Skilled nursing facility · CMS certification number 165307

Pillar of Cedar Valley

Waterloo, Iowa · Medicare and Medicaid

Certified beds, as filed in Care Compare: 114

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

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

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

Finances, as filed

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

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

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$20,057,931	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$71,137	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$19,986,794	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$20,748,810	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$762,016	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$497,131	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,259,147	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,259,147 (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
Figure	As filed	Where it comes from
Total facility beds, all components	208	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	76,128	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	276	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	63,862	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	1,025	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	65,163	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	2	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	35	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	5	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	42	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	138	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	1,551.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436761, 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 25, 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$19,973,672	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$57,102	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$20,030,774	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$19,023,537	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,007,237	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$120,233	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,127,470	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,127,470 (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
Figure	As filed	Where it comes from
Total facility beds, all components	200	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	65,530	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	51	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	114.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	1,284.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395807, 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 September 26, 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$17,934,707	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$23,390	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$17,958,097	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$19,090,968	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,132,871	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$51,214	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,184,085	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,184,085 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	200	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	63,563	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	58	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	1,095.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365440, 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 22, 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$17,388,487	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$91,583	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$17,480,070	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$17,220,206	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$259,864	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,182,529	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,442,393	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,442,393 (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
Figure	As filed	Where it comes from
Total facility beds, all components	200	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	61,782	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	54	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	99	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	1,144.11	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1333613, 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 25, 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$16,703,907	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$169,310	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$16,873,217	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$18,298,994	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,425,777	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,560,009	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$134,232	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $134,232 (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
Figure	As filed	Where it comes from
Total facility beds, all components	200	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	58,316	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	53	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	261.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	1,100.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305517, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 7, 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$13,077,697	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$73,651	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,004,046	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,975,824	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$28,222	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$23,347	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$51,569	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $51,569 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	49,734	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	58	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	83.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	857.48	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1275171, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended December 31, 2018

Cost report for July 1, 2018 to December 31, 2018 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 9, 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$5,774,389	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$85,727	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,688,662	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,694,081	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,005,419	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,776	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$988,643	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,115,267 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,612	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	27	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	800.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1223970, read from the public cost report file SNF10FY2018.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 5, 2017.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$13,469,222	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$437,656	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,031,566	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,738,307	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$706,741	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$37,801	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$668,940	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$668,940 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	53,467	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	64	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	835.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1179336, 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 January 17, 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$13,463,227	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$428,285	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,034,942	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,730,253	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$695,311	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$75,718	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$619,593	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$890,909 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	54,078	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	134	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.11	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	403.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1151047, 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 20, 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$13,564,116	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$467,491	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,096,625	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,918,102	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$178,523	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$102,128	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$280,651	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $24,488 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	55,329	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	43	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	1,286.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1117455, 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 29, 2014.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$11,475,022	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$80,528	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,394,494	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,625,402	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,230,908	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,021,789	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$209,119	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$209,119 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	58,853	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	90	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	653.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1083677, 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.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$11,850,510	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$95,678	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,754,832	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,234,542	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$479,710	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$629,827	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$150,117	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $150,117 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	57,881	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	99	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	19.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	584.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1053922, 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.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$11,845,640	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$135,680	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,709,960	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,464,983	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$244,977	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,345,964	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,590,941	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,590,941 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	57,982	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	127	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	18.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	456.55	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1023350, 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 January 18, 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$10,995,861	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,293,970	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$298,109	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,081,757	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $783,648 (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 2011
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	56,839	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	78	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	100	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	877.1	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	728.71	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 422974, 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 January 25, 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$10,311,545	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,354,962	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,043,417	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$455,740	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$587,677 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	55,382	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	70	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.22	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,256.44	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	791.17	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 393111, 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 January 13, 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$10,216,299	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,735,998	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$519,699	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$141,871	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$377,828 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	55,360	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	95	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	19.44	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	818.77	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	582.74	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 362157, 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 15, 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$9,520,109	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,399,300	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$879,191	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$54,137	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$825,054 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	51,244	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	70	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	12.44	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,216.79	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	732.06	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 360957, 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 September 19, 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$9,420,432	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,685,807	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,265,375	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$85,061	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,180,314 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	51,790	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	79	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	39.07	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	912.13	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	655.57	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 325989, 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 December 14, 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$9,237,343	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,387,916	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$1,150,573	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$101,794	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,048,779 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	53,335	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	95	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.73	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	773.7	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	561.42	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 298485, 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 25, 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$8,544,909	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,951,493	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,406,584	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$68,222	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,338,362 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	50,874	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	61	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.64	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,178.28	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	834	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 265138, 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 October 31, 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$8,466,160	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,646,580	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,180,420	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$63,838	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,116,582 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	52,924	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	94	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	464.3	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	563.02	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 235758, 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 28, 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$7,963,577	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,252,400	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,288,823	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$64,620	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,224,203 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	54,696	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	66	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	109.6	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	759.24	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	828.73	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 184598, 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 22, 2003.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$7,498,535	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,632,691	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,134,156	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$73,298	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,060,858 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	51,926	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	113	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	57.93	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	459.52	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 160284, 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 May 20, 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$7,141,675	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,619,211	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,477,536	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$70,759	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,406,777 (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
Figure	As filed	Where it comes from
Total facility beds, all components	168	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	52,907	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	107	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.03	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	701.75	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	494.46	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 145651, 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 December 26, 2001.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$6,911,049	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,765,554	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$854,505	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$99,461	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$755,044 (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
Figure	As filed	Where it comes from
Total facility beds, all components	166	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	52,539	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	111	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.21	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	492.4	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	473.32	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 87071, 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 May 7, 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$6,659,739	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,696,419	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,036,680	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$103,336	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$933,344 (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
Figure	As filed	Where it comes from
Total facility beds, all components	181	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	54,284	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	117	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	52.93	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	800.22	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	463.97	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 87069, 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 June 15, 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$6,131,221	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,317,719	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,186,498	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$101,964	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$1,084,534 (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
Figure	As filed	Where it comes from
Total facility beds, all components	181	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	55,287	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	101	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.41	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	927.6	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	547.4	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 87067, read from the public cost report file SNFFY1997.zip.

Fiscal year 1997, ended June 30, 1997

Cost report for April 1, 1997 to June 30, 1997 — a reporting period of 90 days, not a full year, on form CMS-2540-96, settled, processed by CMS on October 15, 1998.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$5,981,465	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,774,659	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$793,194	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$98,401	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$694,793 (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
Figure	As filed	Where it comes from
Total facility beds, all components	181	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	55,237	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	53	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	80.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,210.36	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,042.21	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 87065, 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 manager	Role	Type	Ownership percentage	Association
TAMID WATERLOO LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 12/15/2022
TAMID HEALTHCARE NFP	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	100%	since 12/15/2022
KUZMENKO, MICHAEL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 12/15/2022
SHIR, ANATOLIY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 12/15/2022
MESSING, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/15/2022
PILLAR SENIOR CARE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/15/2022
TARNOFF, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/15/2022
ARENDS, HILARY	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 04/03/2022

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BLACK HAWK NURSING AND REHABILITATION LLC (enrollment ID O20190121000985).

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
TAMID WATERLOO LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	12/15/2022	Private equity company: No Real estate investment trust: No Holding company: Yes
TAMID HEALTHCARE NFP	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	12/15/2022	Private equity company: No Real estate investment trust: No Holding company: No
ANATOLIY SHIR	Individual	CORPORATE OFFICER	100	12/15/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MICHAEL KUZMENKO	Individual	OFFICER	Not stated in the filing	12/15/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MICHAEL B TARNOFF	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	12/15/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MICHAEL MESSING	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	12/15/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PILLAR SENIOR CARE LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	12/15/2022	Private equity company: No Real estate investment trust: No Holding company: No
ANATOLIY SHIR	Individual	OTHER	Not stated in the filing	12/15/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
GS MANAGEMENT LLC	Organization	OTHER	Not stated in the filing	12/15/2022	Private equity company: No Real estate investment trust: No Holding company: No
VADIM MUCHNIK	Individual	OTHER	Not stated in the filing	12/15/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
HILARY ARENDS	Individual	W-2 MANAGING EMPLOYEE	Not stated in the filing	4/3/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

November 1, 2023: GS MANAGEMENT LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: ILYA SHULMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: ILYA SHULMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: SHERI AMES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: DAN FEINSTEIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: DMITRY GODIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: AARON COHEN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: MICHAEL MESSING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: GS MANAGEMENT LLC (OTHER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: TAMID WATERLOO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: MICHAEL B TARNOFF (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: TAMID HEALTHCARE NFP (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: PILLAR SENIOR CARE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: VADIM MUCHNIK (OTHER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: MICHAEL KUZMENKO (OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: HILARY ARENDS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: ANATOLIY SHIR (OTHER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: ANATOLIY SHIR (OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv

Recent changes on this record

August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
September 25, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
November 1, 2023: GS MANAGEMENT LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: ILYA SHULMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: ILYA SHULMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: SHERI AMES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: DAN FEINSTEIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: DMITRY GODIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: AARON COHEN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: MICHAEL MESSING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: GS MANAGEMENT LLC (OTHER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: TAMID WATERLOO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: MICHAEL B TARNOFF (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: TAMID HEALTHCARE NFP (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: PILLAR SENIOR CARE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: VADIM MUCHNIK (OTHER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: MICHAEL KUZMENKO (OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: HILARY ARENDS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: ANATOLIY SHIR (OTHER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
November 1, 2023: ANATOLIY SHIR (OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since December 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
September 26, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
September 22, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
November 25, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
December 7, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
May 9, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
November 5, 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
December 5, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
January 17, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
January 20, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
December 29, 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
January 18, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
January 25, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
January 13, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
December 15, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
September 19, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
December 14, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
October 25, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
October 31, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	November 17, 2025	November 17, 2025	11	3
2	October 3, 2024	October 3, 2024	11	6
3	June 29, 2023	June 29, 2023	2	6

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

Deficiencies cited

24 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
June 11, 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	July 1, 2026
December 23, 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	January 20, 2026
December 23, 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	January 20, 2026
December 23, 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	January 20, 2026
November 17, 2025	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	D	No	Deficient, Provider has date of correction	December 1, 2025
November 17, 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	December 1, 2025
November 17, 2025	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	No	Deficient, Provider has date of correction	December 1, 2025
November 17, 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	December 1, 2025
November 17, 2025	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	December 1, 2025
November 17, 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	December 1, 2025
November 17, 2025	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	D	No	Deficient, Provider has date of correction	December 1, 2025
October 3, 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	October 31, 2024
October 3, 2024	Health	F 0577	Resident Rights Deficiencies	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	E	No	Deficient, Provider has date of correction	October 31, 2024
October 3, 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	October 31, 2024
October 3, 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	October 31, 2024
October 3, 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	October 31, 2024
October 3, 2024	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D	No	Deficient, Provider has date of correction	October 31, 2024
October 3, 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	October 31, 2024
October 3, 2024	Health	F 0912	Environmental Deficiencies	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	D	No	Deficient, Provider has date of correction	October 31, 2024
October 3, 2024	Health	F 0913	Environmental Deficiencies	Provide bedrooms that have direct access to an exit hallway.	D	No	Deficient, Provider has date of correction	October 31, 2024
October 3, 2024	Health	F 0914	Environmental Deficiencies	Provide bedrooms that don't allow residents to see each other when privacy is needed.	D	No	Deficient, Provider has date of correction	October 31, 2024
October 3, 2024	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	D	No	Deficient, Provider has date of correction	October 31, 2024
June 29, 2023	Health	F 0676	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D	No	Deficient, Provider has date of correction	July 21, 2023
June 29, 2023	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	July 21, 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	BLACK HAWK NURSING AND REHABILITATION LLC
Date First Approved to Provide Medicare and Medicaid Services	1997-03-13
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Black Hawk
Telephone Number	3192912509
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	114
Average Number of Residents per Day	133.2
Overall Rating	1
Health Inspection Rating	2
QM Rating	1
Long-Stay QM Rating	1
Processing Date	2026-09-01

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

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