Skilled nursing facility · CMS certification number 165281
On With Life Long Term Care
Polk City, Iowa · Medicare and Medicaid
Certified beds, as filed in Care Compare: 40
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 July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 24, 2025.
None of these figures is carried on this report.
CMS report record 1445615, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 15, 2025.
None of these figures is carried on this report.
CMS report record 1402257, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2024.
None of these figures is carried on this report.
CMS report record 1371679, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 29, 2022.
None of these figures is carried on this report.
CMS report record 1339151, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 23, 2021.
None of these figures is carried on this report.
CMS report record 1307836, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 31, 2020.
None of these figures is carried on this report.
CMS report record 1277854, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 5, 2020.
None of these figures is carried on this report.
CMS report record 1250468, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.
None of these figures is carried on this report.
CMS report record 1217964, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 20, 2017.
None of these figures is carried on this report.
CMS report record 1180991, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 21, 2016.
None of these figures is carried on this report.
CMS report record 1149743, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 21, 2016.
None of these figures is carried on this report.
CMS report record 1117780, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 24, 2014.
None of these figures is carried on this report.
CMS report record 1083617, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 27, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,976,673 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,212,038 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,764,635 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,976,393 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$211,758 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,155 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$169,603 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$169,603 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 32 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,605 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 5 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 2,321 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 2,321 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1054519, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,968,671 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,207,788 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,760,883 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,933,964 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$173,081 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,142 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$168,939 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$168,939 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 32 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,621 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 3 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 3,873.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 3,873.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023121, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 20, 2011.
None of these figures is carried on this report.
CMS report record 422151, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 14, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,590,970 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,409,317 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $181,653 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,708 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $235,361 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,475 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 6 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicaid, in days | 2,269.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,912.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 391078, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 18, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,670,255 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,661,110 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $9,145 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,822 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $35,967 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,600 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 2 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicaid, in days | 5,617.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 5,800 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 361295, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on December 10, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,292,038 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,344,010 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$51,972 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,085 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$40,887 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,967 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 9 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicaid, in days | 1,308.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,218.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 360558, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 30, 2008.
None of these figures is carried on this report.
CMS report record 301365, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 30, 2007.
Net income: $2,494,576 (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.
CMS report record 271311, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 18, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,723,189 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,757,728 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$34,539 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,757 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$7,782 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,078 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 5 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,566.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 2,215.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264795, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for July 1, 2003 to June 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 13, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,807,909 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,837,200 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$29,291 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,902 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$10,389 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,208 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 13 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,049.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 862.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 227413, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 18, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,657,661 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,674,674 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$17,013 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,167 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $5,154 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,040 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 9 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicaid, in days | 1,328.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,226.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 183162, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended June 30, 2002
Cost report for July 1, 2001 to June 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 17, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,304,502 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,370,056 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$65,554 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,063 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$22,491 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,137 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 13 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicaid, in days | 956.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 779.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159971, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended June 30, 2001
Cost report for July 1, 2000 to June 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,056,194 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,152,752 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$96,558 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,962 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $58 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$85,654 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,702 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 15 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 7,052 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 646.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 124806, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended June 30, 2000
Cost report for July 1, 1999 to June 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,646,022 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,516,804 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $129,218 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,909 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $136,127 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 8,144 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 10 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 107 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 755.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 814.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 114090, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended June 30, 1999
Cost report for July 1, 1998 to June 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 6, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,525,812 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,361,307 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $164,505 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,633 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $193,138 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 22 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 7,484 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 9 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicaid, in days | 1,054 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 831.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 816, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended June 30, 1998
Cost report for July 1, 1997 to June 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,348,024 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,203,794 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $144,230 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,729 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $149,959 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 22 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 6,675 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 18 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 753.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 370.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 815, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended June 30, 1997
Cost report for July 3, 1996 to June 30, 1997 — a reporting period of 362 days, on form CMS-2540-96, settled, processed by CMS on April 30, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $546,561 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $766,381 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$219,820 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,524 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$216,296 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 22 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 3,120 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 5 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 153 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 713.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 624 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 814, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| SHELTON, JEANETTE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2017 |
| FORS, RUDY | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 01/01/2024 |
| HOOGESTRAAT, DIANA | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 01/01/2024 |
| BENSON LARSON, KATE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2024 |
| FORS, RUDY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2024 |
| HOOGESTRAAT, DIANA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2024 |
| SNYDER, JOHN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2024 |
| LEWIS, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2019 |
| ON WITH LIFE EXTENDED SERVICES LTD | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/01/2011 |
| ON WITH LIFE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/01/2001 |
| SHELTON, JEANETTE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2017 |
| FOREMAN, JIM | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 01/01/2015 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ON WITH LIFE EXTENDED SERVICES LTD (enrollment ID O20111018000814).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| JEANETTE A SHELTON | Individual | CORPORATE OFFICER | 100 | 11/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DIANA E HOOGESTRAAT | Individual | INDIRECT OWNERSHIP INTEREST | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RUDY FORS | Individual | INDIRECT OWNERSHIP INTEREST | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DIANA E HOOGESTRAAT | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN SNYDER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATE BENSON LARSON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RUDY FORS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEANETTE A SHELTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 11/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENNIFER LEWIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 6/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ON WITH LIFE EXTENDED SERVICES LTD | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 7/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| ON WITH LIFE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2001 | Private equity company: No Real estate investment trust: No Holding company: No |
| JIM FOREMAN | Individual | W-2 MANAGING EMPLOYEE | 100 | 1/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- February 1, 2025: CYNTHIA A EWALD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KATE BENSON LARSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: RUDY FORS (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: RUDY FORS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DIANA E HOOGESTRAAT (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DIANA E HOOGESTRAAT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JOHN SNYDER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
Recent changes on this record
- December 24, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- February 1, 2025: CYNTHIA A EWALD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KATE BENSON LARSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: RUDY FORS (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: RUDY FORS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DIANA E HOOGESTRAAT (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DIANA E HOOGESTRAAT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JOHN SNYDER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- January 15, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- January 16, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- December 29, 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- December 23, 2021: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- December 31, 2020: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- February 5, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- January 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- December 20, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- December 21, 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- January 21, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- December 24, 2014: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- January 27, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- January 24, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- December 20, 2011: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- December 14, 2010: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- December 18, 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- December 10, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- January 30, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- January 30, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- October 18, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- July 13, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- June 18, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- September 17, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- February 12, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- February 11, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- August 6, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- April 30, 2001: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
- October 26, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 31, 2025 | December 31, 2025 | 0 | 2 |
| 2 | December 12, 2024 | December 12, 2024 | 3 | 1 |
| 3 | September 28, 2023 | September 28, 2023 | 4 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
7 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| August 5, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | August 27, 2025 |
| December 12, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | December 31, 2024 |
| December 12, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | December 31, 2024 |
| September 28, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | October 20, 2023 |
| September 28, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | October 28, 2023 |
| September 28, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | September 29, 2023 |
| September 28, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | October 20, 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
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | ON WITH LIFE EXTENDED SERVICES LTD |
| Date First Approved to Provide Medicare and Medicaid Services | 1996-07-03 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Polk |
| Telephone Number | 5154219200 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 40 |
| Average Number of Residents per Day | 39.2 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on On With Life Long Term Care: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On December 24, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for On With Life Long Term Care
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Iowa at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 165281.