Velarion Records

Skilled nursing facility · CMS certification number 165192

Good Samaritan - Estherville

Estherville, Iowa · Medicare and Medicaid

Certified beds, as filed in Care Compare: 62

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓

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

Finances, as filed

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

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 20, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$7,693,851CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,801,812CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,892,039CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,323,056CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,431,017CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,151,632CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$279,385CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$448,082 (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 components90CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components32,940CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,385CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days8,676CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days8,112CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components18,173CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges18CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges22CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges73CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components113CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days76.94CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days394.36CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days160.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1430237, 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 13, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$6,653,137CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,499,970CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,153,167CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,400,711CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,247,544CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,104,500CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$143,044CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$225,149 (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 components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,086CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components110CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days349.7CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days155.33CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1391906, 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 4, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$6,186,825CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,423,053CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,763,772CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,136,876CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,373,104CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,027,567CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$345,537CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$414,448 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,298CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components55CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days362CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days314.51CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1360979, 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, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$6,334,140CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,752,223CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,581,917CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,163,667CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,581,750CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$976,374CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$605,376CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$639,085 (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 components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,017CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components62CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days58.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days322.12CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days258.34CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329383, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 22, 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$6,990,741CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,509,847CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,480,894CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,497,734CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,016,840CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$954,170CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$62,670CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$53,686 (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 components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,692CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components104CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days252.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days198.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1336663, 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 October 20, 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$6,646,866CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$909,919CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,736,947CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,670,871CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$933,924CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,029,486CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$95,562CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $187,277 (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 components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,900CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components85CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days624.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days292.94CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1301996, 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 23, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$7,354,405CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$837,156CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,517,249CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,874,185CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$356,936CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$107,885CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$249,051CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$529,817 (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 components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,401CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components187CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55.26CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days583.09CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days141.18CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241964, 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$7,735,281CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$907,857CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,827,424CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,922,553CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$95,129CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$271,899CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$176,770CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $166,361 (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 components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,785CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components223CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days216.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days124.6CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1198250, 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 13, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$7,270,129CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$626,364CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,643,765CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,848,028CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$204,263CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$186,071CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$18,192CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$40,964 (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 components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,140CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components184CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days220.76CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days152.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1161467, 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 November 30, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$7,321,287CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$583,650CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,737,637CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,439,627CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$298,010CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$211,067CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$509,077CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $436,930 (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 components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,281CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components172CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.73CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days425.03CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days170.24CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1147175, 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 September 22, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$7,261,456CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$721,557CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,539,899CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,050,881CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$489,018CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$274,580CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$763,598CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $726,621 (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 components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,865CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components239CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.29CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days288.3CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days116.59CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1109969, 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 19, 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$6,248,386CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$525,353CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,723,033CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,405,811CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$317,222CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$204,404CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$521,626CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $483,894 (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 components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,912CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components86CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.39CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days722.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days289.67CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1090876, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended December 31, 2012

Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 31, 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$6,087,419CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$368,744CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,718,675CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,439,933CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$278,742CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$201,886CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$480,628CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $500,599 (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 components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,320CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components105CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.43CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days575.85CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days231.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1057757, 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 February 19, 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$6,090,533CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$300,533CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,790,000CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,733,290CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$56,710CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$109,371CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$166,081CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $175,676 (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 components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,643CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components169CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.68CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days379.53CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days163.57CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1025014, 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 May 7, 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$5,654,792CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,547,096CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$107,696CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$81,573CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$38,317CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $227,586 (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 components100CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,608CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components176CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.97CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days617.44CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days168.23CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 428696, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended December 31, 2009

Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 25, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$5,171,943CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,323,657CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$151,714CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$129,628CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$14,000CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$36,086 (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 components100CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components31,830CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components198CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days58.95CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days329.96CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days160.76CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 388917, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended December 31, 2008

Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 9, 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$5,064,677CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,233,225CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$168,548CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$173,299CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$8,000CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$3,249 (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 components100CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,789CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components191CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days46.76CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days381.91CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days171.67CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 373330, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended December 31, 2007

Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 20, 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$5,038,472CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,100,769CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$62,297CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$126,226CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$8,565CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $55,364 (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 components100CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,465CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components169CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days20.1CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days424.33CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days198.02CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 332025, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended December 31, 2006

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

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$4,988,464CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,892,417CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$96,047CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$189,272CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $285,319 (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 components128CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,520CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components64CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days50.78CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days638.53CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days711.25CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 306971, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended December 31, 2005

Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 22, 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$4,588,753CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,745,070CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$156,317CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$71,268CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$9,705CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$94,754 (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 components100CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,142CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components127CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.7CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days603.14CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days268.83CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 270799, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended December 31, 2004

Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 4, 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$4,483,819CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,734,975CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$251,156CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$215,557CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$11,578CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$47,177 (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 components100CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,560CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components176CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.31CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days214.19CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days190.68CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 236164, 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 November 24, 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$4,564,572CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,111,241CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$546,669CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$158,395CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$10,532CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$398,806 (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 components118CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,158CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components190CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days27.35CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days588.76CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days195.57CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 200508, 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 May 3, 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$4,937,673CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,119,069CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$181,396CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$50,365CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$6,599CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$137,630 (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 components118CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components38,560CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components220CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days30.1CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days583.41CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days175.27CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 174784, 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$4,417,867CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,695,292CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$277,425CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$114,819CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$162,606 (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 components133CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,131CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components148CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.91CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days887.95CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days250.89CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 132665, 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, as submitted, processed by CMS on August 2, 2001.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$4,186,728CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,320,712CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$133,984CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$127,381CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$6,603 (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 components133CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components40,155CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components160CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.68CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days938.68CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days250.97CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 665, 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 1, 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$3,862,506CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,166,857CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$304,351CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$158,843CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$145,508 (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 components153CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,684CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components149CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days30.93CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days10,600CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days299.89CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 664, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended December 31, 1998

Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on September 6, 2001.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$3,925,474CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,057,325CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$131,851CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$262,424CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $130,573 (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 components141CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components43,049CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components166CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.68CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days676.08CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days259.33CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 662, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended December 31, 1997

Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 2, 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$3,503,627CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,670,006CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$166,379CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$243,929CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $77,550 (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 components141CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components40,639CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components103CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.04CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,899.58CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days394.55CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 17869, 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 7, 1998.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$3,208,474CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,400,740CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$192,266CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$214,463CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $22,197 (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 components141CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,952CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components122CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.17CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days754.82CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days352.07CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 17867, 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
TANGEN, LORRAINECONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 12/01/2023
CAIN, JAMESCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
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
MOLBERT, LAURISCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
NORTH, ANDREWCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
ROGERS, MICHAELCORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/13/2022
SHULKIN, DAVIDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
TEIKEN, BRENTCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
VENTLING-HERRMANN, MARNIECORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
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 01/01/2022
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 01/01/2019
BERRY, PATRICKW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 12/02/2018
MORRISON, TONYW-2 MANAGING EMPLOYEEIndividualNOT 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 O20070824000442).

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
LORRAINE M TANGENIndividualCONTRACTED MANAGING EMPLOYEE012/1/2023
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
JAMES EDWARD CAINIndividualCORPORATE DIRECTOR05/30/2024
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
MICHAEL ROGERSIndividualCORPORATE DIRECTOR06/13/2022
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
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 OFFICER01/27/2022
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 OFFICER01/1/2022
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
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
PATRICK BERRYIndividualW-2 MANAGING EMPLOYEE012/2/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TONY LEE MORRISONIndividualW-2 MANAGING EMPLOYEENot 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
1January 15, 2026January 15, 202665
2October 31, 2024October 31, 2024510
3August 30, 2023August 30, 2023153

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

Deficiencies cited

26 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
January 15, 2026HealthF 0605Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DNoDeficient, Provider has date of correctionFebruary 5, 2026
January 15, 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 correctionFebruary 5, 2026
January 15, 2026HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correctionFebruary 5, 2026
January 15, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionFebruary 5, 2026
January 15, 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionFebruary 5, 2026
November 10, 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionDecember 10, 2025
October 31, 2024HealthF 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 correctionNovember 12, 2024
October 31, 2024HealthF 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 correctionNovember 12, 2024
October 31, 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correctionNovember 12, 2024
October 31, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionNovember 12, 2024
October 31, 2024HealthF 0851Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FNoDeficient, Provider has date of correctionNovember 12, 2024
November 30, 2023HealthF 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 correctionDecember 15, 2023
November 30, 2023HealthF 0802Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.DYesDeficient, Provider has date of correctionDecember 15, 2023
November 30, 2023HealthF 0803Nutrition and Dietary DeficienciesEnsure 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.EYesDeficient, Provider has date of correctionDecember 15, 2023
November 30, 2023HealthF 0809Nutrition and Dietary DeficienciesEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EYesDeficient, Provider has date of correctionDecember 15, 2023
August 30, 2023HealthF 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.ENoDeficient, Provider has date of correctionSeptember 22, 2023
August 30, 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionSeptember 22, 2023
August 30, 2023HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correctionSeptember 22, 2023
August 30, 2023HealthF 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.ENoDeficient, Provider has date of correctionSeptember 22, 2023
August 30, 2023HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correctionSeptember 22, 2023
August 30, 2023HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correctionSeptember 22, 2023
August 30, 2023HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correctionSeptember 22, 2023
August 30, 2023HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.ENoDeficient, Provider has date of correctionSeptember 22, 2023
August 30, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionSeptember 22, 2023
August 30, 2023HealthF 0868Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyENoDeficient, Provider has date of correctionSeptember 22, 2023
August 30, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionSeptember 22, 2023

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

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

Care Compare provider information

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 Services1993-12-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishEmmet
Telephone Number7123623522
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 Beds62
Average Number of Residents per Day45.4
Overall Rating3
Health Inspection Rating3
QM Rating2
Long-Stay QM Rating2
Short-Stay QM Rating1
Processing Date2026-09-01

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

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On June 20, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

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