Skilled nursing facility · CMS certification number 146107
VI AT THE GLEN
GLENVIEW, Illinois · Medicare
Certified beds, as filed in Care Compare: 47
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 June 25, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,217,684 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,919,927 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,297,757 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,076,516 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,778,759 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,768,534 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $19,989,775 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,079,429 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 17,202 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,524 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 13,896 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 15,420 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 38 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 58 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 160.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1430027, 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 July 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,624,259 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,914,113 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,710,146 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,479,290 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,769,144 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,813,876 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $19,044,732 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,898,211 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,557 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 185.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1388829, 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 August 2, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,297,009 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,698,349 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,598,660 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,533,853 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,935,193 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,917,369 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $16,982,176 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,450,880 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,549 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 163.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360691, 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 September 19, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,943,290 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,171,099 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,772,191 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,891,270 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,119,079 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $28,255,733 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $16,136,654 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,304,546 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,432 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 156.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332696, 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 September 21, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,745,309 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,700,301 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,045,008 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,544,821 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,499,813 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,618,320 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $15,118,507 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $312,709 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,227 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 129.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1300658, 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 July 17, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,454,128 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,028,641 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,425,487 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,908,519 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,483,032 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,550,069 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $15,067,037 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $539,165 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,329 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 89.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1260106, 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 August 13, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,282,128 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,762,542 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,519,586 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,229,000 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,709,414 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,507,230 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $14,797,816 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,130,768 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,242 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 121.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240534, 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 August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,513,452 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,763,644 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,749,808 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,124,277 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,374,469 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,188,353 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $13,813,884 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $291,474 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,396 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 104 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 157.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208061, 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 August 15, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,855,064 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,374,570 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,480,494 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,790,494 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,310,000 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,391,069 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $15,081,069 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,448,051 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,420 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 127 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 129.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1173368, 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 August 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,695,768 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,892,225 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,803,543 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,891,097 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$8,087,554 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,798,781 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $13,711,227 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $918,848 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,557 | 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 | 34.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 115.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141978, 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 July 29, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,389,257 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,823,950 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,565,307 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,820,852 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,255,545 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,093,657 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $14,838,112 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,412,788 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,860 | 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 | 26.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 149.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1106024, 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 July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,797,435 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,733,465 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,063,970 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,581,452 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,517,482 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,971,549 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $13,454,067 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,100,484 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,275 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 163.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1072854, 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 | $8,147,208 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,380,838 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,766,370 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,106,384 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,340,014 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,394,727 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $12,054,713 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,230,332 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,564 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 205.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042330, 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 November 5, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,011,420 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,990,929 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,020,491 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,653,660 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,633,169 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,827,596 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $13,194,427 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,416,269 (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 | 38 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,649 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 52 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 262.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1018663, 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 22, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,771,138 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,715,555 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,944,417 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,827,981 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $11,869,313 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,014,251 (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 | 38 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,376 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 59 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 226.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 416063, 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, as submitted, processed by CMS on January 13, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,478,337 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,673,098 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,194,761 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,191,459 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,605,729 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $390,969 (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 | 38 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,745 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 67 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 190.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392584, 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 July 28, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,544,694 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,026,138 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$7,481,444 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,977,077 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,181,034 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$685,401 (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 | 38 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,005 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 163 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 73.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 352943, 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 January 30, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,993,235 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,655,856 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$9,662,621 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,133,866 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,103,057 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$1,631,812 (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 | 38 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,133 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 94.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 332973, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for November 8, 2006 to December 31, 2006 — a reporting period of 53 days, not a full year, on form CMS-2540-96, settled, processed by CMS on November 27, 2007.
None of these figures is carried on this report.
CMS report record 296929, read from the public cost report file SNFFY2007.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 |
|---|---|---|---|---|
| CC DEVELOPMENT GROUP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/15/2006 |
| MARGOT AND TOM PRITZKER FOUNDATION | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 10% | since 05/22/2025 |
| P. G. - DANIEL TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 5% | since 01/01/2012 |
| P. G. - DON #3 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 5% | since 01/01/2012 |
| P. G. - JIM TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 5% | since 01/01/2012 |
| P. G. - JOHNNY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 5% | since 01/01/2012 |
| P. G. - KAREN TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 9% | since 01/01/2012 |
| P. G. - LINDA TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 5% | since 01/01/2012 |
| P. G. - NICHOLAS TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 6% | since 01/01/2012 |
| P. G. - TONY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 5% | since 01/01/2012 |
| PRITZKER PUCKER FAMILY FOUNDATION NO. 2 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 9% | since 05/22/2025 |
| ALI, MANSOOR | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/15/2024 |
| CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/18/2025 |
| COPE, TARA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2018 |
| EVRAETS, MELISSA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2020 |
| KOSZYLKO, TOMEK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/15/2018 |
| MASLOW, CARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2019 |
| MUSZYNSKI, THOMAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2022 |
| SCHROEDER, CARRIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/07/2022 |
| SMITH, GARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2022 |
| WATSON, SARAH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/29/2024 |
| WILLIAMS, BRIDGET | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2022 |
| MUSZYNSKI, THOMAS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2022 |
| POORMAN, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/15/2006 |
| SMITH, GARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2012 |
| COPE, TARA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/01/2018 |
| MUSZYNSKI, THOMAS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/01/2022 |
| POORMAN, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/15/2006 |
| SMITH, GARY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/01/2022 |
| ALI, MANSOOR | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/15/2024 |
| ANTAL, CLAUDIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/30/2023 |
| CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/15/2006 |
| EVRAETS, MELISSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2020 |
| KOSZYLKO, TOMEK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/15/2018 |
| MASLOW, CARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2019 |
| SCHROEDER, CARRIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/07/2022 |
| WATSON, SARAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/29/2024 |
| WILLIAMS, BRIDGET | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CC LAKE INC (enrollment ID O20060710000268).
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 |
|---|---|---|---|---|---|
| CC-DEVELOPMENT GROUP, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/15/2006 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARGOT AND TOM PRITZKER FOUNDATION | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10.24 | 5/22/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| P. G. - DANIEL TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5.42 | 1/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| P. G. - DON #3 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5.42 | 1/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| P. G. - JIM TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5.42 | 1/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| P. G. - JOHNNY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5.42 | 1/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| P. G. - KAREN TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8.82 | 1/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| P. G. - LINDA TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5.42 | 1/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| P. G. - NICHOLAS TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5.99 | 1/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| P. G. - TONY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5.42 | 1/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| PRITZKER PUCKER FAMILY FOUNDATION NO. 2 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8.63 | 5/22/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRIDGET WILLIAMS | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARRIE SCHROEDER | Individual | ADP OF THE SNF | Not stated in the filing | 11/7/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARY MASLOW | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP | Organization | ADP OF THE SNF | Not stated in the filing | 9/18/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| GARY SMITH | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MANSOOR SYED ALI | Individual | ADP OF THE SNF | Not stated in the filing | 7/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MELISSA G EVRAETS | Individual | ADP OF THE SNF | Not stated in the filing | 8/31/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SARAH WATSON | Individual | ADP OF THE SNF | Not stated in the filing | 7/29/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TARA COPE | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS J MUSZYNSKI | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TOMEK KOSZYLKO | Individual | ADP OF THE SNF | Not stated in the filing | 10/15/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2019 | 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 | 9/18/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2024 | 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 | 9/18/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| GARY SMITH | Individual | CORPORATE DIRECTOR | 0 | 1/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN POORMAN | Individual | CORPORATE DIRECTOR | 0 | 5/15/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS J MUSZYNSKI | Individual | CORPORATE DIRECTOR | 0 | 6/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARY SMITH | Individual | CORPORATE OFFICER | 0 | 6/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN POORMAN | Individual | CORPORATE OFFICER | 0 | 5/15/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TARA COPE | Individual | CORPORATE OFFICER | 0 | 6/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS J MUSZYNSKI | Individual | CORPORATE OFFICER | 0 | 6/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRIDGET WILLIAMS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARRIE SCHROEDER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/7/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARY MASLOW | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/15/2006 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLAUDIA ANTAL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/30/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MANSOOR SYED ALI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MELISSA G EVRAETS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SARAH WATSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/29/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TOMEK KOSZYLKO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/15/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2026: CC DEVELOPMENT GROUP LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- May 1, 2026: P. G. - TOM TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PAMELA LAMB no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BRIDGET WILLIAMS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: P. G. - JEAN TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CARRIE SCHROEDER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SARAH WATSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 29, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SARAH WATSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 29, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since September 18, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: GARY SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since June 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MELISSA G EVRAETS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 31, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MELISSA G EVRAETS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 31, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CLAUDIA ANTAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PRITZKER PUCKER FAMILY FOUNDATION NO. 2 (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MARGOT AND TOM PRITZKER FOUNDATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MANSOOR SYED ALI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MANSOOR SYED ALI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BRIDGET WILLIAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BRIDGET WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: TARA COPE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since June 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: TOMEK KOSZYLKO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 15, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: TOMEK KOSZYLKO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 15, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: THOMAS J MUSZYNSKI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since June 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CARRIE SCHROEDER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CARRIE SCHROEDER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CARY MASLOW (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CARY MASLOW (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 15, 2023: STEVEN DALE FOWLER 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: BRIDGET WILLIAMS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since December 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: CARRIE SCHROEDER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
Recent changes on this record
- September 1, 2026: CC DEVELOPMENT GROUP LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- May 1, 2026: P. G. - TOM TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PAMELA LAMB no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BRIDGET WILLIAMS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: P. G. - JEAN TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CARRIE SCHROEDER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SARAH WATSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 29, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SARAH WATSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 29, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since September 18, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: GARY SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since June 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MELISSA G EVRAETS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 31, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MELISSA G EVRAETS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 31, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CLAUDIA ANTAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: PRITZKER PUCKER FAMILY FOUNDATION NO. 2 (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MARGOT AND TOM PRITZKER FOUNDATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MANSOOR SYED ALI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MANSOOR SYED ALI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BRIDGET WILLIAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BRIDGET WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: TARA COPE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since June 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: TOMEK KOSZYLKO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 15, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: TOMEK KOSZYLKO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 15, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: THOMAS J MUSZYNSKI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since June 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CARRIE SCHROEDER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CARRIE SCHROEDER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CARY MASLOW (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CARY MASLOW (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- June 25, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 19, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 2, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- May 15, 2023: STEVEN DALE FOWLER 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: BRIDGET WILLIAMS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since December 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: CARRIE SCHROEDER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since November 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- September 19, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 21, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- July 17, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 13, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 15, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 26, 2025 | June 26, 2025 | 0 | 0 |
| 2 | June 13, 2024 | June 13, 2024 | 2 | 5 |
| 3 | August 25, 2023 | August 25, 2023 | 4 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
6 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 13, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | No | Deficient, Provider has date of correction | July 30, 2024 |
| June 13, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | No | Deficient, Provider has date of correction | July 30, 2024 |
| August 25, 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | No | Deficient, Provider has date of correction | October 2, 2023 |
| August 25, 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 2, 2023 |
| August 25, 2023 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | October 2, 2023 |
| August 25, 2023 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | October 2, 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 |
| Ownership Type | For profit - Corporation |
| Legal Business Name | CC LAKE INC |
| Date First Approved to Provide Medicare and Medicaid Services | 2006-11-08 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Cook |
| Telephone Number | 8479044700 |
| Chain Name | VI LIVING |
| Chain ID | 548 |
| 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 | 47 |
| Average Number of Residents per Day | 35.8 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| 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 VI AT THE GLEN: 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 June 25, 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 VI AT THE GLEN
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Illinois at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in Illinois
- MCGILL INC, MARENGO Water discharge permit
- CUNNINGHAM CIRCUIT ETCHING, ADDISON Water discharge permit
- BASIC ELECTRONIC MFG. CORP., UNKNOWN Water discharge permit
- TRIAD CIRCUITS, ROUND LAKE Water discharge permit
- ACP METAL FINISHING, MILLSTADT Water discharge permit
- DERINGER MFG, MUNDELEIN Water discharge permit
- LAWRENCE BROTHERS INCORPORATED, STERLING Water discharge permit
- SCIENTIFIC CONTROL LABORATORIES, CHICAGO Water discharge permit
- SOLID ROCK FOUNDATIONS INC, EAST PEORIA Air emission source
- VERSA PRESS INC, EAST PEORIA Air emission source
- ROANOKE CONCRETE PRODUCTS CO, EAST PEORIA Air emission source
- BRADS AUTOBODY, ROANOKE Air emission source
- PARSONS CO INC, ROANOKE Air emission source
- EVERGREEN FS INC, ROANOKE Air emission source
- ROANOKE FARMERS ASSN, ROANOKE Air emission source
- EUREKA-GOODFIELD FIRE PROTECTION DISTRICT, EUREKA Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 146107.