOLDINGS SPOONER LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	5/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
GOLDSTAR CAPITAL PARTNERS LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	50	5/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
GOLDSTAR WISCONSIN ASSOCIATES, LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	50	5/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
ILAN RICHLAND	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	25	5/1/2024	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.
ISAAK MARKOVITS	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	25	5/1/2024	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.
JEFFREY L DUNHAM	Individual	CONTRACTED MANAGING EMPLOYEE	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2024	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 GOLDNER	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2024	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.
ISAAK MARKOVITS	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2024	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 GOLDNER	Individual	OTHER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2024	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.
DOV GOLDNER	Individual	OTHER	16.66	5/1/2024	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.
ELI SCHARF	Individual	OTHER	16.66	5/1/2024	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.
KALI MERTENS	Individual	W-2 MANAGING EMPLOYEE	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2024	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: DIVINE HC HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DIVINE HC HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 October 2024: DANA BURKE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: RAJEEV KUMAR no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: NICHOLAS LYNN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: KERI GERLACH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: KAREN M LACKE (CARRIG) no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: STEPHANIE L SHERMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MIRIAM GEHLER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: CARRIAGE HEALTHCARE COMPANIES INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: ANDREW C. KERWIN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DOV GOLDNER appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: GOLDSTAR - DIVINE HOLDINGS SPOONER LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: GOLDSTAR CAPITAL PARTNERS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: ILAN RICHLAND appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: JEFFREY L DUNHAM appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DAVID GOLDNER appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DAVID GOLDNER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: ISAAK MARKOVITS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: ISAAK MARKOVITS appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: GOLDSTAR WISCONSIN ASSOCIATES, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: ELI SCHARF appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: KALI MERTENS appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SPOONER OPCO HOLDCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DIVINE HC HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
15 June 2023: WISCONSIN ILLINOIS SENIOR HOUSING INC no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: WISCONSIN ILLINOIS SENIOR HOUSING INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: CARRIAGE HEALTHCARE COMPANIES INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv

Recent changes on this record

1 July 2026: DIVINE HC HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DIVINE HC HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
20 December 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 October 2024: DANA BURKE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: RAJEEV KUMAR no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: NICHOLAS LYNN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: KERI GERLACH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: KAREN M LACKE (CARRIG) no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: STEPHANIE L SHERMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: MIRIAM GEHLER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: CARRIAGE HEALTHCARE COMPANIES INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: ANDREW C. KERWIN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DOV GOLDNER appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: GOLDSTAR - DIVINE HOLDINGS SPOONER LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: GOLDSTAR CAPITAL PARTNERS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: ILAN RICHLAND appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: JEFFREY L DUNHAM appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DAVID GOLDNER appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DAVID GOLDNER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: ISAAK MARKOVITS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: ISAAK MARKOVITS appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: GOLDSTAR WISCONSIN ASSOCIATES, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: ELI SCHARF appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: KALI MERTENS appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: SPOONER OPCO HOLDCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
1 October 2024: DIVINE HC HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
21 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
16 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
15 June 2023: WISCONSIN ILLINOIS SENIOR HOUSING INC no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: WISCONSIN ILLINOIS SENIOR HOUSING INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
15 June 2023: CARRIAGE HEALTHCARE COMPANIES INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
19 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
20 October 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
6 August 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
27 June 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
5 June 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
8 September 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
29 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
16 October 2015: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	23 July 2025	23 July 2025	8	5
2	23 May 2024	23 May 2024	16	2
3	12 April 2023	12 April 2023	14	6

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

Deficiencies cited

38 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
23 July 2025	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	13 August 2025
23 July 2025	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	13 August 2025
23 July 2025	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D	No	Deficient, Provider has date of correction	13 August 2025
23 July 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	Yes	Deficient, Provider has date of correction	13 August 2025
23 July 2025	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	13 August 2025
23 July 2025	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	13 August 2025
23 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	13 August 2025
23 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	13 August 2025
21 January 2025	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	21 February 2025
21 August 2024	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	F	Yes	Deficient, Provider has date of correction	11 October 2024
23 May 2024	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.	D	No	Deficient, Provider has date of correction	20 June 2024
23 May 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	20 June 2024
23 May 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	C	No	Deficient, Provider has date of correction	20 June 2024
23 May 2024	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	Yes	Deficient, Provider has date of correction	20 June 2024
23 May 2024	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	20 June 2024
23 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	20 June 2024
23 May 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G	No	Deficient, Provider has date of correction	20 June 2024
23 May 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.	D	No	Deficient, Provider has date of correction	20 June 2024
23 May 2024	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	20 June 2024
23 May 2024	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D	No	Deficient, Provider has date of correction	20 June 2024
23 May 2024	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F	No	Deficient, Provider has date of correction	20 June 2024
23 May 2024	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	G	No	Deficient, Provider has date of correction	20 June 2024
23 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	20 June 2024
23 May 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	20 June 2024
12 April 2023	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	E	No	Deficient, Provider has date of correction	11 May 2023
12 April 2023	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.	E	No	Deficient, Provider has date of correction	11 May 2023
12 April 2023	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	E	No	Deficient, Provider has date of correction	11 May 2023
12 April 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.	D	No	Deficient, Provider has date of correction	11 May 2023
12 April 2023	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	11 May 2023
12 April 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	11 May 2023
12 April 2023	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	E	No	Deficient, Provider has date of correction	11 May 2023
12 April 2023	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	11 May 2023
12 April 2023	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	11 May 2023
12 April 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	11 May 2023
12 April 2023	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	No	Deficient, Provider has date of correction	11 May 2023
12 April 2023	Health	F 0886	Infection Control Deficiencies	Perform COVID19 testing on residents and staff.	C	No	Deficient, Provider has date of correction	11 May 2023
12 April 2023	Health	F 0887	Infection Control Deficiencies	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	D	No	Deficient, Provider has date of correction	11 May 2023
12 April 2023	Health	F 0888	Infection Control Deficiencies	Ensure staff are vaccinated for COVID-19	C	No	Deficient, Provider has date of correction	11 May 2023

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

Penalties

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Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	SPOONER REHABILITATION AND NURSING CENTER LLC
Date First Approved to Provide Medicare and Medicaid Services	2004-05-15
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Washburn
Telephone Number	7156351415
Chain Name	DOVE HEALTHCARE
Chain ID	187
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	42.7
Overall Rating	2
Health Inspection Rating	2
QM Rating	2
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.

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One email a day naming what moved on DOVE HEALTHCARE - SPOONER: the field, the value before, the value after, and the date of the file that first showed it.

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On 1 July 2026: DIVINE HC HOLDCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for DOVE HEALTHCARE - SPOONER

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

Read the citable document for this facility →

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