Skilled nursing facility · CMS certification number 525715
DOVE HEALTHCARE - RICE LAKE
RICE LAKE, Wisconsin · Medicare and Medicaid
Certified beds, as filed in Care Compare: 50
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,577,907 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $567,093 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,010,814 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,304,522 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$293,708 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $48,752 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$244,956 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$244,956 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 18,300 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,785 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,498 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,461 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 15,744 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 43 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 21 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 633.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 199.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1435866, 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 30 July 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,938,177 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $264,628 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,673,549 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,556,262 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $117,287 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $566,961 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $684,248 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $587,522 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,771 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 89 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,055.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1390635, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,164,689 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $189,608 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,975,081 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,929,812 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $45,269 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $314,295 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $359,564 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $359,564 (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 | 13,805 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 638.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1358365, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,870,916 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $551,993 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,318,923 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,763,907 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$444,984 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $673,493 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $228,509 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $228,509 (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 | 13,994 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 780.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 153.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331605, 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 21 September 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,086,476 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $653,683 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,432,793 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,758,990 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$326,197 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $150,693 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$175,504 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$176,874 (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 | 15,235 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 846.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 150.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1300731, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 November 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,639,596 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,049,689 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,589,907 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,060,562 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$470,655 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,568 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$455,087 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$456,625 (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 | 15,558 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 445.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1273895, 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 17 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,897,344 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $913,223 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,984,121 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,930,256 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $53,865 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,403 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $73,268 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $73,268 (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 | 15,455 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 228 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 231.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237321, 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 28 June 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,700,827 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,300,807 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,400,020 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,990,508 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$590,488 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,152 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$571,336 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$571,336 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,984 | 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 | 30.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 206.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1197422, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 May 2016 to 31 December 2016 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 22 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,787,197 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $576,635 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,210,562 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,727,558 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$516,996 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,064 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$502,932 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$502,932 (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 | 7,675 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 287.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174373, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 October 2015 to 31 December 2015 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.
None of these figures is carried on this report.
CMS report record 1137001, read from the public cost report file SNF10FY2016.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| DOVE 8 OPCO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/2024 |
| DIVINE HC HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 01/01/2024 |
| GOLDSTAR CAPITAL PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 01/01/2024 |
| GOLDSTAR WISCONSIN ASSOCIATES, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 01/01/2024 |
| GOLDSTAR-DIVINE HOLDINGS DOVE 8 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 01/01/2024 |
| MARKOVITS, ISAAK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 01/01/2024 |
| RICHLAND, ILAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 01/01/2024 |
| SAMPSON, RICHARD | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/01/2024 |
| GOLDNER, DAVID | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| KILEY, JEREMY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| MARKOVITS, ISAAK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| OVERLIEN, HANNAH | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/01/2024 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of RICE LAKE REHABILITATION AND NURSING CENTER LLC (enrollment ID O20240215000067).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DOVE 8 OPCO HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| DIVINE HC HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| GOLDSTAR CAPITAL PARTNERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| GOLDSTAR WISCONSIN ASSOCIATES, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 80 | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| GOLDSTAR-DIVINE HOLDINGS DOVE 8 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ILAN RICHLAND | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25 | 1/1/2024 | 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 | 1/1/2024 | 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. |
| RICHARD SAMPSON | 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. | 1/1/2024 | 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. | 1/1/2024 | 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. | 1/1/2024 | 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. |
| JEREMY J KILEY | 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. | 1/1/2024 | 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 | 16.66 | 1/1/2024 | 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 | 1/1/2024 | 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 | 1/1/2024 | 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. |
| HANNAH K OVERLIEN | 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. | 1/1/2024 | 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 July 2024: TOMMY L DAVIDSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: HANNAH K OVERLIEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: LAKEVIEW HEALTHCARE INVESTMENT TRUST no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: DOV GOLDNER appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: GOLDSTAR-DIVINE HOLDINGS DOVE 8 LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: GOLDSTAR CAPITAL PARTNERS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: RICHARD SAMPSON appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: DOVE 8 OPCO HOLDCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: HANNAH K OVERLIEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: ILAN RICHLAND appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: DAVID GOLDNER appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: DAVID GOLDNER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: ISAAK MARKOVITS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: ISAAK MARKOVITS appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: GOLDSTAR WISCONSIN ASSOCIATES, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: JEREMY J KILEY appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: ELI SCHARF appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: DIVINE HC HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.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
- 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 30 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 July 2024: TOMMY L DAVIDSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: HANNAH K OVERLIEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: LAKEVIEW HEALTHCARE INVESTMENT TRUST no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: DOV GOLDNER appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: GOLDSTAR-DIVINE HOLDINGS DOVE 8 LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: GOLDSTAR CAPITAL PARTNERS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: RICHARD SAMPSON appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: DOVE 8 OPCO HOLDCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: HANNAH K OVERLIEN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: ILAN RICHLAND appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: DAVID GOLDNER appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: DAVID GOLDNER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: ISAAK MARKOVITS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: ISAAK MARKOVITS appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: GOLDSTAR WISCONSIN ASSOCIATES, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: JEREMY J KILEY appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: ELI SCHARF appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 July 2024: DIVINE HC HOLDCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 14 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 16 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 21 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 17 November 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 17 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 28 June 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 22 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 24 February 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 25 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2016.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 13 August 2025 | 13 August 2025 | 4 | 6 |
| 2 | 13 June 2024 | 13 June 2024 | 0 | 0 |
| 3 | 14 June 2023 | 14 June 2023 | 0 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
4 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 2 July 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Past Non-Compliance | |
| 5 January 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 21 January 2026 |
| 13 August 2025 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | No | Deficient, Provider has date of correction | 3 September 2025 |
| 13 August 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | 3 September 2025 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | RICE LAKE REHABILITATION AND NURSING CENTER LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2014-10-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Barron |
| Telephone Number | 7152342604 |
| Chain Name | DOVE HEALTHCARE |
| Chain ID | 187 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 50 |
| Average Number of Residents per Day | 44.3 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on DOVE HEALTHCARE - RICE LAKE: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: 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.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for DOVE HEALTHCARE - RICE LAKE
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 525715.