Skilled nursing facility · CMS certification number 165315
SIESTA PARK MANOR
OSKALOOSA, Iowa
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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.
This certification number is not in CMS’s current Care Compare Provider Information 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, 2004 to April 15, 2004 — a reporting period of 105 days, not a full year, on form CMS-2540-96, settled, processed by CMS on September 16, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $235,451 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $377,750 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$142,299 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $77 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$142,222 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Bed days available, all components | 3,922 | CMS-2540-96 worksheet S300001 line 900 column 200 |
| Medicare (Title XVIII) patient days | 65 | CMS-2540-96 worksheet S300001 line 900 column 400 |
| Medicaid (Title XIX) patient days | 1,874 | CMS-2540-96 worksheet S300001 line 900 column 500 |
| Other-payer patient days | 593 | CMS-2540-96 worksheet S300001 line 900 column 600 |
| Total patient days, all components | 2,532 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Medicare discharges | 3 | CMS-2540-96 worksheet S300001 line 900 column 900 |
| Medicaid discharges | 20 | CMS-2540-96 worksheet S300001 line 900 column 1000 |
| Other-payer discharges | 7 | CMS-2540-96 worksheet S300001 line 900 column 1100 |
| Total discharges, all components | 30 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 93.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 84.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 233154, 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 June 15, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,009,655 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,250,942 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$241,287 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $445 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$240,843 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,457 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 386.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 286.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 182111, 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 30, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,132,930 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,232,164 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$99,234 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $505 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$98,729 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,694 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 26 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 259.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 617.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 488.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 172372, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 2, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,051,037 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,063,503 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$12,466 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $553 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$11,913 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,715 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 12.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 663 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 343.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 169883, 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 December 26, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,052,284 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,029,799 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $22,485 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,411 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $38,896 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,827 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 470.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 305.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 87082, 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 January 23, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,029,143 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,004,021 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $25,122 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $235 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $25,357 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,016 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 31 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 387.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 87080, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended June 30, 1998
Cost report for January 1, 1998 to June 30, 1998 — a reporting period of 180 days, not a full year, on form CMS-2540-96, settled, processed by CMS on November 8, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $472,237 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $452,716 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $19,521 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $242 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $19,763 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 6,234 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 10 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 662.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 623.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 87076, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 15, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $940,373 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $881,203 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $59,170 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $707 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $59,877 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,461 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 27 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.38 | 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 | 461.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 87074, 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.
Ownership, as filed with CMS
Care Compare
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
No change in ownership appears in CMS’s ownership data for this facility.
Recent changes on this record
- September 16, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- June 15, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- March 30, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- March 2, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- December 26, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- November 8, 2001: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- January 23, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- November 1, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- October 15, 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
Get an email when this record changes
One email a day naming what moved on SIESTA PARK MANOR: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On September 16, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. That is one line of the alert.
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The citable document for SIESTA PARK MANOR
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Iowa at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 165315.