Skilled nursing facility · CMS certification number 165174
Casa De Paz Health Care Center
Sioux City, Iowa · Medicare and Medicaid
Certified beds, as filed in Care Compare: 71
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2025 to January 31, 2025 — a reporting period of 30 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 27, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $738,819 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $116,035 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $622,784 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $515,568 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $107,216 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $107,216 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $107,216 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 2,201 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 127 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 1,166 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 803 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 2,096 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 3 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 9 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 25 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 89.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1447029, read from the public cost report file SNF10FY2025.zip.
Fiscal year 2024, ended December 31, 2024
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 May 12, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,536,701 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $924,299 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,612,402 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,979,779 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $632,623 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $632,623 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $632,623 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,469 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 167 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 181.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1449753, 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 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,563,834 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,147,481 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,416,353 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,547,316 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$130,963 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$130,963 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$130,963 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,613 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 198.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 255.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 175.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433734, 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 October 30, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,236,814 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $549,333 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,687,481 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,458,834 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$771,353 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $33,829 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$737,524 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$737,524 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,830 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 39 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 124.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 915.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 482.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398392, 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 December 6, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,902,443 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $656,699 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,245,744 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,619,692 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$373,948 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $507,316 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $133,368 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $133,368 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,392 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 656.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 412.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1369723, 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 31, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,839,855 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $506,606 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,333,249 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,190,299 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $142,950 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $756,756 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $899,706 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $695,107 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,140 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 76.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 551.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 403.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341313, 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 January 14, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,590,365 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $516,367 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,073,998 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,419,025 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$345,027 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$440 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$345,467 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$504,491 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,537 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 76.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 335.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 195.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1308891, 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 8, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,223,456 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,053,800 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,169,656 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,083,343 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$913,687 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,191 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$910,496 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,030,508 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,636 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 265.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240042, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 9, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,865,181 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,461,564 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,403,617 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,186,274 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$782,657 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,433 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$781,224 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$898,527 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,021 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,942 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240245, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended January 31, 2016
Cost report for October 1, 2015 to January 31, 2016 — a reporting period of 122 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 18, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,432,203 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $611,030 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,821,173 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,522,990 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $298,183 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $374,207 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $672,390 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $638,079 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,885 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 483.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182235, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 7, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,076,404 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,853,349 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,223,055 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,406,623 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $816,432 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,455 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $854,887 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $765,828 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,096 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 183 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 513.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153894, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 9, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,046,455 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,691,906 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,354,549 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,438,350 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $916,199 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,860 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $955,059 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $860,844 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,464 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 533.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 150.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1123489, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,366,036 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,355,213 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,010,823 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,325,144 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $685,679 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $51,318 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $736,997 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $645,279 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,896 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 179 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 350.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104870, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 14, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,862,634 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,681,852 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,180,782 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,365,977 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $814,805 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $47,992 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $862,797 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $770,321 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,510 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 530.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 150.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056868, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 10, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,967,808 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,254,502 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $713,306 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,932 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $104,080 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $615,158 (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 | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,102 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 190 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 326.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 116.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 435280, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 29, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,506,850 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,129,939 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $376,911 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,628 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $43,669 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $379,870 (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 | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,953 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 204 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 411 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 107.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418645, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 15, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,542,429 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,525,638 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $16,791 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $57,228 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $74,019 (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 | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,191 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 176 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 465.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 120.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 393968, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 8, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,388,781 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,260,987 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $127,794 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,142 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $173,936 (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 | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,214 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 161 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,198.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 144.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 356041, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 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 | $2,899,406 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,848,565 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $50,841 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $44,338 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $95,179 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,581 | 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 | 61.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,352.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 161.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 331793, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,460,635 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,575,920 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$115,285 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,143 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $13 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$75,155 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,654 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 123 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,799 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 300224, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on March 9, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,235,039 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,441,926 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$206,887 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $34,375 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,724 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$181,236 (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 | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,958 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,458.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 210.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 244752, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 8, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,244,700 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,225,116 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $19,584 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $31,918 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $51,502 (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 | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,900 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 106 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,533 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 187.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 252288, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on February 12, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,175,130 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,356,635 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$181,505 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $93,822 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$87,683 (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 | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,289 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,648.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 204.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 168905, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 15, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,286,702 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,361,903 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$75,201 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,416 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$34,785 (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 | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,665 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 501.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 222.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 202501, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 16, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,956,043 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,303,070 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$347,027 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,483 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,146 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$342,690 (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 | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,441 | 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 | 66.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 590 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 268.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 254207, read from the public cost report file SNFFY2001.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 9, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,140,671 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,386,187 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$245,516 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $49,765 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$195,751 (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 | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,478 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 129 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 402.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 174.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 29467, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 16, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,794,105 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,956,842 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$162,737 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $158,381 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$4,356 (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 | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,240 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 138 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 421.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 29465, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 9, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,744,579 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,872,011 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$127,432 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $134,296 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $6,864 (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 | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,166 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.99 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 310.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 188.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 29464, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended September 30, 1996
Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 12, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,007,858 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,100,250 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$92,392 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $56,535 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$35,857 (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 | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,337 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 165 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 383.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 195.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 29462, 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 in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| ACD CONSOLIDATED LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2024 |
| BEAR CREEK SRAF GP HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2024 |
| BEAR CREEK STRATEGIC REAL ASSETS FUND LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2024 |
| CAMPBELL STREET IA 10 LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/01/2025 |
| CAMPBELL STREET SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/01/2025 |
| DEFRANCO INVESTMENT CO LTD | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2024 |
| DOLE, ISAAC | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| DUDLEY, PAUL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| EMANUEL, CAMBRIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| IAGA SNF HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2024 |
| IAGA SNF PORTFOLIO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/27/2025 |
| IAGA SNF SIOUX CITY, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2025 |
| NAP HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2024 |
| TASSLER, TINA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| BIRCHWOOD HEALTHCARE PARTNERS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/01/2025 |
| CAMPBELL STREET IA 10 LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/01/2025 |
| CAMPBELL STREET SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/01/2025 |
| DOLE, ISAAC | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2025 |
| DUDLEY, PAUL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2025 |
| EMANUEL, CAMBRIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2025 |
| HOLDCO, IA, 10, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/01/2025 |
| TASSLER, TINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of OPCO 19TH ST SIOUX CITY IA LLC (enrollment ID O20250627000149).
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 |
|---|---|---|---|---|---|
| HOLDCO, IA, 10, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 2/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BIRCHWOOD HEALTHCARE PARTNERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ISAAC S DOLE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ACD CONSOLIDATED LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| BEAR CREEK SRAF GP HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BEAR CREEK STRATEGIC REAL ASSETS FUND LP | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| CAMBRIA EMANUEL | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAMPBELL STREET IA 10 LLC | Organization | ADP OF THE SNF | Not stated in the filing | 2/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAMPBELL STREET SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 2/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DEFRANCO INVESTMENT CO LTD | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| IAGA SNF HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| IAGA SNF PORTFOLIO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/27/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| IAGA SNF SIOUX CITY, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ISAAC S DOLE | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NAP HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PAUL E DUDLEY | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TINA TASSLER | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 9/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BIRCHWOOD HEALTHCARE PARTNERS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| CAMBRIA EMANUEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAMPBELL STREET IA 10 LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAMPBELL STREET SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| HOLDCO, IA, 10, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ISAAC S DOLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL E DUDLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TINA TASSLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: ISAAC S DOLE no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRENDA S SATTERFIELD no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRENDA S SATTERFIELD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ISAAC S DOLE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- January 1, 2026: ROGER TICHENOR no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ROGER TICHENOR no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ROGER TICHENOR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ROGER TICHENOR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRUCE CASSIDY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRUCE CASSIDY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ARBORETA HEALTH AND REHABILITATION CENTERS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SHELLEY CLEVELAND no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SHELLEY CLEVELAND no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: GREENSIDE HEALTHCARE PROPERTIES LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ARBORETA HEALTHCARE, INC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ARBORETA HEALTHCARE, INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ARBORETA HEALTHCARE, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: OPCO 19TH ST SIOUX CITY IA LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: OPCO 19TH ST SIOUX CITY IA LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LYNN ANDERSON no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LYNN ANDERSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ARBORETA HEALTHCARE CONSULTING, LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ARBORETA HEALTHCARE CONSULTING, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RICHARD T MASON no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RICHARD T MASON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RICHARD T MASON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: PAUL E DUDLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: PAUL E DUDLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAMPBELL STREET SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAMPBELL STREET SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: HOLDCO, IA, 10, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: HOLDCO, IA, 10, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ACD CONSOLIDATED LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BIRCHWOOD HEALTHCARE PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BIRCHWOOD HEALTHCARE PARTNERS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: IAGA SNF PORTFOLIO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 27, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAMBRIA EMANUEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAMBRIA EMANUEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BEAR CREEK STRATEGIC REAL ASSETS FUND LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: IAGA SNF HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: IAGA SNF SIOUX CITY, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BEAR CREEK SRAF GP HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: NAP HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAMPBELL STREET IA 10 LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAMPBELL STREET IA 10 LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DEFRANCO INVESTMENT CO LTD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TINA TASSLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TINA TASSLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ISAAC S DOLE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ISAAC S DOLE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ISAAC S DOLE (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRENDA S SATTERFIELD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRENDA S SATTERFIELD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- June 1, 2025: PAUL E DUDLEY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: SHELLEY CLEVELAND no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TINA TASSLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ROGER TICHENOR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ROGER TICHENOR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ROGER TICHENOR (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: PAUL E DUDLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: PAUL E DUDLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BRUCE CASSIDY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BRUCE CASSIDY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 18, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ACD CONSOLIDATED LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: IAGA SNF PORTFOLIO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: CAMBRIA EMANUEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: CAMBRIA EMANUEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: BEAR CREEK STRATEGIC REAL ASSETS FUND LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: SHELLEY CLEVELAND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: SHELLEY CLEVELAND (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ARBORETA HEALTHCARE, INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 10, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ARBORETA HEALTHCARE, INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since June 10, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: IAGA SNF HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: IAGA SNF SIOUX CITY, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: OPCO 19TH ST SIOUX CITY IA LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LYNN ANDERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 20, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LYNN ANDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since April 20, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: ARBORETA HEALTHCARE CONSULTING, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RICHARD T MASON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since February 2, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RICHARD T MASON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since February 2, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RICHARD T MASON (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since February 2, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DEFRANCO INVESTMENT CO LTD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TINA TASSLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 19, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TINA TASSLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 19, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- March 1, 2025: DIANE HARDEN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: SCOTT BLAIR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LOUIS COLLIER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ROGER TICHENOR (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: PAUL E DUDLEY (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since December 14, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: OPCO 19TH ST SIOUX CITY IA LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: TINA TASSLER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 19, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
Recent changes on this record
- July 14, 2026: A deficiency was cited under tag F 0842, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 14, 2026: A deficiency was cited under tag F 0684, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 14, 2026: A deficiency was cited under tag F 0657, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 1, 2026: ISAAC S DOLE no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRENDA S SATTERFIELD no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRENDA S SATTERFIELD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ISAAC S DOLE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- May 12, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- January 27, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
- January 1, 2026: ROGER TICHENOR no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ROGER TICHENOR no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ROGER TICHENOR no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ROGER TICHENOR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRUCE CASSIDY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRUCE CASSIDY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ARBORETA HEALTH AND REHABILITATION CENTERS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SHELLEY CLEVELAND no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SHELLEY CLEVELAND no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: GREENSIDE HEALTHCARE PROPERTIES LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ARBORETA HEALTHCARE, INC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ARBORETA HEALTHCARE, INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ARBORETA HEALTHCARE, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: OPCO 19TH ST SIOUX CITY IA LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: OPCO 19TH ST SIOUX CITY IA LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LYNN ANDERSON no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LYNN ANDERSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ARBORETA HEALTHCARE CONSULTING, LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ARBORETA HEALTHCARE CONSULTING, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RICHARD T MASON no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RICHARD T MASON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RICHARD T MASON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: PAUL E DUDLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: PAUL E DUDLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAMPBELL STREET SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAMPBELL STREET SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: HOLDCO, IA, 10, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: HOLDCO, IA, 10, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ACD CONSOLIDATED LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BIRCHWOOD HEALTHCARE PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BIRCHWOOD HEALTHCARE PARTNERS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 9, 2026 | April 9, 2026 | 12 | 0 |
| 2 | April 3, 2025 | April 3, 2025 | 11 | 0 |
| 3 | April 11, 2024 | April 11, 2024 | 16 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
39 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 14, 2026 | 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 | Yes | Deficient, Provider has date of correction | July 27, 2026 |
| July 14, 2026 | 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 27, 2026 |
| July 14, 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 | July 27, 2026 |
| April 9, 2026 | 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 | April 30, 2026 |
| April 9, 2026 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | April 30, 2026 |
| April 9, 2026 | 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 | April 30, 2026 |
| April 9, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | April 30, 2026 |
| April 9, 2026 | 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 | April 30, 2026 |
| April 9, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Yes | Deficient, Provider has date of correction | April 30, 2026 |
| April 9, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | April 30, 2026 |
| October 30, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | November 11, 2025 |
| October 30, 2025 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Yes | Deficient, Provider has date of correction | November 11, 2025 |
| August 21, 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. | E | Yes | Deficient, Provider has date of correction | September 13, 2025 |
| August 21, 2025 | 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 | September 13, 2025 |
| April 3, 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 | Yes | Deficient, Provider has date of correction | April 27, 2025 |
| April 3, 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 | April 27, 2025 |
| April 3, 2025 | 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 | April 27, 2025 |
| April 3, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | April 27, 2025 |
| April 3, 2025 | 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 | April 27, 2025 |
| April 3, 2025 | 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 | April 27, 2025 |
| April 3, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 27, 2025 |
| January 10, 2025 | 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 | Yes | Past Non-Compliance | January 6, 2025 |
| January 10, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Yes | Past Non-Compliance | January 6, 2025 |
| July 15, 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| July 15, 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. | E | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| July 15, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | July 26, 2024 |
| April 11, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | No | Deficient, Provider has date of correction | May 11, 2024 |
| April 11, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | May 11, 2024 |
| April 11, 2024 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | May 11, 2024 |
| April 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 | May 11, 2024 |
| April 11, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | No | Deficient, Provider has date of correction | May 11, 2024 |
| April 11, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | May 11, 2024 |
| April 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 | May 11, 2024 |
| April 11, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | May 11, 2024 |
| April 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. | D | No | Deficient, Provider has date of correction | May 11, 2024 |
| April 11, 2024 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | No | Deficient, Provider has date of correction | May 11, 2024 |
| April 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. | E | No | Deficient, Provider has date of correction | May 11, 2024 |
| April 11, 2024 | Health | F 0848 | Administration Deficiencies | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | D | No | Deficient, Provider has date of correction | May 11, 2024 |
| January 18, 2024 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Yes | Deficient, Provider has date of correction | February 15, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | OPCO 19TH ST SIOUX CITY IA LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1992-10-28 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Woodbury |
| Telephone Number | 7122333127 |
| Chain Name | CAMPBELL STREET SERVICES |
| Chain ID | 99 |
| 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 | 71 |
| Average Number of Residents per Day | 68.4 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on Casa De Paz Health Care Center: 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 July 14, 2026: A deficiency was cited under tag F 0842, scope and severity D. 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 Casa De Paz Health Care Center
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 165174.