Skilled nursing facility · CMS certification number 165155
Salem Lutheran Home
Elk Horn, Iowa · Medicare and Medicaid
Certified beds, as filed in Care Compare: 64
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: 1 · Fines: 1 · Fines, total amount: $15,260.00 · Payment denials: 0. The most recent penalty on file: May 22, 2026, Fine, $15,260. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 6, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,034,916 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,328,867 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,706,049 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,704,068 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$998,019 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $409,853 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$588,166 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$777,096 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 27,084 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 965 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 10,168 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,127 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 19,260 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 66 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 61 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 154.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 137.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1427533, 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 May 13, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,365,219 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,467,559 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,897,660 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,290,402 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$392,742 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $186,396 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$206,346 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$163,116 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,871 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 230.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1421693, 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 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,103,329 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,093,018 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,010,311 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,721,500 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $288,811 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $326,622 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $615,433 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $546,586 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,213 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 195.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 208.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1388478, 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 25, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,798,290 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,504,290 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,294,000 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,158,899 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $135,101 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $679,389 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $814,490 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $701,381 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,820 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 218.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 195.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365333, 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 December 2, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,483,361 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,960,136 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,523,225 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,626,468 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$103,243 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $700,253 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $597,010 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $602,055 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,601 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 172 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 135.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1337210, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,976,754 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,292,435 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,684,319 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,872,850 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$188,531 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $258,904 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $70,373 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$39,245 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,439 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,002.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 386.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1261606, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,681,259 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,286,238 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,395,021 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,793,790 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$398,769 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $294,767 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$104,002 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$195,418 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,981 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 165 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 634.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 133.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241545, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,443,817 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $951,301 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,492,516 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,909,579 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$417,063 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $432,086 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $15,023 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,307 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,395 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 148 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 405.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 164.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1198244, 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 16, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,820,198 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $645,227 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,174,971 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,405,168 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$230,197 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $89,231 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$140,966 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$115,054 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,021 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 151 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 214.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1162744, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,055,979 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $611,240 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,444,739 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,231,970 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $212,769 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $290,919 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $503,688 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $439,147 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,841 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 165 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 456.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174261, 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 26, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,542,818 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $649,323 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,893,495 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,849,302 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $44,193 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $235,752 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $279,945 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $251,167 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,060 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 192 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 327.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142777, 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 May 16, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,085,214 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $533,667 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,551,547 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,364,101 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $187,446 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $216,920 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $404,366 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $378,038 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,647 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 100.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 583.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 216.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1090672, 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 March 31, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,511,017 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $294,663 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,216,354 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,205,338 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $11,016 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $85,684 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $96,700 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $124,651 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,899 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 852.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 336.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1057742, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 30, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,546,621 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $216,378 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,330,243 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,238,158 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $92,085 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $266,712 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $358,797 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $390,812 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,595 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 63 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 660.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 374.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1021105, 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 January 27, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,208,793 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,053,655 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $155,138 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $372,716 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$18,116 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $545,970 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,134 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 75.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 702.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 402.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 424141, 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 October 14, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,895,937 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,977,816 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$81,879 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $357,485 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,252 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $267,354 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,780 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 167 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 330.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 142.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 388506, 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 June 1, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,287,932 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,466,518 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$178,586 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $293,681 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,000 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $107,095 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,769 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 177 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 306.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 156.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 371916, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 20, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,992,790 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,993,808 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,018 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $116,110 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,879 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $106,213 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,167 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 397.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 202.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 331308, 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 March 31, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,589,632 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,556,844 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $32,788 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $208,411 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $241,199 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,451 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 137 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 376.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 193.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305920, 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 January 22, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,316,691 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,455,157 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$138,466 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $98,073 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $13,000 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$53,393 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,592 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 90.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 636.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 299.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 270797, 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 November 10, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,341,723 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,544,655 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$202,932 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $62,983 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,321 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$145,270 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 94 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,367 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 137 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 553 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 214.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 236545, 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 October 28, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,433,037 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,744,189 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$311,152 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $138,574 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,360 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$177,938 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,242 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 90.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 305.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 201.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 198305, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 18, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,532,964 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,601,760 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$68,796 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $130,244 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,762 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $56,686 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,278 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 84.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 760.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 238.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 171202, 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 March 18, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,093,921 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,508,754 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$414,833 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $209,642 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$205,191 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,770 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 126 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 666.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 244.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 132691, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,018,250 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,400,554 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$382,304 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $166,413 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$215,891 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 153 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,803 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 113 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 712.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 307.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 123363, 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 2, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,016,813 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,187,648 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$170,835 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $216,813 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $45,978 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,852 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 114 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 416.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 314.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 604, 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, reopened, processed by CMS on September 6, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,265,156 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,457,881 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$192,725 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $172,709 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$20,016 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,361 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,113.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 333.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 602, 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, reopened, processed by CMS on May 1, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,065,748 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,239,567 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$173,819 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $399,949 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $16,059 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $210,071 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 162 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,225 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 140 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,843.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 301.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 601, 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 October 2, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,204,254 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,532,044 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$327,790 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $246,268 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$81,522 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,320 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 143 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 444.54 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 330.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 17802, 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.
Ownership, as filed with CMS
Care Compare
As filed (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| AMERICAN LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 02/14/2003 |
| AMERICAN LUTHERAN CHURCH | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/14/2003 |
| SHELL, STEPHEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2025 |
| BLAKESTAD, ALAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2020 |
| GUDE, PAUL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2021 |
| NIELSEN, PHIL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/06/2016 |
| SCHECHINGER, TAMI | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2021 |
| AMERICAN LUTHERAN CHURCH | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/14/2003 |
| NORBY, NICKLOS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/14/2020 |
| SHELL, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2025 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/20/2007 |
Medicare enrollment
As filed (Medicare enrollment ownership), under the enrollment of AMERICAN LUTHERAN CHURCH (enrollment ID O20080304000654).
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 |
|---|---|---|---|---|---|
| AMERICAN LUTHERAN CHURCH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 2/14/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMERICAN LUTHERAN CHURCH | Organization | ADP OF THE SNF | Not stated in the filing | 2/14/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| STEPHEN SHELL | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALAN BLAKESTAD | Individual | CORPORATE OFFICER | Not stated in the filing | 3/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL JEFFREY GUDE | Individual | CORPORATE OFFICER | Not stated in the filing | 3/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PHIL NIELSEN | Individual | CORPORATE OFFICER | Not stated in the filing | 3/6/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TAMI SCHECHINGER | Individual | CORPORATE OFFICER | Not stated in the filing | 3/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMERICAN LUTHERAN CHURCH | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/14/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| NICKLOS NORBY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/14/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN SHELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 11/20/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- July 1, 2026: AMERICAN LUTHERAN CHURCH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 14, 2003. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: AMERICAN LUTHERAN CHURCH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 14, 2003. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: AMERICAN LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 14, 2003. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEPHEN SHELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEPHEN SHELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- July 1, 2026: AMERICAN LUTHERAN CHURCH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 14, 2003. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: AMERICAN LUTHERAN CHURCH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 14, 2003. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: AMERICAN LUTHERAN CHURCH (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 14, 2003. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEPHEN SHELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEPHEN SHELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- May 22, 2026: A penalty was recorded: Fine. NH_Penalties_Sep2026_2.csv
- June 6, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- May 13, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 19, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 25, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- December 2, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- July 28, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 21, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- July 19, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 21, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- June 16, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 26, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- May 16, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- March 31, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- November 30, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- January 27, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- October 14, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- June 1, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- January 20, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- March 31, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- January 22, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- November 10, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- October 28, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- March 18, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- March 18, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 12, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- September 6, 2001: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- August 2, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- May 1, 2001: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- October 2, 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 26, 2025 | June 26, 2025 | 17 | 1 |
| 2 | August 11, 2024 | August 11, 2024 | 12 | 9 |
| 3 | June 6, 2023 | June 6, 2023 | 17 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
46 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 22, 2026 | 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 | Yes | Deficient, Provider has date of correction | June 5, 2026 |
| May 22, 2026 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | June 5, 2026 |
| May 22, 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | June 5, 2026 |
| May 22, 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | June 5, 2026 |
| May 22, 2026 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Yes | Deficient, Provider has date of correction | June 5, 2026 |
| May 22, 2026 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | G | Yes | Deficient, Provider has date of correction | June 5, 2026 |
| May 22, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has date of correction | June 5, 2026 |
| May 22, 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | June 5, 2026 |
| December 15, 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 | Yes | Deficient, Provider has date of correction | December 22, 2025 |
| October 8, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | October 10, 2025 |
| June 26, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | July 11, 2025 |
| June 26, 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | July 11, 2025 |
| June 26, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | July 11, 2025 |
| June 26, 2025 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | July 11, 2025 |
| June 26, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | July 11, 2025 |
| June 26, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | July 11, 2025 |
| June 26, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | July 11, 2025 |
| October 22, 2024 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Deficient, Provider has date of correction | November 1, 2024 |
| October 22, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | Yes | Deficient, Provider has date of correction | November 1, 2024 |
| August 11, 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | September 5, 2024 |
| August 11, 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | September 5, 2024 |
| August 11, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | September 5, 2024 |
| August 11, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | September 5, 2024 |
| August 11, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | September 5, 2024 |
| August 11, 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 | September 5, 2024 |
| August 11, 2024 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | September 5, 2024 |
| August 11, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | September 5, 2024 |
| August 11, 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | No | Deficient, Provider has date of correction | September 5, 2024 |
| August 11, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | September 5, 2024 |
| May 15, 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Yes | Deficient, Provider has date of correction | May 31, 2024 |
| May 15, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | May 31, 2024 |
| June 6, 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | June 26, 2023 |
| June 6, 2023 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | June 26, 2023 |
| June 6, 2023 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | No | Deficient, Provider has date of correction | June 26, 2023 |
| June 6, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | June 26, 2023 |
| June 6, 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | June 26, 2023 |
| June 6, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | June 26, 2023 |
| June 6, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | No | Deficient, Provider has date of correction | June 26, 2023 |
| June 6, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | June 26, 2023 |
| June 6, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | June 26, 2023 |
| June 6, 2023 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | June 26, 2023 |
| June 6, 2023 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | No | Deficient, Provider has date of correction | June 26, 2023 |
| June 6, 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. | E | No | Deficient, Provider has date of correction | June 26, 2023 |
| June 6, 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | June 26, 2023 |
| June 6, 2023 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | June 26, 2023 |
| June 6, 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 26, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| May 22, 2026 | Fine | $15,260 | 143027 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | AMERICAN LUTHERAN CHURCH |
| Date First Approved to Provide Medicare and Medicaid Services | 1990-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Shelby |
| Telephone Number | 7127644201 |
| Chain Name | GOOD SAMARITAN SOCIETY |
| Chain ID | 726 |
| 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 | 64 |
| Average Number of Residents per Day | 47.8 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 2 |
| 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 Salem Lutheran Home: 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 May 22, 2026: A penalty was recorded: Fine. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for Salem Lutheran Home
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 Iowa at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in Iowa
- CITY OF CORALVILLE, CORALVILLE Water discharge permit
- CITY OF SPENCER, SPENCER Water discharge permit
- JEFFERSON CITY OF STP, JEFFERSON Water discharge permit
- CITY OF ELDRIDGE, ELDRIDGE Water discharge permit
- CITY OF CRESCO, CRESCO Water discharge permit
- CITY OF HARLAN, HARLAN Water discharge permit
- CITY OF GREENFIELD, GREENFIELD Water discharge permit
- CITY OF CARROLL, CARROLL Water discharge permit
- AGGREGATES,INC., CEDAR RAPIDS Air emission source
- CARGILL INC-CEDAR RAPIDS_SW_SOYBEAN, CEDAR RAPIDS Air emission source
- CARGILL INC-CEDAR RAPIDS NE, CEDAR RAPIDS Air emission source
- CARGILL INC-CORN MILLING, CEDAR RAPIDS Air emission source
- CITY OF CEDAR RAPIDS PUBLIC WORKS, CEDAR RAPIDS Air emission source
- CEDAR RAPIDS TRUCK CENTER, CEDAR RAPIDS Air emission source
- CITY OF CEDAR RAPIDS WPCF, CEDAR RAPIDS Air emission source
- IPL-PRAIRIE CREEK STATION, CEDAR RAPIDS Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 165155.