Velarion Records

Skilled nursing facility · CMS certification number 165303

Rehabilitation Centers of Independence West Campus

Independence, Iowa · Medicare and Medicaid

Certified beds, as filed in Care Compare: 70

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: 3 · Fines: 2 · Fines, total amount: $22,740.00 · Payment denials: 1. The most recent penalty on file: November 6, 2025, Fine, $9,113. 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 August 15, 2024 to December 31, 2024 — a reporting period of 138 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$2,904,676CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$477,795CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,426,881CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,146,692CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$280,189CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$280,189CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $280,189 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components9,730CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days569CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days4,956CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days1,797CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components7,322CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges14CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges11CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges48CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components73CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.64CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days450.55CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days100.3CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433776, 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 September 6, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$6,610,299CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$612,852CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,997,447CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,609,548CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$387,899CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$37,407CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$425,306CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $425,306 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,465CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components190CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days276.19CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days107.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1393956, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 18, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$4,974,043CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,974,043CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,745,652CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$228,391CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,110CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$231,501CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $231,501 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,557CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components179CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days68.76CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days253.98CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days92.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359040, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$3,545,385CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,545,385CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,647,746CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$102,361CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,229CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$94,132CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$94,132 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,432CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components84CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.06CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days545.94CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days159.9CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1331492, 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 16, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$3,474,064CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,474,064CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,321,473CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$152,591CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$43,632CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$196,223CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $196,177 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,446CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components66CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days112.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days563.94CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days203.73CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1304558, 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 May 14, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$3,998,777CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,998,777CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,344,840CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$653,937CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,396CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$659,333CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $659,333 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,779CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components102CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.04CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days320.62CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days135.09CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1255426, 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 July 12, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$4,098,700CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,098,700CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,535,331CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$563,369CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,176CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$568,545CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $568,545 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,934CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components142CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days268.28CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days98.13CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1236669, 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$5,073,829CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,073,829CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,911,407CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,162,422CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,863CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,165,285CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,165,285 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,983CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components163CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days285.84CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days104.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1201028, 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 14, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$5,057,344CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,057,344CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,073,158CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$984,186CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,643CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$991,829CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $991,829 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,568CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components160CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days228.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days109.8CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1161814, 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 July 29, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$5,356,989CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,356,989CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,153,131CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,203,858CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$10,300CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,214,158CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,214,158 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,354CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components173CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.37CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days291.95CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days111.87CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1138869, 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 July 25, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$5,817,246CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,817,246CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,368,690CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,448,556CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$15,710CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,464,266CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,464,266 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,967CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components226CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days223.13CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days92.77CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1104388, 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 July 23, 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$5,201,287CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,201,287CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,468,552CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$732,735CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,473CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$742,208CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $742,208 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,652CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components178CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.19CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days328.72CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days127.26CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1072703, 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 August 2, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$5,171,364CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,171,364CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,397,405CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$773,959CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,220CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$782,179CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $782,179 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,609CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components167CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days397.56CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days129.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1045413, 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 October 26, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$5,221,124CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,221,124CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,525,390CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$695,734CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,525CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$702,259CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $702,259 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,008CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components192CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55.21CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days130.25CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013712, 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 June 30, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$5,216,376CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,286,188CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$930,188CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$9,568CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $939,756 (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 components84CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components27,382CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components188CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days56.18CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days378.88CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days145.65CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 409100, 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 July 14, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$4,803,798CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,107,564CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$696,234CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$14,502CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $710,736 (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 components86CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,220CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components214CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days52.27CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days466CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days131.87CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 381462, 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 July 15, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$3,689,344CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,842,202CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$152,858CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$15,025CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$137,833 (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 components86CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,089CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components229CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days47CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days318.63CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days109.56CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 350504, 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, reopened, processed by CMS on August 6, 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$3,732,668CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,511,341CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$221,327CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$12,410CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $233,737 (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 components84CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,710CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components184CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days55.52CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days330.36CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days145.16CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 353979, 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 January 24, 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$3,236,729CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,156,521CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$80,208CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$11,142CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $91,350 (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 components84CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,789CMS-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 days40.1CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days527.16CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days161.18CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 300918, 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 June 14, 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$3,124,306CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,142,981CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$18,675CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$12,414CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$6,261 (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 components84CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,955CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components170CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.47CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days434.92CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days152.68CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 283845, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended December 31, 2004

Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 15, 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$3,228,500CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,052,239CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$176,261CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$10,910CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $187,171 (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 components101CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,969CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components189CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days60.65CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days338.25CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days153.28CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 242853, 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 January 25, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$3,144,635CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,234,236CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$89,601CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$11,606CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$77,995 (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 components101CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,602CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components195CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.44CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days367.47CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days146.68CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 205219, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended December 31, 2002

Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 24, 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$3,626,019CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,436,392CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$189,627CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$9,714CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $199,341 (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 components101CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,454CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components219CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days89.82CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days344.7CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days148.19CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 171589, 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 February 13, 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$3,121,747CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,044,767CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$76,980CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$15,107CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $92,087 (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 components101CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,522CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components170CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days70.26CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days402.7CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days173.66CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 125362, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended December 31, 2000

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

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$2,928,872CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,987,255CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$58,383CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$15,928CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$42,455 (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 components101CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components31,240CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components137CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days78.9CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days377.23CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days228.03CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 117238, 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 September 6, 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$2,825,393CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,916,208CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$90,815CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$14,477CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$76,338 (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 components101CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,734CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components61CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53.67CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,040.6CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days536.62CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 870, 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, settled, processed by CMS on August 22, 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$2,607,692CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,680,095CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$72,403CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$16,330CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$56,073 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components101CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,831CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components89CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days17.85CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days607.37CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days380.12CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 869, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended December 31, 1997

Cost report for December 18, 1996 to December 31, 1997 — a reporting period of 378 days, on form CMS-2540-96, as submitted, processed by CMS on July 31, 1998.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$2,491,041CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,333,549CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$157,492CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$12,836CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $170,328 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components101CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,117CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components93CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days22.92CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days781.15CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days366.85CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 18039, read from the public cost report file SNFFY1997.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
BEASLEY, KARLAADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
BEHOUNEK, LINSEYADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
BORCHERDING, JENNYADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
BURKEN, SHERIADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
CASCADE CAPITAL HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
CASCADE CAPITAL PARTNERS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
CCG GORGONA LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
DEFORD, COLINADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
FRIEDENBERG, LAURAADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
GORGONA HOLDCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
GORGONA PROPCO HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
GORGONA SUB HOLDCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
GPN FAMILY TRUST U/A/D 4/28/08ADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
HEDBERG, JENNIFERADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
HEYING, LARINAADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
HOUSTON, MINDYADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
HUNT, AMBERADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
INDEPENDENCE IA PROPERTY HOLDINGS, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
JAEGER, KRYSTLEADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
JOHNSTON, ROBERTAADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
LARSON, MELISSAADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
LEGACY HEALTHCARE FINANCIAL SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
MCCLURE, DOROTHYADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
MN8 RH HOLDCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/15/2024
OTTERBECK, PATRICIAADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
RAJCHENBACH, CHAIMADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
SHEAR, KILEYADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
VAN VEGHEL, ELIZABETHADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
WIERSCHEM, BOBBIEADP OF THE SNFIndividualNOT APPLICABLEsince 08/15/2024
SHABAT, MENACHEMCORPORATE OFFICERIndividualNOT APPLICABLEsince 08/15/2024
FRIEDMAN, BRIANINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2025
RAJCHENBACH, AVRUMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2025
RAJCHENBACH, RIVKAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2025
SHABAT, AHUVAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2025
SHABAT, MENACHEMMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/15/2024
BEASLEY, KARLAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
BEHOUNEK, LINSEYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
BORCHERDING, JENNYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
BURKEN, SHERIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
DEFORD, COLINOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
FRIEDENBERG, LAURAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
HEDBERG, JENNIFEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
HEYING, LARINAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
HOUSTON, MINDYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
HUNT, AMBEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
JAEGER, KRYSTLEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
JOHNSTON, ROBERTAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
LARSON, MELISSAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 08/15/2024
MCCLURE, DOROTHYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
OTTERBECK, PATRICIAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
RAJCHENBACH, CHAIMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
SHABAT, MENACHEMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
SHEAR, KILEYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
VAN VEGHEL, ELIZABETHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024
WIERSCHEM, BOBBIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/15/2024

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of INDEPENDENCE IA SKILLED NURSING FACILITY LLC (enrollment ID O20240919002561).

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
IOWA PORTFOLIO OPCO HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1008/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
DOROS GENERATION TRUST U/A/D 1/3/12Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST58/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
GPN FAMILY TRUST U/A/D 4/28/08Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST45.58/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
OAKWAY OPERATIONS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST22.58/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
AMBER HUNTIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BOBBIE WIERSCHEMIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CASCADE CAPITAL HOLDINGS LLCOrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
CASCADE CAPITAL PARTNERS LLCOrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
CCG GORGONA LLCOrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
CHAIM RAJCHENBACHIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
COLIN DEFORDIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DOROTHY MCCLUREIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ELIZABETH VAN VEGHELIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GORGONA HOLDCO LLCOrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
GORGONA PROPCO HOLDINGS LLCOrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
GORGONA SUB HOLDCO LLCOrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
GPN FAMILY TRUST U/A/D 4/28/08OrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
INDEPENDENCE IA PROPERTY HOLDINGS, LLCOrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
JENNIFER HEDBERGIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JENNY BORCHERDINGIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KARLA BEASLEYIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KILEY SHEARIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KRYSTLE JAEGERIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LARINA HEYINGIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAURA FRIEDENBERGIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
LINSEY BEHOUNEKIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MELISSA LARSONIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MINDY HOUSTONIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MN8 RH HOLDCO LLCOrganizationADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
PATRICIA OTTERBECKIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERTA JOHNSTONIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHERI BURKENIndividualADP OF THE SNFNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MENACHEM SHABATIndividualCORPORATE OFFICERNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MENACHEM SHABATIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
AMBER HUNTIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BOBBIE WIERSCHEMIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CHAIM RAJCHENBACHIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
COLIN DEFORDIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DOROTHY MCCLUREIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ELIZABETH VAN VEGHELIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JENNIFER HEDBERGIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JENNY BORCHERDINGIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KARLA BEASLEYIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KILEY SHEARIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KRYSTLE JAEGERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LARINA HEYINGIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAURA FRIEDENBERGIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
LINSEY BEHOUNEKIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MELISSA LARSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MENACHEM SHABATIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MINDY HOUSTONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PATRICIA OTTERBECKIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERTA JOHNSTONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHERI BURKENIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/15/2024
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
1December 11, 2025December 11, 202547
2November 14, 2024November 14, 202474
3October 19, 2023October 19, 202344

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

Deficiencies cited

15 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
April 1, 2026HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EYesDeficient, Provider has date of correctionMay 1, 2026
December 11, 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionJanuary 10, 2026
December 11, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionJanuary 10, 2026
November 6, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesPast Non-ComplianceOctober 20, 2025
August 12, 2025HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EYesDeficient, Provider has date of correctionSeptember 30, 2025
August 12, 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correctionSeptember 30, 2025
August 12, 2025HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DYesDeficient, Provider has date of correctionSeptember 30, 2025
April 17, 2025HealthF 0602Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.DYesDeficient, Provider has date of correctionMay 15, 2025
April 17, 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 correctionMay 15, 2025
November 14, 2024HealthF 0800Nutrition and Dietary DeficienciesProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.ENoDeficient, Provider has date of correctionDecember 14, 2024
November 14, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionDecember 14, 2024
January 8, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.JYesDeficient, Provider has date of correctionFebruary 8, 2024
October 19, 2023HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correctionNovember 15, 2023
October 19, 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionNovember 15, 2023
October 19, 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.DNoDeficient, Provider has date of correctionNovember 15, 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
November 6, 2025Fine$9,113136257
January 8, 2024Fine$13,62779390
January 8, 2024Payment DenialJanuary 31, 20248

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameINDEPENDENCE IA SKILLED NURSING FACILITY LLC
Date First Approved to Provide Medicare and Medicaid Services1996-12-18
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishBuchanan
Telephone Number3193346039
Chain NameLEGACY HEALTHCARE
Chain ID306
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilNone
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds70
Average Number of Residents per Day52.8
Overall Rating3
Health Inspection Rating2
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating5
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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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.

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