Skilled nursing facility · CMS certification number 165326
Bloomfield Care Center
Bloomfield, Iowa · Medicare and Medicaid
Certified beds, as filed in Care Compare: 91
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for August 15, 2024 to December 31, 2024 — a reporting period of 138 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,776,911 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $205,782 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,571,129 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,811,229 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$240,100 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $124,182 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$115,918 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$115,918 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 48 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 6,672 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 222 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 3,140 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,682 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 5,044 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 9 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 14 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 21 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 224.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 114.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433789, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 6, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,405,250 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $316,570 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,088,680 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,404,386 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$315,706 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,526 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$278,180 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$278,180 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,612 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 139 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 306.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1393959, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,650,817 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,650,817 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,294,858 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$644,041 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,756 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$636,285 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$636,285 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,499 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 203.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1359042, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,769,461 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,769,461 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,771,422 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,001,961 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,924 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$999,037 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$999,037 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,239 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 154.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331494, 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 18, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,488,472 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,488,472 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,129,118 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$640,646 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $50,261 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$590,385 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$590,385 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,373 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 224 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 170.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304874, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 14, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,324,831 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,324,831 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,896,559 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $428,272 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,160 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $434,432 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $434,432 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,213 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 220 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 251.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1255428, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,981,832 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,981,832 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,769,420 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $212,412 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $57,978 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $270,390 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $270,390 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,609 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 193 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 246.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237929, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,482,007 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,482,007 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,981,540 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $500,467 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $60,812 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $561,279 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $561,279 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,362 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 278 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 159.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200212, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,087,286 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,087,286 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,737,974 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $349,312 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $33,034 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $382,346 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $382,346 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,771 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 278 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 146.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169499, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,967,792 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,967,792 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,885,781 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $82,011 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,624 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $101,635 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $101,635 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,631 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 219.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1137829, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled with audit, processed by CMS on August 3, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,519,135 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,519,135 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,414,139 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $104,996 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,437 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $132,433 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $132,433 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,131 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 245 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 117.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1106548, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,721,660 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,721,660 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,578,648 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $143,012 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,735 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $181,747 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $181,747 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,416 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 293.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1072096, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,124,365 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,124,365 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,775,061 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $349,304 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,790 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $371,094 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $371,094 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,924 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 129 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 415.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 177.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1043678, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,397,362 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,397,362 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,408,954 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$11,592 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $33,314 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $21,722 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $21,722 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,755 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 141 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 154.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1013724, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 16, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,950,274 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,619,946 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $330,328 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,988 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $350,316 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,223 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 165 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 305.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 146.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 404728, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 14, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,478,257 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,227,152 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $251,105 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,816 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $275,921 (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 | 91 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,108 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 452.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 174.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 381299, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 16, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,064,446 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,005,531 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $58,915 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,331 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $63,246 (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 | 91 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,911 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 169 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 422.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 147.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 350862, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,099,830 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,990,630 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $109,200 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,894 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $117,094 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,935 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 204 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 565.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 127.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 319111, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,660,607 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,652,826 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $7,781 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,109 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $19,890 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,753 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 194 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 429.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 122.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306949, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 18, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,713,137 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,718,474 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$5,337 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,230 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $21,893 (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 | 91 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,695 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 478.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 202.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 284259, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 21, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,785,575 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,658,872 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $126,703 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,853 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $140,556 (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 | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,165 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 130 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 624.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 208.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 247777, 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 30, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,938,332 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,906,301 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $32,031 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,366 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $42,397 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,701 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 135 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 640.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 212.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 226190, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 10, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,174,702 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,967,014 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $207,688 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,619 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $217,307 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,588 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 164 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 686.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 192.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 175740, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 18, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,761,836 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,588,971 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $172,865 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,702 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $189,567 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,277 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 178 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 473.16 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 164.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 132706, 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 March 18, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,726,787 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,659,043 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $67,744 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,618 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $95,362 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,358 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 221 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 212.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 137.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 132631, 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 June 5, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,854,499 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,359,167 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $495,332 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,821 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $518,153 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,012 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 222 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 152.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 144.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 938, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 22, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,445,076 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,246,660 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $198,416 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,226 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $210,642 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,041 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 91 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 517.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 341.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 936, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for May 5, 1997 to December 31, 1997 — a reporting period of 240 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 30, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,840,172 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,447,925 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $392,247 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,515 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $405,762 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,861 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 46 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 7.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 896.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 453.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 935, 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
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CASCADE CAPITAL HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/15/2024 |
| CASCADE CAPITAL PARTNERS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/15/2024 |
| CASE, JANELLE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/21/2025 |
| CCG GORGONA LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/15/2024 |
| GORGONA HOLDCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/15/2024 |
| GORGONA PROPCO HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/15/2024 |
| GORGONA SUB HOLDCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/15/2024 |
| KICE, TONYA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/15/2024 |
| MN8 RH HOLDCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/15/2024 |
| RAJCHENBACH, CHAIM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/15/2024 |
| SHABAT, MENACHEM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/15/2024 |
| BEASLEY, KARLA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| BEHOUNEK, LINSEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| BORCHERDING, JENNY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| BURKEN, SHERI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| CASE, JANELLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/21/2025 |
| FRIEDENBERG, LAURA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| HEDBERG, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| HEYING, LARINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| HOUSTON, MINDY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| JAEGER, KRYSTLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| KICE, TONYA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| LARSON, MELISSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/15/2024 |
| MCCLURE, DOROTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| OTTERBECK, PATRICIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| RAJCHENBACH, CHAIM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| SHABAT, MENACHEM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| SHEAR, KILEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| VAN VEGHEL, ELIZABETH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| WEI, SHIPENG | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| WIERSCHEM, BOBBIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2024 |
| FRIEDMAN, BRIAN | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/03/2012 |
| RAJCHENBACH, AVRUM | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 04/28/2008 |
| RAJCHENBACH, RIVKA | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 04/28/2008 |
| SHABAT, AHUVA | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/03/2012 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BLOOMFIELD IA SKILLED NURSING FACILITY LLC (enrollment ID O20240924000999).
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 |
|---|---|---|---|---|---|
| IOWA PORTFOLIO OPCO HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 8/15/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5 | 8/15/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 68 | 8/15/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| OAKWAY OPERATIONS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22.5 | 8/15/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CASCADE CAPITAL HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 8/15/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| CASCADE CAPITAL PARTNERS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 8/15/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| CCG GORGONA LLC | Organization | ADP OF THE SNF | Not stated in the filing | 8/15/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| CHAIM RAJCHENBACH | Individual | ADP OF THE SNF | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GORGONA HOLDCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 8/15/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| GORGONA PROPCO HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 8/15/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| GORGONA SUB HOLDCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 8/15/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JANELLE CASE | Individual | ADP OF THE SNF | Not stated in the filing | 7/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MN8 RH HOLDCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 8/15/2024 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| TONYA KICE | Individual | ADP OF THE SNF | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MENACHEM SHABAT | Individual | CORPORATE OFFICER | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BOBBIE WIERSCHEM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHAIM RAJCHENBACH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOROTHY MCCLURE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELIZABETH VAN VEGHEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANELLE CASE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENNIFER HEDBERG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENNY BORCHERDING | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KARLA BEASLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KILEY SHEAR | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KRYSTLE JAEGER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LARINA HEYING | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURA FRIEDENBERG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| LINSEY BEHOUNEK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MELISSA LARSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MENACHEM SHABAT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MINDY HOUSTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICIA OTTERBECK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHERI BURKEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHIPENG WEI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TONYA KICE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AHUVA SHABAT | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/3/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AVRUM RAJCHENBACH | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 4/28/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRIAN FRIEDMAN | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/3/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RIVKA RAJCHENBACH | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 4/28/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- November 1, 2025: MICHELE KNUTSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHRISTINA HENNAGER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: KATHLEEN SCOTT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ROSEMARY WOOD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JOSHUA SEU no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: NANCY A NEWMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SANDRA STAUDT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AMY WRIGHT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JANELLE CASE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JANELLE CASE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TONYA KICE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- April 1, 2025: ABCM CORPORATION no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: ALEXA L MAYNER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: ALEXA L MAYNER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: TODD R ALLBEE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: TODD R ALLBEE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: KATHY J MEYER-ALLBEE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: KATHY J MEYER-ALLBEE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: TIMOTHY C. ROBERTS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: TIMOTHY C. ROBERTS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RICHARD ALBERT ALLBEE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RICHARD ALBERT ALLBEE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RICHARD ALBERT ALLBEE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: NANCY A NEWMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: GORGONA HOLDCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: KRYSTLE JAEGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: MICHELE KNUTSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: CASCADE CAPITAL HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: AHUVA SHABAT (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 3, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: CHRISTINA HENNAGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: GORGONA PROPCO HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: SHERI BURKEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: CCG GORGONA LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: KATHLEEN SCOTT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: LINSEY BEHOUNEK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: DOROS GENERATION TRUST U/A/D 1/3/12 (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: ROSEMARY WOOD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: AVRUM RAJCHENBACH (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since April 28, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: DOROTHY MCCLURE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: CASCADE CAPITAL PARTNERS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: OAKWAY OPERATIONS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: KILEY SHEAR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: LEGACY HEALTHCARE FINANCIAL SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: BOBBIE WIERSCHEM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: GPN FAM TR UA 04282008 (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: KARLA BEASLEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: SHIPENG WEI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: ELIZABETH VAN VEGHEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: CHAIM Z RAJCHENBACH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: CHAIM Z RAJCHENBACH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: MELISSA LARSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RIVKA RAJCHENBACH (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since April 28, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: MN8 RH HOLDCO, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: PATRICIA OTTERBECK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: MENACHEM SHABAT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: MENACHEM SHABAT (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: TONYA KICE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: IOWA PORTFOLIO OPCO HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: LAURA FRIEDENBERG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: JENNIFER HEDBERG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: BRIAN FRIEDMAN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 3, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: JOSHUA SEU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: JENNY BORCHERDING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: GORGONA SUB HOLDCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: LARINA HEYING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: NANCY A NEWMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: MINDY HOUSTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: SANDRA STAUDT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: AMY WRIGHT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- February 15, 2023: RICHARD ALBERT ALLBEE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: RICHARD ALBERT ALLBEE (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since December 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Recent changes on this record
- July 30, 2026: A deficiency was cited under tag F 0688, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- November 1, 2025: MICHELE KNUTSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHRISTINA HENNAGER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: KATHLEEN SCOTT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ROSEMARY WOOD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JOSHUA SEU no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: NANCY A NEWMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SANDRA STAUDT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AMY WRIGHT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JANELLE CASE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JANELLE CASE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TONYA KICE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- April 1, 2025: ABCM CORPORATION no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: ALEXA L MAYNER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: ALEXA L MAYNER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: TODD R ALLBEE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: TODD R ALLBEE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: KATHY J MEYER-ALLBEE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: KATHY J MEYER-ALLBEE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: TIMOTHY C. ROBERTS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: TIMOTHY C. ROBERTS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RICHARD ALBERT ALLBEE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RICHARD ALBERT ALLBEE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RICHARD ALBERT ALLBEE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: NANCY A NEWMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: GORGONA HOLDCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: KRYSTLE JAEGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: MICHELE KNUTSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: CASCADE CAPITAL HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: AHUVA SHABAT (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 3, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: CHRISTINA HENNAGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: GORGONA PROPCO HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: SHERI BURKEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: CCG GORGONA LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: KATHLEEN SCOTT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: LINSEY BEHOUNEK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: DOROS GENERATION TRUST U/A/D 1/3/12 (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: ROSEMARY WOOD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: AVRUM RAJCHENBACH (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since April 28, 2008. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | November 20, 2025 | November 20, 2025 | 6 | 1 |
| 2 | September 26, 2024 | September 26, 2024 | 2 | 2 |
| 3 | February 1, 2024 | February 1, 2024 | 3 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
11 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 30, 2026 | 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 | Yes | Deficient, Provider has date of correction | August 29, 2026 |
| June 25, 2026 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | G | Yes | Deficient, Provider has date of correction | July 8, 2026 |
| November 20, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | December 12, 2025 |
| November 20, 2025 | 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 | December 12, 2025 |
| November 20, 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 | Yes | Deficient, Provider has date of correction | December 12, 2025 |
| November 20, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | December 12, 2025 |
| June 19, 2025 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Yes | Deficient, Provider has date of correction | July 18, 2025 |
| June 19, 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Yes | Deficient, Provider has date of correction | July 18, 2025 |
| February 1, 2024 | 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 | March 1, 2024 |
| February 1, 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 | March 1, 2024 |
| February 1, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | March 1, 2024 |
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 | For profit - Corporation |
| Legal Business Name | BLOOMFIELD IA SKILLED NURSING FACILITY LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1997-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Davis |
| Telephone Number | 6416642699 |
| Chain Name | LEGACY HEALTHCARE |
| Chain ID | 306 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 91 |
| Average Number of Residents per Day | 42.6 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on Bloomfield Care Center: 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 July 30, 2026: A deficiency was cited under tag F 0688, scope and severity D. That is one line of the alert.
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The citable document for Bloomfield Care Center
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 165326.