Skilled nursing facility · CMS certification number 525676
PINE HAVEN CHRISTIAN HOME
SHEBOYGAN FALLS, Wisconsin
This certification number is not in CMS’s current Care Compare Provider Information file, processed on 1 August 2026. Its Medicare enrollment, PINE HAVEN CHRISTIAN HOME INC (enrollment ID O20040406001276), is not listed in the CMS enrollment file dated 1 August 2026.
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 2022 to 23 April 2023 — a reporting period of 296 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 19 September 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,011,288 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $671,071 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,340,217 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,572,696 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,232,479 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,566 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,207,913 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,207,917 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 14,850 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 226 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 1,589 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,451 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 6,266 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 27 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 58 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 58.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364991, 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 14 December 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,774,894 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,008,888 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,766,006 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,543,948 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,777,942 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $50,181 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,727,761 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,727,761 (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 | 12,581 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 219 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 10.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 622.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 57.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1338249, 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 25 January 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,892,451 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,172,067 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,720,384 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,223,400 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,503,016 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,420 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,492,596 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,492,596 (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 | 13,143 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 249 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 329.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309353, 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 19 January 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,480,853 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,463,895 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,016,958 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,660,183 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$643,225 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,811 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$637,414 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$637,414 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,096 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 226 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 264.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278636, 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 16 January 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,877,532 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,130,812 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,746,720 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,437,210 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$690,490 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,365 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$685,125 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$685,125 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,173 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 614.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 102.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249387, 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 20 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,948,179 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,471,885 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,476,294 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,712,454 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,236,160 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,014,920 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $778,760 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $778,760 (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 | 17,303 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 173 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 224.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1216707, 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 18 January 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,769,923 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,686,377 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,083,546 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,702,193 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$11,618,647 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,403,626 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $784,979 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $784,979 (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 | 16,514 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 205 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 306.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182372, 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 17 February 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,039,222 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,730,847 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,308,375 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,695,452 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$11,387,077 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,384,726 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $997,649 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $857,033 (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 | 17,128 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 189 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 355.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153144, 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, as submitted, processed by CMS on 18 December 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,070,221 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,340,010 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,730,211 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,285,120 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$8,554,909 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,020,578 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,465,669 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,465,669 (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 | 17,268 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 691.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1115740, 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 10 February 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,041,867 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $623,962 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,417,905 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,206,052 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,788,147 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,288,046 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,499,899 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,499,899 (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 | 17,359 | 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 | 48.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,276.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 255.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085678, 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 19 May 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,789,223 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $479,935 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,309,288 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,369,481 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,060,193 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,091,967 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,031,774 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,031,774 (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 | 17,290 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 729.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 198.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1090909, 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 | $4,706,860 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $456,396 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,250,464 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,903,137 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,652,673 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,208,944 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,556,271 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,556,271 (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 | 17,264 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 794.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 246.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023911, 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 9 February 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,674,365 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,016,178 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,341,813 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,592,959 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,251,146 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,873 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 3,620.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 324.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 424534, 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 26 January 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,430,960 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,564,213 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,133,253 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,474,887 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $45,308 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $296,326 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,795 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 58 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,244.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 306.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 393216, 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 | $4,333,862 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,169,904 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,836,042 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,903,084 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $120,783 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$53,741 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,555 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 102.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,073.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 461.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362210, 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 28 May 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,385,140 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,380,457 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$4,995,317 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,755,813 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $60,038 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$299,542 (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 | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,424 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 62 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 77.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 905.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 410.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 340728, 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 22 September 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,201,921 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,108,838 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,906,917 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,180,626 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $273,709 (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 | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,512 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 62 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 80.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 647.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 411.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 326059, 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 | $7,728,397 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,458,722 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $269,675 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $221,841 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $51,148 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $440,368 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,473 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 62 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 102.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 502.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 410.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 292795, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 October 2004 to 30 June 2005 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 9 August 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,913,332 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,595,417 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $317,915 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $95,621 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $413,536 (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 | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,499 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 36 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 132.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 824.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 708.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 260845, read from the public cost report file SNFFY2005.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
Not yet extracted for this facility.
Medicare enrollment
Not yet extracted for this facility.
Changes in ownership
- 15 September 2023: MARY HUENINK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: ROBERT NYHUIS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: DARRELL HAUSE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: CURTIS WAYNE HANCOCK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: TIM GORTER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: WISCONSIN BANK AND TRUST no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: ROBERT CALJOUW no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: RONALD WALVOORT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: RONALD WALVOORT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: JERITH BUTEYN-GIER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: DENNIS BEACH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: VIRGIL NAVIS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: SHANNON M OTTEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: JACK HOFFMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: NORENE HUIBREGTSE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: LINDA EVRAETS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: KEVIN VELDHORST no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: BRENDA LAMMERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
Recent changes on this record
- 19 September 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 15 September 2023: MARY HUENINK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: ROBERT NYHUIS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: DARRELL HAUSE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: CURTIS WAYNE HANCOCK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: TIM GORTER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: WISCONSIN BANK AND TRUST no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: ROBERT CALJOUW no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: RONALD WALVOORT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: RONALD WALVOORT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: JERITH BUTEYN-GIER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: DENNIS BEACH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: VIRGIL NAVIS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: SHANNON M OTTEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: JACK HOFFMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: NORENE HUIBREGTSE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: LINDA EVRAETS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: KEVIN VELDHORST no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 15 September 2023: BRENDA LAMMERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- 14 December 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 25 January 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 19 January 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 16 January 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 20 December 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 18 January 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 17 February 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 18 December 2015: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 19 May 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 10 February 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 24 January 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 9 February 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 26 January 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 13 January 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- 28 May 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- 22 September 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- 27 August 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- 9 August 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
Inspections
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Deficiencies cited
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Penalties
Not yet extracted for this facility.
Care Compare provider information
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Get an email when this record changes
One email a day naming what moved on PINE HAVEN CHRISTIAN HOME: 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 19 September 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. That is one line of the alert.
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The citable document for PINE HAVEN CHRISTIAN HOME
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 525676.