Skilled nursing facility · CMS certification number 145380
LUTHERAN CARE CENTER
ALTAMONT, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 96
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 3 · Fines: 3 · Fines, total amount: $36,553.00 · Payment denials: 0. The most recent penalty on file: September 30, 2025, Fine, $17,345. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
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 October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 19, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,880,619 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$303,152 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,183,771 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,419,989 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,236,218 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,142,181 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$94,037 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$97,442 (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 | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 35,136 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,053 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 3,293 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,303 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 16,649 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 47 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 5 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 26 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 78 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 658.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 213.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405465, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,378,141 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$425,146 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,803,287 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,472,503 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,669,216 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,284,239 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$384,977 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$387,051 (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 | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,488 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 794.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 270.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376681, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,386,850 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$245,790 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,632,640 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,219,566 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,586,926 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,401,483 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$185,443 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$185,443 (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 | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,917 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 24 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 5,347 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 746.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345936, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,419,850 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$238,565 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,658,415 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,556,311 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,897,896 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,803,247 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$94,649 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$94,649 (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 | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,236 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 587.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 298.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314101, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 5, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,737,768 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$198,993 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,936,761 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,498,958 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,562,197 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,778,817 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $216,620 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $216,620 (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 | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,730 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 132 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 254.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280933, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 31, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,263,185 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $132,365 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,130,820 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,201,461 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,070,641 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,081,877 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $11,236 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $11,236 (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 | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,074 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 320.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 180.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253421, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,891,118 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $158,850 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,732,268 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,103,664 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,371,396 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $777,865 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$593,531 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$393,670 (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 | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,751 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 174 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 246.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222361, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,468,760 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $292,182 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,176,578 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,938,564 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$761,986 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $953,912 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $191,926 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $191,926 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,621 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 280.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188327, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 28, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,139,203 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $169,261 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,969,942 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,028,763 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,058,821 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,040,484 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$18,337 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$18,337 (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 | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,720 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 130 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 478.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 182.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153554, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 28, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,070,073 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$20,412 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,090,485 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,012,939 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$922,454 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $823,016 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$99,438 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $122,484 (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 | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,892 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 308.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1121363, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 30, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,058,784 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $61,440 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,997,344 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,059,499 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,062,155 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,183,260 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $121,105 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $121,105 (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 | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,522 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 131 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 340.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 202.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1087883, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,839,578 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$8,847 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,848,425 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,008,267 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,159,842 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $921,050 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$238,792 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$238,792 (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 | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,225 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 415.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 226.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058038, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 29, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,882,088 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$14,007 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,896,095 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,951,450 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,055,355 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $940,615 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$114,740 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$114,740 (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 | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,056 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 172 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 427.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1026714, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 23, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,119,654 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,827,679 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$708,025 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $915,626 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $207,601 (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 | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,883 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 151 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 208.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 191.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 424960, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 2, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,616,239 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,640,554 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,024,315 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,012,628 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$11,687 (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 | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,117 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 126 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 281.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 215.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398405, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 16, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,768,426 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,910,783 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,142,357 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,199,654 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $53 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $57,244 (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 | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,967 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 147 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 271.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 367594, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,493,380 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,673,510 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,180,130 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,400,424 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $220,294 (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 | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,802 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 169 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 255 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 170.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 337082, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 5, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,549,868 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,435,745 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$885,877 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $964,711 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $78,834 (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 | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,471 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 198 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 282.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 138.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 308153, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 4, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,292,816 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,167,599 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$874,783 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $927,788 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $53,005 (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 | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,688 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 313 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 278022, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 27, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,335,493 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,924,501 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$589,008 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $567,403 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,898 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$23,503 (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 | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,650 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 186 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 265.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 148.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 246017, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 6, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $805,775 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,690,635 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,884,860 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $975,764 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,538 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$1,911,634 (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 | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,878 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 156 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 986.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 185.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 216270, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,831,311 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,465,269 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$633,958 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $970,346 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,573 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $332,815 (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 | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,174 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 199 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 354.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 136.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173794, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 23, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,840,274 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,333,335 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$493,061 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $857,861 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,537 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $361,263 (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 | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,252 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 211 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 263.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 129.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 171549, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 3, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,845,204 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,328,388 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$483,184 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,182,578 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $699,394 (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 | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,173 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 163 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 531.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 185.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 147048, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on May 9, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,757,530 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,232,684 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$475,154 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $583,081 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $107,927 (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 | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,739 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 145 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 544.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 211.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85424, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on May 7, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,550,357 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,014,590 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$464,233 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $494,168 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $29,935 (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 | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,655 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 146 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 545.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 203.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85423, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 7, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,574,823 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,098,858 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$524,035 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $587,683 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $63,648 (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 | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,226 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 186 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 581.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 157.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85421, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 11, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,576,080 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,822,466 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$246,386 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $96,476 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$149,910 (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 | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,729 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 193 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 298.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 154.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85420, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended September 30, 1996
Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 11, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,481,820 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,694,528 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$212,708 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $179,721 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$32,987 (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 | 96 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,717 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 177 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 433.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85418, read from the public cost report file SNFFY1996.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 September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| FAITH LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| GRACE EVANGELICAL LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| HOLY CROSS EVANGELICAL LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| HOLY CROSS LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 02/20/2012 |
| IMMANUEL LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 07/23/2012 |
| ST. JAMES EVANGELICAL LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 04/28/2003 |
| ST. JOHN LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| ST. JOHN'S EVANGELICAL LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 11/28/2011 |
| ST. JOHN'S LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| ST. JOHN'S LUTHERAN CHURCH OF SHELBYVILLE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| ST. PAUL EVANGELICAL LUTHERAN CHURCH ELCA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| ST. PAUL LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| ST. PETER'S LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| TRINITY EVANGELICAL LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| TRINITY LUTHERAN CHURCH NALC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| ZION LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 5% | since 10/01/1980 |
| ASBELL, MARIYA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/14/2023 |
| CLIFTON, JONI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2024 |
| CLIFTONLARSONALLEN LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/30/2013 |
| CORNETT, ALEXIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/29/2025 |
| FELDHAKE, DAWN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/30/2021 |
| HARRIS, SAMANTHA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/23/2022 |
| HERRMANN, KRYSTLE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/30/2012 |
| HUNTLEY, KATHRYN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/11/2016 |
| MILBURN-GEHLE, MARCIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/19/2012 |
| MILLER, EMILY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/15/2025 |
| MULVANEY, RONALD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/10/2025 |
| OPILKA, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/25/2025 |
| REETER, TAMYRA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/23/2022 |
| AHERIN, DIANE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/25/2021 |
| BEHRNS, DOROTHY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| BIGGS, CHARLES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| BLIEVERNICHT, DENNIS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/26/2015 |
| BRAASCH, SUSAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| BRAY, FREDERICK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| CORDER, KATHRYN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| GARBE, VERA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/26/2015 |
| GIVENS, JOANN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/25/2016 |
| HANFLAND, SUSAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/26/2023 |
| HANSON, DEBORAH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/27/2020 |
| HASTINGS, JACK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| HEIDEN, DOUGLAS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| HEIDEN, SANDRA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| HOFFMEISTER, CHERYL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| KIRCHHOFF, MIKE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| MAGNUS, TWILA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| MILLER, EMILY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/02/2021 |
| OPILKA, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/30/2001 |
| REYNOLDS, BETH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/26/2023 |
| SCHROEDER, KIMBERLY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/25/2025 |
| SOLTWEDEL, BEVERLY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| STREMMING, KURT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/26/2015 |
| STUCKMEYER, LEA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/25/2022 |
| TRAUB, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| WETHERELL, DIANE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| WILLIAMS, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/26/2015 |
| WOHLTMAN, NORMA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2026 |
| WYCKOFF, GERALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/25/2022 |
| WYCKOFF, KATHY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/25/2022 |
| MILLER, EMILY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/02/2021 |
| STREMMING, JEFF | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2025 |
| ASBELL, MARIYA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/14/2023 |
| CLIFTON, JONI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2024 |
| CORNETT, ALEXIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/29/2025 |
| FELDHAKE, DAWN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/30/2021 |
| HARRIS, SAMANTHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/23/2022 |
| HERRMANN, KRYSTLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/30/2012 |
| HUNTLEY, KATHRYN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/11/2016 |
| MILBURN-GEHLE, MARCIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/19/2012 |
| MILLER, EMILY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/02/2021 |
| MULVANEY, RONALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/10/2025 |
| OPILKA, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/30/2001 |
| REETER, TAMYRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/23/2022 |
| WORKMAN, CHRISTINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/16/2017 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LUTHERAN CARE CENTER (enrollment ID O20100628000470).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| FAITH LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| GRACE EVANGELICAL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| GRACE EVANGELICAL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| HOLY CROSS EVANGELICAL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| HOLY CROSS LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 2/20/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| IMMANUEL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| IMMANUEL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 7/23/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. JAMES EVANGELICAL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 4/28/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. JOHN LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. JOHN'S EVANGELICAL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 11/28/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. JOHN'S LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. JOHN'S LUTHERAN CHURCH OF SHELBYVILLE | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. PAUL EVANGELICAL LUTHERAN CHURCH ELCA | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. PAUL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. PAUL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. PAUL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ST. PETER'S LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRINITY EVANGELICAL LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRINITY LUTHERAN CHURCH NALC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ZION LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 10/1/1980 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALEXIS CORNETT | Individual | ADP OF THE SNF | Not stated in the filing | 4/29/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CLIFTONLARSONALLEN LLP | Organization | ADP OF THE SNF | Not stated in the filing | 9/30/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAWN Y FELDHAKE | Individual | ADP OF THE SNF | Not stated in the filing | 8/30/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EMILY MILLER | Individual | ADP OF THE SNF | Not stated in the filing | 5/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN P. OPILKA | Individual | ADP OF THE SNF | Not stated in the filing | 4/25/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONI K CLIFTON | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHRYN L HUNTLEY | Individual | ADP OF THE SNF | Not stated in the filing | 1/11/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KRYSTLE N HERRMANN | Individual | ADP OF THE SNF | Not stated in the filing | 8/30/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARCIA A MILBURN-GEHLE | Individual | ADP OF THE SNF | Not stated in the filing | 1/19/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIYA F ASBELL | Individual | ADP OF THE SNF | Not stated in the filing | 8/14/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RONALD D MULVANEY | Individual | ADP OF THE SNF | Not stated in the filing | 2/10/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SAMANTHA R HARRIS | Individual | ADP OF THE SNF | Not stated in the filing | 11/23/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TAMYRA L REETER | Individual | ADP OF THE SNF | Not stated in the filing | 5/23/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BETH A REYNOLDS | Individual | CORPORATE DIRECTOR | 0 | 1/26/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BEVERLY A SOLTWEDEL | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES BIGGS | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHERYL HOFFMEISTER | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID TRAUB | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEBORAH HANSON | Individual | CORPORATE DIRECTOR | 0 | 1/27/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DENNIS BLIEVERNICHT | Individual | CORPORATE DIRECTOR | 0 | 1/26/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DIANE AHERIN | Individual | CORPORATE DIRECTOR | 0 | 1/25/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DIANE WETHERELL | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOROTHY B BEHRNS | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS HEIDEN | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EMILY MILLER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 4/2/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FREDERICK BRAY | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GERALD S WYCKOFF | Individual | CORPORATE DIRECTOR | 0 | 1/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JACK HASTINGS | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOANN GIVENS | Individual | CORPORATE DIRECTOR | 0 | 1/25/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN P. OPILKA | Individual | CORPORATE DIRECTOR | 0 | 7/30/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHRYN CORDER | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHY WYCKOFF | Individual | CORPORATE DIRECTOR | 0 | 1/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KIMBERLY SCHROEDER | Individual | CORPORATE DIRECTOR | 0 | 8/25/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KURT STREMMING | Individual | CORPORATE DIRECTOR | 0 | 1/26/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LEA J STUCKMEYER | Individual | CORPORATE DIRECTOR | 0 | 1/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MIKE KIRCHHOFF | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NORMA WOHLTMAN | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT WILLIAMS | Individual | CORPORATE DIRECTOR | 0 | 1/26/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SANDRA HEIDEN | Individual | CORPORATE DIRECTOR | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN BRAASCH | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN C HANFLAND | Individual | CORPORATE DIRECTOR | 0 | 1/26/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TWILA MAGNUS | Individual | CORPORATE DIRECTOR | 0 | 1/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VERA GARBE | Individual | CORPORATE DIRECTOR | 0 | 1/26/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EMILY MILLER | Individual | CORPORATE OFFICER | Not stated in the filing | 4/2/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFF STREMMING | Individual | CORPORATE OFFICER | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALEXIS CORNETT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/29/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTINE WORKMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/16/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAWN Y FELDHAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/30/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EMILY MILLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/2/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN P. OPILKA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/30/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONI K CLIFTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHRYN L HUNTLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/11/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KRYSTLE N HERRMANN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/30/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARCIA A MILBURN-GEHLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/19/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIYA F ASBELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/14/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RONALD D MULVANEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/10/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SAMANTHA R HARRIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/23/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TAMYRA L REETER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/23/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- May 1, 2026: HERB C STUEMKE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KEVIN MILLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PHYLLIS A WEISS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SHELBY L CARRUTHERS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SHELBY L CARRUTHERS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: GARRETT M ZIEGLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: NORMA WOHLTMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BEVERLY A SOLTWEDEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: DWAYNE W TAPPENDORF no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: NORMA WOHLTMAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MIKE KIRCHHOFF (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BEVERLY A SOLTWEDEL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CHERYL HOFFMEISTER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SUSAN BRAASCH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- October 1, 2025: KIMBERLY SCHROEDER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- September 1, 2025: JANE E WESTJOHN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CAROL WALDEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ANETTE K RUSSELL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JACK HASTINGS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GARRETT M ZIEGLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RICHARD KNEBEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PATSY A MAHAFFEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NORMA WOHLTMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTINE WORKMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HOLY CROSS LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 20, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SAMANTHA R HARRIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SAMANTHA R HARRIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAWN Y FELDHAKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 30, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAWN Y FELDHAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 30, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JONI K CLIFTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JONI K CLIFTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ST. PETER'S LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 1980. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FAITH LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 1980. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PHYLLIS A WEISS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DIANE WETHERELL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: EMILY MILLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: EMILY MILLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ST. PAUL EVANGELICAL LUTHERAN CHURCH ELCA (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 1980. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SHELBY L CARRUTHERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SHELBY L CARRUTHERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FREDERICK BRAY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOHN P. OPILKA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOHN P. OPILKA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JOHN P. OPILKA (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HOLY CROSS EVANGELICAL LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 1980. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JACK HASTINGS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ST. JOHN'S EVANGELICAL LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 28, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ST. JOHN'S LUTHERAN CHURCH OF SHELBYVILLE (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 1980. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GARRETT M ZIEGLER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ALEXIS CORNETT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ALEXIS CORNETT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KRYSTLE N HERRMANN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 30, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KRYSTLE N HERRMANN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 30, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TRINITY EVANGELICAL LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 1980. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TRINITY LUTHERAN CHURCH NALC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 1980. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TAMYRA L REETER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TAMYRA L REETER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ST. JAMES EVANGELICAL LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 28, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ZION LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 1980. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARIYA F ASBELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARIYA F ASBELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NORMA WOHLTMAN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 25, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: IMMANUEL LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 1980. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DOUGLAS HEIDEN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ST. JOHN'S LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 1980. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BEVERLY A SOLTWEDEL (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RONALD D MULVANEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RONALD D MULVANEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GRACE EVANGELICAL LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 1980. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CLIFTONLARSONALLEN LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 30, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARCIA A MILBURN-GEHLE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 19, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARCIA A MILBURN-GEHLE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 19, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DOROTHY B BEHRNS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTINE WORKMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 16, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ST. PAUL LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 1980. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ST. JOHN LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 1980. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KATHRYN L HUNTLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 11, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KATHRYN L HUNTLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 11, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- June 3, 2024: JEFF STREMMING no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: PATRICIA TAPPENDORF no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: GAELYN AUKAMP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: CHARLES BIGGS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: LORRAINE A PAINE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: LANIE J TEDRICK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JEFF STREMMING (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: CHARLES BIGGS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: PATSY A MAHAFFEY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- September 15, 2023: RICHARD KNEBEL (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- April 14, 2023: OTTO RINCKER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: DENNIS BALES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: ROGER BERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: BEVERLY LOTZ no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: LISA RINCKER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: TAYLOR A HILT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: PATRICIA TAPPENDORF (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 25, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: KATHRYN CORDER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 26, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: SUSAN C HANFLAND (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 26, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: DWAYNE W TAPPENDORF (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 26, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: BETH A REYNOLDS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 26, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Recent changes on this record
- May 1, 2026: HERB C STUEMKE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KEVIN MILLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PHYLLIS A WEISS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SHELBY L CARRUTHERS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SHELBY L CARRUTHERS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: GARRETT M ZIEGLER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: NORMA WOHLTMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BEVERLY A SOLTWEDEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: DWAYNE W TAPPENDORF no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: NORMA WOHLTMAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MIKE KIRCHHOFF (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BEVERLY A SOLTWEDEL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CHERYL HOFFMEISTER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SUSAN BRAASCH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- October 1, 2025: KIMBERLY SCHROEDER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since August 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- September 1, 2025: JANE E WESTJOHN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CAROL WALDEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ANETTE K RUSSELL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JACK HASTINGS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GARRETT M ZIEGLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RICHARD KNEBEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PATSY A MAHAFFEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NORMA WOHLTMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTINE WORKMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HOLY CROSS LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 20, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SAMANTHA R HARRIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SAMANTHA R HARRIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAWN Y FELDHAKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 30, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAWN Y FELDHAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since August 30, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JONI K CLIFTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JONI K CLIFTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ST. PETER'S LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 1980. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: FAITH LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 1980. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PHYLLIS A WEISS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DIANE WETHERELL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: EMILY MILLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: EMILY MILLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ST. PAUL EVANGELICAL LUTHERAN CHURCH ELCA (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 1, 1980. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SHELBY L CARRUTHERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SHELBY L CARRUTHERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 30, 2025 | September 30, 2025 | 3 | 4 |
| 2 | July 26, 2024 | July 26, 2024 | 5 | 4 |
| 3 | June 9, 2023 | June 9, 2023 | 3 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
11 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| September 30, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Past Non-Compliance | September 15, 2025 |
| September 30, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | October 31, 2025 |
| September 30, 2025 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has date of correction | October 10, 2025 |
| March 28, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Past Non-Compliance | March 17, 2025 |
| November 15, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | December 13, 2024 |
| November 15, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | December 13, 2024 |
| July 26, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | August 29, 2024 |
| July 26, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | August 29, 2024 |
| June 9, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | July 14, 2023 |
| June 9, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | July 14, 2023 |
| June 9, 2023 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has date of correction | July 14, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| September 30, 2025 | Fine | $17,345 | 137619 | ||
| March 28, 2025 | Fine | $11,190 | 70473 | ||
| July 26, 2024 | Fine | $8,018 | 70289 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | LUTHERAN CARE CENTER |
| Date First Approved to Provide Medicare and Medicaid Services | 1979-01-09 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Effingham |
| Telephone Number | 6184836136 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 96 |
| Average Number of Residents per Day | 45.6 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on LUTHERAN CARE CENTER: 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 May 1, 2026: HERB C STUEMKE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.
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 LUTHERAN CARE CENTER
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 Illinois 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.
Other public records in Illinois
- MCGILL INC, MARENGO Water discharge permit
- CUNNINGHAM CIRCUIT ETCHING, ADDISON Water discharge permit
- BASIC ELECTRONIC MFG. CORP., UNKNOWN Water discharge permit
- TRIAD CIRCUITS, ROUND LAKE Water discharge permit
- ACP METAL FINISHING, MILLSTADT Water discharge permit
- DERINGER MFG, MUNDELEIN Water discharge permit
- LAWRENCE BROTHERS INCORPORATED, STERLING Water discharge permit
- SCIENTIFIC CONTROL LABORATORIES, CHICAGO Water discharge permit
- SOLID ROCK FOUNDATIONS INC, EAST PEORIA Air emission source
- VERSA PRESS INC, EAST PEORIA Air emission source
- ROANOKE CONCRETE PRODUCTS CO, EAST PEORIA Air emission source
- BRADS AUTOBODY, ROANOKE Air emission source
- PARSONS CO INC, ROANOKE Air emission source
- EVERGREEN FS INC, ROANOKE Air emission source
- ROANOKE FARMERS ASSN, ROANOKE Air emission source
- EUREKA-GOODFIELD FIRE PROTECTION DISTRICT, EUREKA Air emission source
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 145380.