Velarion Records

Skilled nursing facility · CMS certification number 165152

Harmony House Health Care Center

Waterloo, Iowa · Medicare and Medicaid

Certified beds, as filed in Care Compare: 65

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.

CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)

In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $31,736.00 · Payment denials: 0. The most recent penalty on file: March 25, 2026, Fine, $31,736. 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 August 15, 2024 to December 31, 2024 — a reporting period of 138 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 11, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$6,956,127CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,567,607CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,388,520CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,105,110CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$283,410CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$662CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$284,072CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $284,072 (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%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components65CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components9,035CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days69CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days6,040CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days386CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components6,495CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges1CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges32CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges26CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components59CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days69CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days188.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days110.08CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1439014, 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 27, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$13,842,720CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,246,715CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,596,005CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,272,434CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$676,429CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$73,367CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$603,062CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$603,062 (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%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,389CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components70CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days7CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days391.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1393156, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 14, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$13,927,399CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$13,927,399CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,772,085CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$3,155,314CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$27,249CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,182,563CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,182,563 (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%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,225CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components104CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days123.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days281.01CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1358435, 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.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$11,579,858CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$11,579,858CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,578,554CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,001,304CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$44,965CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,046,269CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,046,269 (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%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,532CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components38CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,705.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days803.47CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1331489, 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 January 28, 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$11,661,951CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$11,661,951CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,144,957CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$483,006CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$392,016CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$90,990CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$90,990 (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%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,233CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components106CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days95.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days742.98CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days322.95CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1309591, 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 June 9, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$5,275,070CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,275,070CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,272,659CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$6,997,589CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$37,147CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$6,960,442CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$6,984,194 (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%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,559CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components65CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days160.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days810.66CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days547.06CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1257185, 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 July 12, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$5,059,978CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,059,978CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,286,993CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$6,227,015CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$30,998CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$6,196,017CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$6,221,185 (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%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,337CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components42CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,457CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days888.98CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1236666, 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 July 19, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$4,487,375CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,487,375CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,284,572CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$6,797,197CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$41,789CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$6,755,408CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$6,755,408 (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%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,552CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components50CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days61.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,091.9CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days711.04CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1200695, 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 June 27, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$4,307,875CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,307,875CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,368,914CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$7,061,039CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$63,226CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$6,997,813CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$6,997,813 (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%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,108CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components57CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days900.9CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days668.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1166368, 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 July 25, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$4,492,184CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,492,184CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,313,269CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$6,821,085CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$102,036CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$6,719,049CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$6,719,049 (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%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,493CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components91CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days667.35CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days412.01CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1137386, 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 27, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$3,857,889CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,857,889CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,243,256CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$7,385,367CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$125,919CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$7,259,448CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$7,259,448 (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%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,590CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components88CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days62.31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days705.1CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days438.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1105530, 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.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$2,496,605CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$2,496,605CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,886,545CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$8,389,940CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$133,458CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$8,256,482CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$8,256,482 (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%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components122CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,157CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components59CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days69.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,179.45CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days646.73CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1072336, 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 August 1, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$2,596,528CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$2,596,528CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,763,758CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$8,167,230CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$179,138CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$7,988,092CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$7,988,092 (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%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components122CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,998CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components96CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days58.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days575.93CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days385.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1044563, 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 October 26, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$7,979,338CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$7,979,338CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,717,842CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,738,504CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$179,022CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,559,482CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,559,482 (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%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components122CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components39,548CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components87CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days454.57CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013684, 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 June 22, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$3,118,061CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,094,973CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$6,976,912CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$191,997CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$6,784,915 (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.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components122CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components41,165CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components80CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days51.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days979.53CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days514.56CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 406926, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended December 31, 2009

Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 14, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$3,471,796CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,749,347CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$6,277,551CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$199,337CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$6,078,214 (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.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components122CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,678CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components71CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.67CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days984.5CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days601.1CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 381216, 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 14, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$3,478,497CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,221,781CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$5,743,284CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$192,798CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$5,550,486 (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.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components122CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,790CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components71CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days28.83CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,184.71CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days602.68CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 349249, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended December 31, 2007

Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 13, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$3,382,662CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,570,547CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$5,187,885CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$234,190CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$4,953,695 (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.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components122CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components43,890CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components73CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days18.44CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,240.67CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days601.23CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 323723, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended December 31, 2006

Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 23, 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$2,845,484CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,406,354CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$5,560,870CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$211,024CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$5,349,846 (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.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components122CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components43,455CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components63CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days64.75CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,171.26CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days689.76CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 306942, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended December 31, 2005

Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 27, 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$2,536,900CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,869,675CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$5,332,775CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$38,158CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$5,294,617 (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.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components122CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,702CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components52CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days96.25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,602.3CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days763.5CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 275905, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended December 31, 2004

Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 26, 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$8,426,077CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,862,658CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$563,419CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$146,743CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $710,162 (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.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components43,712CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components96CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53.7CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days937.72CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days455.33CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 241268, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended December 31, 2003

Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 21, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$7,983,442CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,776,646CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$206,796CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$266,813CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $473,609 (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.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components43,679CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components90CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days81.67CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days995.4CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days485.32CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 205066, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended December 31, 2002

Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 22, 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$7,427,775CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,566,769CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$138,994CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$264,535CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $125,541 (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.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,829CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components58CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days83.17CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,641.67CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days738.43CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 166500, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended December 31, 2001

Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$7,094,512CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,016,672CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$77,840CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$257,454CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $335,294 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components122CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,005CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components44CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days64CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,505.64CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days954.66CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 125356, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended December 31, 2000

Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 18, 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$6,610,478CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,733,632CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$123,154CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$280,625CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $157,471 (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.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components122CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components41,917CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components32CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days27.83CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,675.48CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days1,309.91CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 132599, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended December 31, 1999

Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 23, 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$2,664,000CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,356,424CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$3,692,424CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$253,185CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$3,439,239 (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.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components122CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components41,217CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components37CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days47.17CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,695.9CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days1,113.97CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 598, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended December 31, 1998

Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 25, 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$3,322,674CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,892,164CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$2,569,490CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$209,512CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$2,359,978 (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.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components122CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components40,832CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components40CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,720.45CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days1,020.8CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 597, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended December 31, 1997

Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 30, 2001.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$2,110,409CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,435,687CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$3,325,278CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$205,504CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$3,119,774 (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.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components122CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components40,980CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components63CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days74.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,117.9CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days650.48CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 596, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended December 31, 1996

Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 9, 1998.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$5,122,744CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,171,294CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$48,550CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$165,729CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $117,179 (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.

Beds, days and discharges, fiscal year 1996
FigureAs filedWhere it comes from
Total facility beds, all components122CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components40,952CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components45CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days26.75CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days910.04CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 86697, read from the public cost report file SNFFY1996.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
RAJCHENBACH, CHAIM5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual50%since 08/15/2024
CASCADE CAPITAL HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
CASCADE CAPITAL PARTNERS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
CCG GORGONA LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
GORGONA HOLDCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
GORGONA PROPCO HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
GORGONA SUB HOLDCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
MN8 RH HOLDCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
SHABAT, MENACHEMCORPORATE OFFICERIndividualNOT APPLICABLEsince 08/15/2024
BEASLEY, KARLAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
BEHOUNEK, LINSEYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
BORCHERDING, JENNYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
BURKEN, SHERIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
CUTLER, DARRONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
ELWICK, LISAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
FRIEDENBERG, LAURAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
GEIGER, MARYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
HEDBERG, JENNIFEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
HENNAGER, CHRISTINAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
HEYING, LARINAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
HOUSTON, MINDYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
JAEGER, KRYSTLEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
KNUTSON, MICHELEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
LARSON, MELISSAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 08/15/2024
MCCLURE, DOROTHYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
OTTERBECK, PATRICIAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
RAJCHENBACH, CHAIMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
SCOTT, KATHLEENOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
SEU, JOSHUAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
SHABAT, MENACHEMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
SHEAR, KILEYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
STAUDT, SANDRAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
VAN VEGHEL, ELIZABETHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
WIERSCHEM, BOBBIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
WOOD, ROSEMARYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
WRIGHT, AMYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
FRIEDMAN, BRIANTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 01/03/2012
RAJCHENBACH, AVRUMTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 04/28/2008
RAJCHENBACH, RIVKATRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 04/28/2008
SHABAT, AHUVATRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 01/03/2012

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SHAULIS IA SKILLED NURSING FACILITY LLC (enrollment ID O20240923001415).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
CHAIM RAJCHENBACHIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST508/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
IOWA PORTFOLIO OPCO HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1008/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
DOROS GENERATION TRUST U/A/D 1/3/12Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST58/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
GPN FAMILY TRUST U/A/D 4/28/08Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST688/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
OAKWAY OPERATIONS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST22.58/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
CASCADE CAPITAL HOLDINGS LLCOrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
CASCADE CAPITAL PARTNERS LLCOrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
CCG GORGONA LLCOrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
GORGONA HOLDCO LLCOrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
GORGONA PROPCO HOLDINGS LLCOrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
GORGONA SUB HOLDCO LLCOrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
MN8 RH HOLDCO LLCOrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
MENACHEM SHABATIndividualCORPORATE OFFICERNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
AMY WRIGHTIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BOBBIE WIERSCHEMIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CHAIM RAJCHENBACHIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CHRISTINA HENNAGERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DARRON PAUL CUTLERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DOROTHY MCCLUREIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ELIZABETH VAN VEGHELIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JENNIFER HEDBERGIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JENNY BORCHERDINGIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOSHUA SEUIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KARLA BEASLEYIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KATHLEEN SCOTTIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KILEY SHEARIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KRYSTLE JAEGERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LARINA HEYINGIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAURA FRIEDENBERGIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
LINSEY BEHOUNEKIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LISA ELWICKIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARY GEIGERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MELISSA LARSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MENACHEM SHABATIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MICHELE KNUTSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MINDY HOUSTONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PATRICIA OTTERBECKIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROSEMARY WOODIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SANDRA STAUDTIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHERI BURKENIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
AHUVA SHABATIndividualTRUSTEE OF THE SNFNot stated in the filing1/3/2012
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
AVRUM RAJCHENBACHIndividualTRUSTEE OF THE SNFNot stated in the filing4/28/2008
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BRIAN FRIEDMANIndividualTRUSTEE OF THE SNFNot stated in the filing1/3/2012
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RIVKA RAJCHENBACHIndividualTRUSTEE OF THE SNFNot stated in the filing4/28/2008
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1August 6, 2025August 6, 2025320
2September 12, 2024September 12, 202451
3June 22, 2023June 22, 202310

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

38 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
June 30, 2026HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DYesDeficient, Provider has date of correctionJuly 30, 2026
June 30, 2026HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correctionJuly 30, 2026
June 30, 2026HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EYesDeficient, Provider has date of correctionJuly 30, 2026
June 30, 2026HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.EYesDeficient, Provider has date of correctionJuly 30, 2026
June 30, 2026HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DYesDeficient, Provider has date of correctionJuly 30, 2026
May 18, 2026HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.DYesDeficient, Provider has date of correctionMay 27, 2026
May 18, 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DYesDeficient, Provider has date of correctionMay 27, 2026
May 18, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionMay 27, 2026
March 25, 2026HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correctionApril 16, 2026
March 25, 2026HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correctionApril 16, 2026
March 25, 2026HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correctionApril 16, 2026
March 25, 2026HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correctionApril 16, 2026
March 25, 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionApril 16, 2026
March 25, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionApril 16, 2026
March 25, 2026HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.GYesDeficient, Provider has date of correctionApril 16, 2026
March 25, 2026HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DYesDeficient, Provider has date of correctionApril 16, 2026
March 25, 2026HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EYesDeficient, Provider has date of correctionApril 16, 2026
March 25, 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correctionApril 16, 2026
March 25, 2026HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correctionApril 16, 2026
August 6, 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correctionSeptember 15, 2025
August 6, 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DYesDeficient, Provider has date of correctionSeptember 15, 2025
August 6, 2025HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DYesDeficient, Provider has date of correctionAugust 7, 2025
August 6, 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DNoDeficient, Provider has date of correctionSeptember 9, 2025
August 6, 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.JNoDeficient, Provider has date of correctionSeptember 9, 2025
August 6, 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.JNoDeficient, Provider has date of correctionSeptember 9, 2025
August 6, 2025HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correctionSeptember 15, 2025
August 6, 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionSeptember 15, 2025
August 6, 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correctionSeptember 15, 2025
August 6, 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionSeptember 15, 2025
August 6, 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionSeptember 15, 2025
August 6, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionSeptember 15, 2025
August 6, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionSeptember 15, 2025
April 16, 2025HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EYesDeficient, Provider has date of correctionMay 16, 2025
September 12, 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EYesDeficient, Provider has date of correctionOctober 12, 2024
September 12, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionOctober 12, 2024
September 12, 2024HealthF 0839Administration DeficienciesEmploy staff that are licensed, certified, or registered in accordance with state laws.EYesDeficient, Provider has date of correctionOctober 12, 2024
September 12, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionOctober 12, 2024
January 24, 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.GYesDeficient, Provider has date of correctionJanuary 30, 2024

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
March 25, 2026Fine$31,736139259

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameSHAULIS IA SKILLED NURSING FACILITY LLC
Date First Approved to Provide Medicare and Medicaid Services1989-03-30
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishBlack Hawk
Telephone Number3192344495
Chain NameLEGACY HEALTHCARE
Chain ID306
Special Focus StatusSFF Candidate
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilNone
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds65
Average Number of Residents per Day43.0
Overall Rating1
Health Inspection Rating1
QM Rating3
Long-Stay QM Rating3
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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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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