Skilled nursing facility · CMS certification number 145694
RENWICK NURSING AND REHAB
JOLIET, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
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: 11 · Fines: 7 · Fines, total amount: $190,155.00 · Payment denials: 4. The most recent penalty on file: October 28, 2025, Fine, $14,505. 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 December 1, 2023 to December 31, 2024 — a reporting period of 396 days, on form CMS-2540-10, as submitted, processed by CMS on June 16, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,645,829 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,138,245 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,507,584 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,364,423 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$856,839 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $128,244 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$728,595 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$728,595 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 47,640 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,254 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 29,095 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,043 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 38,392 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 69 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 215 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 59 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 343 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 135.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1429935, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 7, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,802,958 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,224,662 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,027,620 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,175,010 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,147,390 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $363,850 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$783,540 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$783,540 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,662 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 267 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 500.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401775, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 2, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,700,294 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$125,280 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,825,574 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,211,448 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,385,874 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $473,163 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,912,711 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,912,711 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,954 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 202 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 914.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1374151, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 27, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,511,814 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $248,300 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,263,514 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,283,626 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,020,112 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $470,173 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$549,939 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$549,939 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,156 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 224 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 309.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1346396, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended January 31, 2020
Cost report for July 1, 2019 to January 31, 2020 — a reporting period of 214 days, not a full year, on form CMS-2540-10, settled, processed by CMS on June 17, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,072,277 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $977,586 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,094,691 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,761,356 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$666,665 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,110 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$663,555 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$663,555 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,860 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 297.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1286278, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,529,861 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,783,883 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,745,978 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,272,259 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,526,281 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,228 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,517,053 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,517,053 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,740 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 413 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 76.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1284905, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,450,037 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,786,333 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,663,704 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,198,507 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,534,803 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $289,189 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,245,614 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,245,614 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,917 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 391 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 81.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218022, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 15, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,488,431 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,631,487 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,856,944 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,654,990 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$798,046 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $270,366 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$527,680 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$527,680 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,831 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 500 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 55.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1219807, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 15, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,892,264 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,866,578 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,025,686 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,835,080 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$809,394 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $246,889 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$562,505 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$562,505 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,619 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 465 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 61.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1152871, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 19, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,579,795 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,663,655 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,916,140 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,749,801 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $166,339 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $195,662 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $362,001 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $358,946 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,989 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 367 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 92.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1149492, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 3, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,256,837 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,329,200 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,927,637 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,340,421 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $587,216 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,531 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $614,747 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $614,747 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,640 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 427 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 83.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119903, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 27, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,749,826 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,481,444 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,268,382 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,841,457 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $426,925 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $56,799 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $483,724 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $483,724 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,445 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 598 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 208.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089188, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 27, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,706,588 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,407,878 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,298,710 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,340,879 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $957,831 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $89,771 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,047,602 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,046,557 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,954 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 731 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 138.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 45.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056090, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 6, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,133,547 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,920,809 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,212,738 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $50,304 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $177,339 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,085,703 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,941 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 568 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 349.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 54.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434789, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 8, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,521,620 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,745,047 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $776,573 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,910 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $837,483 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,591 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 572 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 467.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 56.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417333, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 23, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,075,281 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,181,017 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $894,264 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $67,149 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $961,413 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,382 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 593 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 494 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 51.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364355, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for November 1, 2007 to June 30, 2008 — a reporting period of 242 days, not a full year, on form CMS-2540-96, settled, processed by CMS on January 29, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,313,853 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,643,730 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $670,123 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,967 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $682,090 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,270 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 468 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 736.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 49.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 332841, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 31, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,176,140 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,173,841 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,002,299 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,585 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,034,884 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,344 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 549 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 62.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 327661, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 13, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,148,364 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,657,940 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $490,424 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30,374 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $520,798 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,277 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 604 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 58.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 296212, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 13, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,176,137 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,826,639 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $349,498 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,609 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $371,107 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,383 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 624 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,287.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 58.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 258510, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for July 1, 2003 to June 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 20, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,074,674 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,809,707 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $264,967 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,801 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $288,768 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,456 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 651 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 969.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 57.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 240470, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 10, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,951,972 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,523,286 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $428,686 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,568 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $455,254 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,620 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 629 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,110 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 61.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 230432, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended June 30, 2002
Cost report for July 1, 2001 to June 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 8, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,257,875 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,557,453 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $700,422 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,305 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $726,727 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,552 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 690 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 321 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 50.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 232323, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended June 30, 2001
Cost report for July 1, 2000 to June 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 30, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,132,135 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,964,911 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $167,224 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54,231 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $221,455 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,772 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 520 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,820 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 72.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 203828, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended June 30, 2000
Cost report for July 1, 1999 to June 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,594,238 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,300,103 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $294,135 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,226 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $354,361 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,999 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 580 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 130.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 65.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 29412, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended June 30, 1999
Cost report for July 1, 1998 to June 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on June 15, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,852,247 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,421,677 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $430,570 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $197,869 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $628,439 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,486 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 454 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 340 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 84.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 29411, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended June 30, 1998
Cost report for July 1, 1997 to June 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on April 18, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,776,119 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,119,463 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$343,344 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $492,996 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $149,652 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,505 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 418 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,444 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 82.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 29408, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended June 30, 1997
Cost report for July 1, 1996 to June 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,874,981 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,089,418 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$214,437 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $328,910 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $114,473 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,044 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 316 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 500.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 107.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 123407, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended June 30, 1996
Cost report for July 1, 1995 to June 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on August 1, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,876,131 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,942,708 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$66,577 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $109,402 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $42,825 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,952 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 390 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,298 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 87.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 16690, read from the public cost report file SNFFY1995.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 |
|---|---|---|---|---|
| EXTENDED CARE CLINICAL LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/04/2025 |
| EXTENDED CARE CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/12/2025 |
| HAVERIC, ZLATKO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2023 |
| PROGRESS, CAROLYN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/19/2023 |
| ROTH & CO, LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/04/2025 |
| KATZ, HAROLD | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/04/2025 |
| ROTHNER, WILLIAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/04/2025 |
| EXTENDED CARE CLINICAL LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2023 |
| EXTENDED CARE CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2023 |
| ISRAEL, LEVI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2023 |
| MIRETZKY, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2023 |
| PROGRESS, CAROLYN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/19/2023 |
| ROTH & CO, LLP | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/08/2025 |
| 3401 HENNEPIN MEMBER LLC | TRUSTEE OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of 3401 HENNEPIN OPCO LLC (enrollment ID O20240322002595).
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 |
|---|---|---|---|---|---|
| 3401 HENNEPIN MEMBER LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99.99 | 12/1/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| LEVI ISRAEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30 | 12/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATHAN AND SHIRLEY ROTHNER FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 70 | 12/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAROLYN M. PROGRESS | Individual | ADP OF THE SNF | Not stated in the filing | 12/19/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EXTENDED CARE CLINICAL LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/4/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| EXTENDED CARE CONSULTING LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/12/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROTH & CO, LLP | Organization | ADP OF THE SNF | Not stated in the filing | 4/4/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ZLATKO HAVERIC | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROLYN M. PROGRESS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/19/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EXTENDED CARE CLINICAL LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| EXTENDED CARE CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| LEVI ISRAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROTH & CO, LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/8/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| STEVEN MIRETZKY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| 3401 HENNEPIN MEMBER LLC | Organization | TRUSTEE OF THE SNF | Not stated in the filing | 12/1/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
Changes in ownership
- November 1, 2025: LEVI ISRAEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARTIN LEE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CENTRAL STREET MANAGEMENT, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HAROLD KATZ no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WILLIAM ROTHNER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: 3401 HENNEPIN MEMBER LLC (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LEVI ISRAEL (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ZLATKO HAVERIC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CAROLYN M. PROGRESS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 19, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CAROLYN M. PROGRESS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 19, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: EXTENDED CARE CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: EXTENDED CARE CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ROTH & COMPANY, LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ROTH & COMPANY, LLP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: EXTENDED CARE CLINICAL LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: EXTENDED CARE CLINICAL LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- June 3, 2024: US BANK NATIONAL ASSOCIATION no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: NH OPERATOR HOLDINGS VII LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: MARTIN LEE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: GERRY-LYNN STOHR no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: NHNFP HEALTHCARE INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: ABLEHEARTS MIDWEST HEALTHCARE LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JACQUELINE PRICE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: ASHLEY PETERS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: MIZUHO AMERICAS LLC no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: JEAN ROSA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: ABLEHEARTS COMMUNICATION LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: 3401 HENNEPIN MEMBER LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: LEVI ISRAEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: LEVI ISRAEL (OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: MARTIN LEE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: CENTRAL STREET MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: HAROLD KATZ (OTHER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: STEVEN MIRETZKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: NATHAN & SHIRLEY ROTHNER FAMILY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: WILLIAM ROTHNER (OTHER) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- November 1, 2023: GERRY-LYNN STOHR (OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- May 15, 2023: RENEE MILLS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: MARTIN LEE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since April 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- October 31, 2022: SALIM SAVANI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: RENEE MILLS appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- September 1, 2026: ownership_type: For profit - Limited Liability company → For profit - Corporation. NH_ProviderInfo_Sep2026_3.csv
- November 1, 2025: LEVI ISRAEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARTIN LEE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CENTRAL STREET MANAGEMENT, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HAROLD KATZ no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WILLIAM ROTHNER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: 3401 HENNEPIN MEMBER LLC (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LEVI ISRAEL (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ZLATKO HAVERIC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CAROLYN M. PROGRESS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 19, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CAROLYN M. PROGRESS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 19, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: EXTENDED CARE CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: EXTENDED CARE CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ROTH & COMPANY, LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ROTH & COMPANY, LLP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: EXTENDED CARE CLINICAL LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: EXTENDED CARE CLINICAL LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- September 12, 2025: A deficiency was cited under tag F 0813, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0805, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0761, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0760, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0756, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0695, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0694, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0692, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0689, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0687, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0686, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0684, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0658, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0558, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0908, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0880, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0677, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0812, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: A deficiency was cited under tag F 0693, scope and severity G. NH_HealthCitations_Sep2026_2.csv
- September 12, 2025: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- June 16, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- January 7, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- July 19, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 12, 2025 | September 12, 2025 | 23 | 11 |
| 2 | October 24, 2024 | October 24, 2024 | 15 | 13 |
| 3 | December 15, 2023 | December 15, 2023 | 27 | 11 |
| 3 | February 9, 2023 | February 9, 2023 | 19 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
71 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| January 22, 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | F | Yes | Deficient, Provider has date of correction | January 23, 2026 |
| January 22, 2026 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | F | Yes | Deficient, Provider has date of correction | January 23, 2026 |
| December 4, 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. | D | Yes | Deficient, Provider has date of correction | December 5, 2025 |
| December 4, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Yes | Deficient, Provider has date of correction | December 5, 2025 |
| September 12, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | D | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 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. | D | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | G | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0813 | Nutrition and Dietary Deficiencies | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | October 8, 2025 |
| September 12, 2025 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | E | No | Deficient, Provider has date of correction | October 8, 2025 |
| June 23, 2025 | 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 | July 2, 2025 |
| June 23, 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 | Deficient, Provider has date of correction | July 2, 2025 |
| April 26, 2025 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Yes | Deficient, Provider has date of correction | April 28, 2025 |
| January 16, 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 | Deficient, Provider has date of correction | February 13, 2025 |
| October 24, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | November 10, 2024 |
| October 24, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | November 10, 2024 |
| October 24, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | November 10, 2024 |
| October 24, 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 | Yes | Deficient, Provider has date of correction | February 13, 2025 |
| October 24, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | No | Deficient, Provider has date of correction | November 10, 2024 |
| October 24, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | February 13, 2025 |
| October 24, 2024 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | D | No | Deficient, Provider has date of correction | November 10, 2024 |
| October 24, 2024 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | November 10, 2024 |
| October 24, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | November 10, 2024 |
| October 24, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | February 13, 2025 |
| October 24, 2024 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | C | No | Deficient, Provider has date of correction | November 10, 2024 |
| July 25, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | July 29, 2024 |
| June 17, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | L | Yes | Deficient, Provider has date of correction | June 19, 2024 |
| June 17, 2024 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Yes | Deficient, Provider has date of correction | June 25, 2024 |
| March 29, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Yes | Deficient, Provider has date of correction | April 1, 2024 |
| February 28, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | March 13, 2024 |
| February 13, 2024 | Health | F 0825 | Quality of Life and Care Deficiencies | Provide or get specialized rehabilitative services as required for a resident. | D | Yes | Deficient, Provider has date of correction | February 14, 2024 |
| February 1, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | February 2, 2024 |
| February 1, 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. | L | Yes | Deficient, Provider has date of correction | February 2, 2024 |
| January 13, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | February 6, 2024 |
| December 15, 2023 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | January 16, 2024 |
| December 15, 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | January 16, 2024 |
| December 15, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | January 16, 2024 |
| December 15, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | January 16, 2024 |
| December 15, 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 | February 2, 2024 |
| December 15, 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | G | No | Deficient, Provider has date of correction | January 16, 2024 |
| December 15, 2023 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | G | No | Deficient, Provider has date of correction | January 16, 2024 |
| December 15, 2023 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | January 16, 2024 |
| December 15, 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 | January 16, 2024 |
| December 15, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | January 16, 2024 |
| December 15, 2023 | Health | F 0813 | Nutrition and Dietary Deficiencies | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | No | Deficient, Provider has date of correction | January 16, 2024 |
| December 15, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | January 16, 2024 |
| December 15, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | January 16, 2024 |
| December 15, 2023 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | No | Deficient, Provider has date of correction | January 16, 2024 |
| November 28, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | December 18, 2023 |
| October 28, 2023 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Yes | Deficient, Provider has date of correction | November 15, 2023 |
| October 28, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Yes | Deficient, Provider has date of correction | November 15, 2023 |
| October 24, 2023 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Yes | Deficient, Provider has date of correction | October 30, 2023 |
| February 9, 2023 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | No | Deficient, Provider has date of correction | March 1, 2023 |
| February 9, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | March 1, 2023 |
| February 9, 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | March 1, 2023 |
| February 9, 2023 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | March 1, 2023 |
| February 9, 2023 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | No | Deficient, Provider has date of correction | March 1, 2023 |
| February 9, 2023 | Health | F 0888 | Infection Control Deficiencies | Ensure staff are vaccinated for COVID-19 | D | No | Deficient, Provider has date of correction | March 1, 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 |
|---|---|---|---|---|---|
| October 28, 2025 | Fine | $14,505 | 137840 | ||
| October 28, 2025 | Payment Denial | October 28, 2025 | 38 | ||
| September 12, 2025 | Fine | $49,010 | 135001 | ||
| June 23, 2025 | Fine | $14,505 | 136745 | ||
| October 24, 2024 | Fine | $16,065 | 70411 | ||
| October 24, 2024 | Fine | $14,050 | 70412 | ||
| October 24, 2024 | Payment Denial | November 22, 2024 | 83 | ||
| June 17, 2024 | Fine | $14,043 | 70172 | ||
| June 17, 2024 | Payment Denial | June 20, 2024 | 39 | ||
| November 28, 2023 | Fine | $67,977 | 69197 | ||
| November 28, 2023 | Payment Denial | January 17, 2024 | 56 |
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 | For profit - Corporation |
| Legal Business Name | 3401 HENNEPIN OPCO LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-05-02 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Will |
| Telephone Number | 8154365900 |
| Chain Name | EXTENDED CARE CLINICAL |
| Chain ID | 738 |
| 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 | 120 |
| Average Number of Residents per Day | 100.6 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 1 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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