Skilled nursing facility · CMS certification number 146155
PARK PLACE CHRISTIAN COMMUNITY
ELMHURST, Illinois · Medicare
Certified beds, as filed in Care Compare: 37
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 | $5,763,751 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $498,305 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,265,446 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,962,862 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,697,416 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,697,416 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,697,416 (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 | 37 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 13,542 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,850 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 10,139 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 12,989 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 144 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 43 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 187 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 69.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439011, 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 | $6,233,396 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $816,604 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,416,792 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,911,403 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,494,611 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$1,494,611 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,494,611 (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 | 37 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,817 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 267 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392588, 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 September 9, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,816,948 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,081,684 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,735,264 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,098,846 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,363,582 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,085,609 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$277,973 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$277,973 (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 | 37 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,464 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 426 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 29.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364102, 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 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,298,265 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,935,480 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,362,785 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,998,073 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,635,288 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $393,419 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,241,869 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,241,869 (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 | 37 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,898 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 475 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 25.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332149, 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 November 11, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,975,698 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,195,153 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,780,545 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,733,671 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,953,126 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,610,310 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$342,816 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$342,816 (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 | 37 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,001 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 531 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 20.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304229, 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 November 17, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,953,936 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,912,631 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,041,305 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,775,896 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,734,591 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $123,197 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,611,394 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,611,394 (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 | 37 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,480 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 605 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 14.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 20.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1273818, 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 March 5, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,647,258 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,790,935 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,856,323 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,395,449 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,539,126 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,986 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,535,140 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,535,140 (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 | 37 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,918 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 653 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 14.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 18.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251906, 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 | $7,796,032 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,978,808 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,817,224 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,512,964 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$695,740 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $605 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$695,135 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$695,135 (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 | 37 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,239 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 557 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 21.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208511, 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 September 8, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,951,074 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $96,502 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,854,572 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,494,934 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,640,362 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,810 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,624,552 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,624,552 (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 | 37 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,090 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 613 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 19.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1175498, 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 September 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,590,163 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $108,072 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,482,091 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,051,020 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,568,929 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,764 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,557,165 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,638,455 (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 | 37 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,863 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 496 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 23.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143114, 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 August 15, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,909,239 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,996,973 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,912,266 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,916,331 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,004,065 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,667 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,997,398 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,997,398 (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 | 37 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,337 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 575 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 21.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108012, 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 24, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,522,237 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,059,314 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,462,923 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,817,641 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$354,718 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,546 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$353,172 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$353,172 (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 | 37 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,727 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 576 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 20.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1073408, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for November 9, 2012 to December 31, 2012 — a reporting period of 52 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 13, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $337,012 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $170,503 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $166,509 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $922,889 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$756,380 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$756,356 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$756,356 (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 | 37 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 1,069 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 38 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 28.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046148, read from the public cost report file SNF10FY2013.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 |
|---|---|---|---|---|
| REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/05/2004 |
| DE YOUNG, WILLIAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| PUDWILL, CASEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/09/2025 |
| REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/23/2012 |
| YUNEZ, KARIM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/09/2025 |
| ZANDSTRA, JOHANNA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/21/2012 |
| BREEMS, TIM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2025 |
| BUIKEMA, PAUL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2024 |
| DAMSTRA, EDWARD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/02/2022 |
| DEGRAFF, DAVE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2025 |
| FEENSTRA, THEODORE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/02/2022 |
| JABAAY, PATRICIA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/02/2022 |
| KATS, STEVEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/11/2025 |
| KOLDENHOVEN, ARNOLD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2024 |
| LEO, GARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2024 |
| PETROELJE, ROB | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2025 |
| VAN ESSEN, DARREN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/02/2022 |
| VAN SOLKEMA, KEVIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/11/2025 |
| VOSS, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/02/2022 |
| WOO, ERIC | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2024 |
| YONKER, KYLE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2024 |
| ZANDSTRA, JOHANNA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/21/2012 |
| DE YOUNG, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| PUDWILL, CASEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/27/2025 |
| VANDERGENUGTEN, BARRY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2012 |
| YUNEZ, KARIM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2024 |
| ZANDSTRA, JOHANNA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/21/2012 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of TIMOTHY PLACE, NFP (enrollment ID O20120914000107).
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 |
|---|---|---|---|---|---|
| REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/5/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| CASEY RYAN PUDWILL | Individual | ADP OF THE SNF | Not stated in the filing | 6/9/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHANNA ZANDSTRA | Individual | ADP OF THE SNF | Not stated in the filing | 8/21/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KARIM S YUNEZ | Individual | ADP OF THE SNF | Not stated in the filing | 6/9/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME | Organization | ADP OF THE SNF | Not stated in the filing | 8/23/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILLIAM ROGER DE YOUNG | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | 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 | 1/16/2026 | 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 | 10/3/2016 | 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 | 8/1/2005 | 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 | 7/26/1999 | 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 | 6/2/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ARNOLD KOLDENHOVEN | Individual | CORPORATE DIRECTOR | 0 | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DARREN VAN ESSEN | Individual | CORPORATE DIRECTOR | 0 | 4/2/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVE DEGRAFF | Individual | CORPORATE DIRECTOR | 0 | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID VOSS | Individual | CORPORATE DIRECTOR | 0 | 4/2/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EDWARD DAMSTRA | Individual | CORPORATE DIRECTOR | 0 | 4/2/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIC M WOO | Individual | CORPORATE DIRECTOR | 0 | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARY W LEO | Individual | CORPORATE DIRECTOR | 0 | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN VAN SOLKEMA | Individual | CORPORATE DIRECTOR | 0 | 4/11/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KYLE YONKER | Individual | CORPORATE DIRECTOR | 0 | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICIA L JABAAY | Individual | CORPORATE DIRECTOR | 0 | 4/2/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL BUIKEMA | Individual | CORPORATE DIRECTOR | 0 | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROB PETROELJE | Individual | CORPORATE DIRECTOR | 0 | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN KATS | Individual | CORPORATE DIRECTOR | 0 | 4/11/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THEODORE EARLE FEENSTRA | Individual | CORPORATE DIRECTOR | 0 | 4/2/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIM BREEMS | Individual | CORPORATE DIRECTOR | 0 | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHANNA ZANDSTRA | Individual | CORPORATE OFFICER | 0 | 8/21/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BARRY VANDERGENUGTEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CASEY RYAN PUDWILL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/27/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHANNA ZANDSTRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/21/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KARIM S YUNEZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM ROGER DE YOUNG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | 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 | TRUSTEE OF THE SNF | Not stated in the filing | 4/1/2025 | 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 | TRUSTEE OF THE SNF | Not stated in the filing | 4/1/2025 | 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 | TRUSTEE OF THE SNF | Not stated in the filing | 4/1/2025 | 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 | TRUSTEE OF THE SNF | Not stated in the filing | 4/1/2025 | 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 | TRUSTEE OF THE SNF | Not stated in the filing | 4/1/2025 | 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 | TRUSTEE OF THE SNF | Not stated in the filing | 4/1/2025 | 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 | TRUSTEE OF THE SNF | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- March 1, 2026: KAREN HUIZENGA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAVID TIEMERSMA no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAVID TIEMERSMA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KENNETH ALAN HOVING no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KEVIN VAN SOLKEMA (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: WILLIAM ROGER DE YOUNG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: WILLIAM ROGER DE YOUNG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 16, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: STEVEN KATS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KARIM S YUNEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since June 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KARIM S YUNEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JOHANNA ZANDSTRA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 21, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JOHANNA ZANDSTRA (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 21, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CASEY RYAN PUDWILL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since June 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CASEY RYAN PUDWILL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: A listing under TRUSTEE OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- February 1, 2025: WILLIAM ZANDSTRA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: EMILY MCMASTER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: SHERYL HAMMER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ROGER BOEREMA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ELIJAH HEYBOER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JACOB J GROENEWOLD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: PAUL KATS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DAVE DEGRAFF (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ROB PETROELJE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ARNOLD KOLDENHOVEN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: GARY W LEO (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KYLE YONKER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: TIM BREEMS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ERIC M WOO (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DAVID TIEMERSMA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DAVID TIEMERSMA (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since March 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- October 31, 2022: ROBERT WORKMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JUSTIN KATS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: DON VAN DYK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: RICH VANHATTEM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: LUCETTE BAMFORD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: SHELLY R SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: AL DIEPSTRA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: PATRICIA L JABAAY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since April 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: WILLIAM ZANDSTRA (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since April 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: EMILY MCMASTER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since April 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: KAREN HUIZENGA (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since April 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: SHERYL HAMMER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since April 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: DAVID VOSS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since April 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ROGER BOEREMA (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since April 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ELIJAH HEYBOER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since April 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JACOB J GROENEWOLD (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since April 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: EDWARD DAMSTRA (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since April 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: THEODORE EARLE FEENSTRA (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since April 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: PAUL KATS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since April 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: PAUL BUIKEMA (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since April 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: DARREN VAN ESSEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since April 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: KENNETH ALAN HOVING (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since April 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- March 1, 2026: KAREN HUIZENGA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAVID TIEMERSMA no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAVID TIEMERSMA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KENNETH ALAN HOVING no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KEVIN VAN SOLKEMA (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: WILLIAM ROGER DE YOUNG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: WILLIAM ROGER DE YOUNG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 16, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: STEVEN KATS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KARIM S YUNEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since June 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KARIM S YUNEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JOHANNA ZANDSTRA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 21, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JOHANNA ZANDSTRA (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 21, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CASEY RYAN PUDWILL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since June 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CASEY RYAN PUDWILL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: A listing under TRUSTEE OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- February 1, 2025: WILLIAM ZANDSTRA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: EMILY MCMASTER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: SHERYL HAMMER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ROGER BOEREMA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ELIJAH HEYBOER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JACOB J GROENEWOLD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: PAUL KATS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DAVE DEGRAFF (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ROB PETROELJE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ARNOLD KOLDENHOVEN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: GARY W LEO (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KYLE YONKER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: TIM BREEMS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ERIC M WOO (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DAVID TIEMERSMA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DAVID TIEMERSMA (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since March 24, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- August 20, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 9, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- October 31, 2022: ROBERT WORKMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JUSTIN KATS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: DON VAN DYK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: RICH VANHATTEM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 25, 2025 | April 25, 2025 | 4 | 4 |
| 2 | May 2, 2024 | May 2, 2024 | 2 | 4 |
| 3 | June 8, 2023 | June 8, 2023 | 2 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
8 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 25, 2025 | 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 | April 26, 2025 |
| April 25, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | April 26, 2025 |
| April 25, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | April 26, 2025 |
| April 25, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | April 26, 2025 |
| September 22, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | September 23, 2024 |
| May 2, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | May 3, 2024 |
| September 28, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | September 29, 2023 |
| June 8, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 9, 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 | Non profit - Corporation |
| Legal Business Name | TIMOTHY PLACE, NFP |
| Date First Approved to Provide Medicare and Medicaid Services | 2012-11-09 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Du Page |
| Telephone Number | 6309364100 |
| 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 | 37 |
| Average Number of Residents per Day | 35.1 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| 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 PARK PLACE CHRISTIAN COMMUNITY: 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.
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The citable document for PARK PLACE CHRISTIAN COMMUNITY
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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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 146155.