Skilled nursing facility · CMS certification number 145853
CENTRAL BAPTIST VILLAGE
NORRIDGE, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 116
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: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. 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 January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,782,875 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,436,277 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,346,598 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,396,162 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,049,564 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,378,555 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,328,991 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,328,991 (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 | 146 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 53,436 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,216 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,042 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 33,232 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 45,490 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 72 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 8 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 71 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 151 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,130.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 301.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439187, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 20, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,413,975 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,246,219 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,167,756 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,039,549 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,871,793 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,830,290 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,958,497 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,958,497 (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 | 146 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,939 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,211.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 493.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392581, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,762,389 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,492,393 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,269,996 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,939,357 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,669,361 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$567,276 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$6,236,637 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$6,236,637 (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 | 146 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,821 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,001.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 355.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360194, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 4, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,522,468 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,328,480 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,193,988 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,955,904 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,761,916 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,411,494 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,649,578 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,649,578 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,920 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 707.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 338.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1328860, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 20, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,451,855 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $866,832 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,585,023 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,358,108 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$773,085 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,701,392 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,928,307 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,928,307 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,808 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 400.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1302445, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 15, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,413,803 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,589,063 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,824,740 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,108,897 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$284,157 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,929,707 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,645,550 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,645,550 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,987 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 322.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1255571, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,197,236 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,745,907 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,451,329 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,437,335 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $13,994 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$646,134 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$632,140 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$632,140 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,402 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 316.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222921, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 7, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,753,468 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,693,215 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,060,253 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,867,984 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $192,269 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,125,583 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,317,852 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,317,852 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,930 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 334 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 149.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1220699, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 31, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,084,399 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,906,421 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,177,978 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,164,002 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $13,976 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,460,067 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,474,043 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,474,043 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,447 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 485 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 101.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1158630, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 21, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,662,050 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,227,292 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,434,758 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,820,985 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$8,386,227 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,041,671 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,655,444 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,655,444 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,923 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 197 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 243.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1130876, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 30, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,138,641 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,178,634 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,960,007 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,280,212 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,320,205 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,347,429 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $27,224 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $27,224 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,932 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 565.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1100699, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 5, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,869,789 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,307,255 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,562,534 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,879,514 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,316,980 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,324,519 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $7,539 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $7,539 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,174 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 384.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1113957, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,876,985 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $8,876,985 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,282,100 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,405,115 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,550,737 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,145,622 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,145,622 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,263 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 290.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042327, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 13, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,867,267 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $8,867,267 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,847,186 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,979,919 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,925,071 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,054,848 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,751,705 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,681 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 407.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1052312, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 23, 2011.
None of these figures is carried on this report.
CMS report record 416089, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2010.
None of these figures is carried on this report.
CMS report record 385855, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2009.
None of these figures is carried on this report.
CMS report record 358276, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 7, 2008.
None of these figures is carried on this report.
CMS report record 323203, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 21, 2007.
None of these figures is carried on this report.
CMS report record 299204, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 8, 2006.
None of these figures is carried on this report.
CMS report record 265919, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 9, 2006.
None of these figures is carried on this report.
CMS report record 244723, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 4, 2005.
Net income: $2,228,028 (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.
CMS report record 215856, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 19, 2004.
Net income: −$1,489,586 (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.
CMS report record 171257, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,035,524 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,488,548 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$3,453,024 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,506,210 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,946,814 (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 | 153 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,083 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 157 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 313.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 248.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 131129, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,927,446 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,134,129 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,206,683 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,689,838 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $483,155 (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 | 153 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,128 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 109.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 314.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 260.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 114632, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 13, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,929,853 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,401,832 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$471,979 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,164,850 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $3,692,871 (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 | 151 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,969 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 207 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 290.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 236.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17167, read from the public cost report file SNFFY1999.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 |
|---|---|---|---|---|
| ALTMAN, LORI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/23/2009 |
| DALTON, MARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/05/2022 |
| KOO, KEVIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/02/2021 |
| LACROIX, ANNA-LIISA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/11/2023 |
| RAGSDALE, JON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/23/2023 |
| SIMANIS, GUNDARS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/30/2023 |
| WOLTER, MARLENE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/05/2008 |
| ANDREWS, DANIEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/03/2023 |
| COBAN, MARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2008 |
| DUNNE BERNARDI, JUDITH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2003 |
| GUSTAFSON, RICHARD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/16/2015 |
| JOHNSON, CAROLYN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2013 |
| LEEPER, CONNIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2006 |
| MCGOVERN, RAYMOND | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/1996 |
| SALVADOR, CARLO | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2009 |
| SCHILL, JOSEPH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/21/2022 |
| SIMANIS, GUNDARS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/30/2023 |
| WHITESELL, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/21/2021 |
| WITT, DANIEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/18/2019 |
| WOLTER, MARLENE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/05/2008 |
| DALTON, MARY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/05/2022 |
| LACROIX, ANNA-LIISA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/11/2023 |
| ALTMAN, LORI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/23/2009 |
| DALTON, MARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/05/2022 |
| KOO, KEVIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/02/2021 |
| LACROIX, ANNA-LIISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/11/2023 |
| RAGSDALE, JON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/23/2023 |
| SIMANIS, GUNDARS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/30/2023 |
| WOLTER, MARLENE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/05/2008 |
| ANDREWS, DANIEL | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 04/03/2023 |
| COBAN, MARY | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2008 |
| DUNNE BERNARDI, JUDITH | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2003 |
| GUSTAFSON, RICHARD | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 03/16/2015 |
| JOHNSON, CAROLYN | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2013 |
| LEEPER, CONNIE | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2006 |
| MCGOVERN, RAYMOND | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/1996 |
| SALVADOR, CARLO | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2009 |
| SCHILL, JOSEPH | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 03/21/2022 |
| WHITESELL, ROBERT | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 06/21/2021 |
| WITT, DANIEL | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 03/18/2019 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CENTRAL BAPTIST HOME FOR THE AGED (enrollment ID O20111230000584).
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 |
|---|---|---|---|---|---|
| ANNA-LIISA LACROIX | Individual | ADP OF THE SNF | Not stated in the filing | 12/11/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GUNDARS SIMANIS | Individual | ADP OF THE SNF | Not stated in the filing | 10/30/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JON RAGSDALE | Individual | ADP OF THE SNF | Not stated in the filing | 9/23/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN KOO | Individual | ADP OF THE SNF | Not stated in the filing | 8/2/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LORI ALTMAN | Individual | ADP OF THE SNF | Not stated in the filing | 11/23/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARLENE WOLTER | Individual | ADP OF THE SNF | Not stated in the filing | 5/5/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY DALTON | Individual | ADP OF THE SNF | Not stated in the filing | 7/5/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/28/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/28/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/28/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/28/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/28/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/28/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/28/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/28/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/28/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 4/28/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CARLO SALVADOR | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROLYN J JOHNSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CONNIE LEEPER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL A WITT | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/18/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL SHAWN ANDREWS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 4/3/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GUNDARS SIMANIS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/30/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH M SCHILL | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/21/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUDITH DUNNE BERNARDI | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARLENE WOLTER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/5/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY COBAN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAYMOND MCGOVERN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/1996 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD W GUSTAFSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/16/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT WHITESELL | Individual | CORPORATE DIRECTOR | Not stated in the filing | 6/21/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY DALTON | Individual | CORPORATE OFFICER | Not stated in the filing | 7/5/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANNA-LIISA LACROIX | Individual | OFFICER | Not stated in the filing | 12/11/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANNA-LIISA LACROIX | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/11/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GUNDARS SIMANIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/30/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JON RAGSDALE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/23/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN KOO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/2/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LORI ALTMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/23/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARLENE WOLTER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/5/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY DALTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/5/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARLO SALVADOR | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROLYN J JOHNSON | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 3/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CONNIE LEEPER | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL A WITT | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 3/18/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL SHAWN ANDREWS | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 4/3/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH M SCHILL | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 3/21/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUDITH DUNNE BERNARDI | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY COBAN | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAYMOND MCGOVERN | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/1996 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD W GUSTAFSON | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 3/16/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT WHITESELL | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 6/21/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2025: KEVIN KOO no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LORI ALTMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JULIE ADAMS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JON RAGSDALE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PAUL ODLYZKO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JUDITH DUNNE BERNARDI (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARY COBAN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KEVIN KOO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KEVIN KOO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DANIEL A WITT (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CAROLYN J JOHNSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RICHARD W GUSTAFSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 16, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ROBERT WHITESELL (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 21, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LORI ALTMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 23, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LORI ALTMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 23, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DANIEL SHAWN ANDREWS (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ANNA-LIISA LACROIX (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOSEPH M SCHILL (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GUNDARS SIMANIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GUNDARS SIMANIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GUNDARS SIMANIS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARLENE WOLTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 5, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARLENE WOLTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 5, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARLENE WOLTER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 5, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARY DALTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since July 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARY DALTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since July 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARY DALTON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since July 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JON RAGSDALE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JON RAGSDALE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RAYMOND MCGOVERN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 1996. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CONNIE LEEPER (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2006. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CARLO SALVADOR (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- November 1, 2024: FRED FOLKERTS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- February 1, 2024: DAWN Z MONDSCHEIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: DAWN Z MONDSCHEIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: KEVIN KOO (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since August 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: ANNA-LIISA LACROIX (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since December 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: ANNA-LIISA LACROIX (OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since December 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: JON RAGSDALE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since September 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- June 15, 2023: DANIEL SHAWN ANDREWS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 15, 2023; associated with this enrollment since April 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
Recent changes on this record
- September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 1, 2025: KEVIN KOO no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LORI ALTMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JULIE ADAMS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JON RAGSDALE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PAUL ODLYZKO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JUDITH DUNNE BERNARDI (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARY COBAN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KEVIN KOO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KEVIN KOO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DANIEL A WITT (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CAROLYN J JOHNSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RICHARD W GUSTAFSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 16, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ROBERT WHITESELL (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 21, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LORI ALTMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 23, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LORI ALTMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 23, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DANIEL SHAWN ANDREWS (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 3, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ANNA-LIISA LACROIX (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOSEPH M SCHILL (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GUNDARS SIMANIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GUNDARS SIMANIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GUNDARS SIMANIS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARLENE WOLTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 5, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARLENE WOLTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 5, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARLENE WOLTER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 5, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARY DALTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since July 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARY DALTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since July 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARY DALTON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since July 5, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JON RAGSDALE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JON RAGSDALE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RAYMOND MCGOVERN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 1996. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CONNIE LEEPER (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2006. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CARLO SALVADOR (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2009. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- November 1, 2024: FRED FOLKERTS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- August 20, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- February 1, 2024: DAWN Z MONDSCHEIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: DAWN Z MONDSCHEIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: KEVIN KOO (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since August 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: ANNA-LIISA LACROIX (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since December 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 8, 2025 | August 15, 2024 | 8 | 9 |
| 2 | August 15, 2024 | September 7, 2023 | 6 | 6 |
| 3 | September 7, 2023 | October 6, 2022 | 7 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
21 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 15, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Yes | Deficient, Provider has date of correction | July 7, 2026 |
| August 8, 2025 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | No | Deficient, Provider has date of correction | August 22, 2025 |
| August 8, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | August 27, 2025 |
| August 8, 2025 | 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 | August 25, 2025 |
| August 8, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | August 27, 2025 |
| August 8, 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. | D | No | Deficient, Provider has date of correction | August 27, 2025 |
| August 8, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | August 22, 2025 |
| August 8, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | August 27, 2025 |
| January 2, 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 | January 10, 2025 |
| August 15, 2024 | 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 | August 29, 2024 |
| August 15, 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | September 4, 2024 |
| August 15, 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 | August 29, 2024 |
| August 15, 2024 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | No | Deficient, Provider has date of correction | August 29, 2024 |
| August 15, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | August 23, 2024 |
| September 7, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | October 20, 2023 |
| September 7, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | September 29, 2023 |
| September 7, 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 | October 20, 2023 |
| September 7, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | October 20, 2023 |
| September 7, 2023 | 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 | September 21, 2023 |
| September 7, 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. | E | No | Deficient, Provider has date of correction | October 20, 2023 |
| September 7, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | October 20, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Church related |
| Legal Business Name | CENTRAL BAPTIST HOME FOR THE AGED |
| Date First Approved to Provide Medicare and Medicaid Services | 1996-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Cook |
| Telephone Number | 7085838500 |
| 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 | 116 |
| Average Number of Residents per Day | 86.1 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on CENTRAL BAPTIST VILLAGE: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for CENTRAL BAPTIST VILLAGE
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Illinois at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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- PARSONS CO INC, ROANOKE Air emission source
- EVERGREEN FS INC, ROANOKE Air emission source
- ROANOKE FARMERS ASSN, ROANOKE Air emission source
- EUREKA-GOODFIELD FIRE PROTECTION DISTRICT, EUREKA Air emission source
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