Velarion Records

Skilled nursing facility · CMS certification number 165186

Good Samaritan - Indianola

Indianola, Iowa · Medicare and Medicaid

Certified beds, as filed in Care Compare: 105

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: 2 · Fines: 2 · Fines, total amount: $20,316.00 · Payment denials: 0. The most recent penalty on file: April 24, 2025, Fine, $12,438. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 29, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$16,901,625CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,905,400CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,996,225CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,889,681CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$106,544CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$615,191CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$721,735CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $323,981 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components47,946CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,808CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days17,210CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days11,952CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components30,970CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges44CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges152CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges233CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components429CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.09CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days113.22CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days72.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1441637, 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 9, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$13,628,991CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,655,148CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,973,843CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,536,580CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,562,737CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$621,008CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$941,729CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$932,567 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,928CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components300CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days190.69CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days79.76CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1391700, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$12,822,036CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,505,047CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,316,989CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,614,525CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,297,536CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$588,784CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,708,752CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,854,225 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,201CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components209CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days173.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days125.36CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361896, 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 August 10, 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$15,000,983CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,447,991CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,552,992CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,246,853CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,693,861CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$575,339CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,118,522CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,130,831 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,528CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components253CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days151.65CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days116.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361684, 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 July 21, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$14,095,079CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,580,521CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,514,558CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,829,215CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,314,657CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$559,413CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$755,244CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,320,716 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,675CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components246CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days151.57CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days128.76CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1289880, 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 December 10, 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$10,505,384CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,272,432CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,232,952CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,552,938CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,319,986CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$513,182CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$806,804CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,058,513 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,886CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components161CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.68CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days499.57CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days185.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1306790, 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 April 16, 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$10,994,680CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,377,702CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,616,978CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,615,303CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$998,325CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$82,611CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$915,714CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,063,424 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,880CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components446CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days300.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days67CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254113, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$10,988,636CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,007,839CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,980,797CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,443,132CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,462,335CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$66,450CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,395,885CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,296,788 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,913CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components298CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.98CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days249.85CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days110.45CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1198245, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 28, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$11,505,415CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,559,674CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,945,741CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,621,644CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$675,903CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$42,047CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$633,856CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$614,617 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,521CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components313CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.34CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days174.27CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days116.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1166748, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended December 31, 2015

Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 5, 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$11,637,323CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,856,950CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,780,373CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,328,609CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$548,236CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$167,597CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$380,639CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$406,839 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,087CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components339CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days399.98CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days112.35CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1156830, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended December 31, 2014

Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 20, 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$10,458,535CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,630,281CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,828,254CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,325,583CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$497,329CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$183,059CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$314,270CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$293,083 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,200CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components289CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days354.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days118.34CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1117197, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 16, 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$9,091,575CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,123,148CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,968,427CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,074,133CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$105,706CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$277,597CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$171,891CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $115,100 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,892CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components219CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.49CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days444.24CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days159.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1090673, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended December 31, 2012

Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 27, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$9,582,400CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$937,849CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,644,551CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,562,484CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$82,067CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$271,052CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$353,119CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $384,205 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,123CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components94CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days821CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days405.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1044048, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended December 31, 2011

Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 2, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$11,142,582CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,794,338CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,348,244CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,415,793CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$67,549CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$146,794CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$79,245CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $92,028 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components39,372CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components316CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.99CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days327.73CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days124.59CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1018390, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended December 31, 2010

Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 23, 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$8,714,530CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,136,497CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$578,033CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$266,202CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$16,781CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $861,016 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,098CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components392CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days30.38CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days368.98CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days107.39CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 423788, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended December 31, 2009

Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 15, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$8,021,084CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,596,378CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$424,706CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$375,772CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$14,011CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $786,467 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,139CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components343CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days27.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days388.24CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days128.69CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 389668, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended December 31, 2008

Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 26, 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$7,472,447CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,983,222CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$489,225CMS-2540-96 worksheet G300000 line 500 column 100
Total other income−$219,152CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$12,096CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $257,977 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components43,690CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components365CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days391.38CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days119.7CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 370774, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended December 31, 2007

Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 25, 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$6,962,958CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,651,147CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$311,811CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$161,336CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$12,333CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $460,814 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,075CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components253CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.81CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days410.12CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days174.21CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 347557, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended December 31, 2006

Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 2, 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$6,744,343CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,407,707CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$336,636CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$230,697CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $567,333 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components143CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components49,470CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components195CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days23.56CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days633.26CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days253.69CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 310836, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended December 31, 2005

Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 29, 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$6,277,927CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,119,617CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$158,310CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$109,413CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$16,562CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $251,161 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,434CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components137CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days23.25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days970CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days331.64CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 271200, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended December 31, 2004

Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 8, 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$6,014,791CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,737,709CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$277,082CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$149,970CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$15,142CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $411,910 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,695CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components274CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.46CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days698.62CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days166.77CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 242599, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended December 31, 2003

Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 29, 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$5,698,352CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,440,861CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$257,491CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$182,211CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$4,256CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $435,446 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components145CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,458CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components306CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.64CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days316.83CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days83.2CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 198412, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended December 31, 2002

Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 27, 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$5,570,238CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,391,918CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$178,320CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,877CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$7,892CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $173,305 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,300CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components291CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days20.99CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days479.23CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days155.67CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 174669, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended December 31, 2001

Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 18, 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$5,137,641CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,019,360CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$118,281CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$42,140CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $160,421 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,992CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components243CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.27CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days699.66CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days185.15CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 132664, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended December 31, 2000

Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$4,867,396CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,643,309CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$224,087CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$67,524CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $291,611 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,292CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components197CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days22.38CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days745.88CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days229.91CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 123362, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended December 31, 1999

Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$4,556,684CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,337,924CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$218,760CMS-2540-96 worksheet G300000 line 500 column 100
Total other income−$54,206CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $164,554 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,405CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components231CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days20.17CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days512.61CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days196.56CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 644, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended December 31, 1998

Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on October 15, 2004.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$3,735,521CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,637,550CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$97,971CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$152,272CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $250,243 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components101CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,502CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components221CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.05CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days466.5CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days156.12CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 197546, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended December 31, 1997

Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on June 9, 1998.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$3,141,255CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,347,134CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$205,879CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$31,858CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$174,021 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components101CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,458CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components187CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days29.51CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days535.73CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days184.27CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 17848, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended December 31, 1996

Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 27, 1998.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$2,797,733CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,104,355CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$306,622CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$113,952CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$192,670 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
FigureAs filedWhere it comes from
Total facility beds, all components2,116CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,153CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components188CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days26.05CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days498.4CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days186.98CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 17847, read from the public cost report file SNFFY1996.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
SANFORD5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 01/01/2019
BLACKBURN, NATASHAADP OF THE SNFIndividualNOT APPLICABLEsince 11/19/2023
GIJIMA, DESIREADP OF THE SNFIndividualNOT APPLICABLEsince 08/01/2023
MORRISON, TONYADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2019
BROWN, GEORGECORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
DYKHOUSE, DANACORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
ENGBRECHT, WESLEYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
GASSEN, WILLIAMCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
GULSVIG, NEILCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
HERSETH SANDLIN, STEPHANIECORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
LUNDEEN, MARKCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
MCCAUSLAND, MAUREENCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
MOLBERT, LAURISCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
NORTH, ANDREWCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
SCHIEFFER, KEVINCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
SHULKIN, DAVIDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
TEIKEN, BRENTCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
VENTLING-HERRMANN, MARNIECORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
WENZEL, THOMASCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
FLUIT, JOELCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/01/2022
GASSEN, WILLIAMCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/30/2024
MIDDLETON, AIMEECORPORATE OFFICERIndividualNOT APPLICABLEsince 01/27/2022
OLSON, NICHOLASCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/08/2024
SCHEMA, NATHANCORPORATE OFFICERIndividualNOT APPLICABLEsince 06/24/2019
BLACKBURN, NATASHAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/19/2023
GIJIMA, DESIREOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2023
MORRISON, TONYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2019

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (enrollment ID O20070904000132).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
SANFORDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1001/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
DESIRE T GIJIMAIndividualADP OF THE SNFNot stated in the filing8/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NATASHA BLACKBURNIndividualADP OF THE SNFNot stated in the filing11/19/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TONY LEE MORRISONIndividualADP OF THE SNFNot stated in the filing1/1/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANDREW STEWART NORTHIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BRENT GERARD TEIKENIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DANA JAMES DYKHOUSEIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DAVID JONATHAN SHULKINIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GEORGE JOSEPH BROWNIndividualCORPORATE DIRECTOR01/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KEVIN VICTOR SCHIEFFERIndividualCORPORATE DIRECTOR01/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAURIS NELSON MOLBERTIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARK ALLEN LUNDEENIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARNIE LYNN VENTLING-HERRMANNIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MAUREEN PATRICIA MCCAUSLANDIndividualCORPORATE DIRECTOR01/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NEIL LESLIE GULSVIGIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEPHANIE MARIE HERSETH SANDLINIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THOMAS RICHARD WENZELIndividualCORPORATE DIRECTOR01/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WESLEY OWEN ENGBRECHTIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WILLIAM JOSEPH GASSENIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
AIMEE NICOLE MIDDLETONIndividualCORPORATE OFFICERNot stated in the filing1/27/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOEL ADAM FLUITIndividualCORPORATE OFFICER010/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NATHAN THOMAS SCHEMAIndividualCORPORATE OFFICER06/24/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NICHOLAS WAYNE OLSONIndividualCORPORATE OFFICER04/8/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WILLIAM JOSEPH GASSENIndividualCORPORATE OFFICER05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DESIRE T GIJIMAIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NATASHA BLACKBURNIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing11/19/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TONY LEE MORRISONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1May 14, 2026May 14, 2026128
2April 24, 2025April 24, 2025155
3June 18, 2024June 18, 20241514

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

Deficiencies cited

42 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
May 14, 2026HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correctionJune 12, 2026
May 14, 2026HealthF 0584Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correctionJune 12, 2026
May 14, 2026HealthF 0627Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DNoDeficient, Provider has date of correctionJune 12, 2026
May 14, 2026HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DNoDeficient, Provider has date of correctionJune 12, 2026
May 14, 2026HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionJune 12, 2026
May 14, 2026HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correctionJune 12, 2026
May 14, 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionJune 12, 2026
May 14, 2026HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correctionJune 12, 2026
May 14, 2026HealthF 0838Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FYesDeficient, Provider has date of correctionJune 12, 2026
May 14, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionJune 12, 2026
January 14, 2026HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EYesDeficient, Provider has date of correctionFebruary 13, 2026
January 14, 2026HealthF 0865Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.EYesDeficient, Provider has date of correctionFebruary 13, 2026
July 29, 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correctionAugust 16, 2025
July 29, 2025HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EYesDeficient, Provider has date of correctionAugust 16, 2025
July 29, 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.DYesDeficient, Provider has date of correctionAugust 16, 2025
July 29, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionAugust 16, 2025
April 24, 2025HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DNoDeficient, Provider has date of correctionMay 15, 2025
April 24, 2025HealthF 0584Resident Rights DeficienciesHonor 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.DYesDeficient, Provider has date of correctionMay 15, 2025
April 24, 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesDeficient, Provider has date of correctionMay 15, 2025
April 24, 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correctionMay 15, 2025
April 24, 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correctionMay 15, 2025
April 24, 2025HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DYesDeficient, Provider has date of correctionMay 15, 2025
April 24, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionMay 15, 2025
January 30, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionFebruary 19, 2025
January 30, 2025HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FYesDeficient, Provider has date of correctionFebruary 19, 2025
January 30, 2025HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FYesDeficient, Provider has date of correctionFebruary 19, 2025
January 30, 2025HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.EYesDeficient, Provider has date of correctionFebruary 19, 2025
June 18, 2024HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DYesDeficient, Provider has date of correctionJuly 18, 2024
June 18, 2024HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.ENoDeficient, Provider has date of correctionJuly 18, 2024
June 18, 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionJuly 18, 2024
June 18, 2024HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correctionJuly 18, 2024
June 18, 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correctionJuly 18, 2024
June 18, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correctionJuly 18, 2024
June 18, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correctionJuly 18, 2024
June 18, 2024HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EYesDeficient, Provider has date of correctionJuly 18, 2024
June 18, 2024HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DYesDeficient, Provider has date of correctionJuly 18, 2024
June 18, 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.GYesDeficient, Provider has date of correctionJuly 18, 2024
June 18, 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EYesDeficient, Provider has date of correctionJuly 18, 2024
June 18, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionJuly 18, 2024
January 10, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionJanuary 24, 2024
January 10, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.JYesDeficient, Provider has date of correctionJanuary 24, 2024
January 10, 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correctionJanuary 24, 2024

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
April 24, 2025Fine$12,438134677
January 10, 2024Fine$7,87879350

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Date First Approved to Provide Medicare and Medicaid Services1993-11-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishWarren
Telephone Number5159612596
Chain NameGOOD SAMARITAN SOCIETY
Chain ID726
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds105
Average Number of Residents per Day84.1
Overall Rating1
Health Inspection Rating1
QM Rating2
Long-Stay QM Rating1
Short-Stay QM Rating2
Processing Date2026-09-01

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

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