Skilled nursing facility · CMS certification number 165444
West Bend Health and Rehabilitation
West Bend, Iowa · Medicare and Medicaid
Certified beds, as filed in Care Compare: 45
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 January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 22, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,247,695 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $675,532 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,572,163 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,172,748 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $399,415 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,158 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $409,573 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $409,573 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 16,470 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 757 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 7,623 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,735 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 15,115 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 20 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 24 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 48 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,905.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 314.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1423544, 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 August 13, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,912,315 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $659,658 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,252,657 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,667,585 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $585,072 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,321 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $602,393 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $602,393 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,745 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,736 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 296.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391911, 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 August 22, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,222,282 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $579,396 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,642,886 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,239,610 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $403,276 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $35,064 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $438,340 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $438,340 (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 | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,464 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,578.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 217.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362771, 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 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,894,903 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $631,007 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,263,896 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,897,563 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $366,333 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,156 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $404,489 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $404,489 (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 | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,482 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 890.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 267.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333339, 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 September 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,102,762 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $267,592 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,835,170 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,339,461 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $495,709 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,008 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $517,717 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $517,717 (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 | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,581 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,380.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 331.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301231, 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 October 14, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,612,404 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $278,202 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,334,202 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,340,728 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,526 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,913 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $17,387 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $17,387 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,492 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 67 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 560.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 246.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1271253, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 12, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,566,765 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $184,620 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,382,145 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,291,022 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $91,123 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,617 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $93,740 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $93,740 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,324 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 73 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 727.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 251.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1236687, 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 | $3,429,559 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $161,660 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,267,899 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,146,825 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $121,074 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,610 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $122,684 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $128,712 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,111 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 618.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 362.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200213, 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 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,440,066 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $141,642 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,298,424 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,177,014 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $121,410 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,826 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $127,236 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $127,235 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,777 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 41 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 4,529 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 457.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1168951, 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 26, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,375,553 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $101,868 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,273,685 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,162,975 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $110,710 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,944 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $119,654 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $119,654 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,056 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 32 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,250.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 626.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138184, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,189,085 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $140,917 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,048,168 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,863,849 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $184,319 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,618 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $189,937 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $189,937 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,794 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 27 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,457 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 733.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103610, 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 | $2,969,437 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $126,382 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,843,055 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,694,589 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $148,466 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,330 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $156,796 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $156,796 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,235 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,279.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 480.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1070535, 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 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,058,515 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$24,232 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,082,747 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,822,442 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $260,305 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,744 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $268,049 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $268,049 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,927 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 36 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,912.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 609.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042602, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for July 18, 2011 to December 31, 2011 — a reporting period of 166 days, not a full year, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,370,068 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $18,809 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,351,259 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,280,075 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $71,184 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,967 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $75,151 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $75,151 (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 | 77 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,345 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 24 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 126 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 484 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 431.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1014031, 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 July 19, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,593,999 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,459,475 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $134,524 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,806 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,537 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $146,793 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,675 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 61 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 300.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 240.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 410912, 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 June 29, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,417,280 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,463,749 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$46,469 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,219 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$21,250 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,784 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 989.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 308 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 379100, 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, reopened, processed by CMS on June 9, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,324,688 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,255,078 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $69,610 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,186 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,500 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $95,296 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,564 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 39 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,817.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 373.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 373291, 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 29, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,109,567 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,035,706 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $73,861 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,835 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $99,696 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,193 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 25 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 946.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 567.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 321925, 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 August 8, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,086,830 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,986,994 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $99,836 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,061 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $117,897 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,210 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 26 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,242.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 700.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 291426, 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 August 30, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,852,663 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,702,320 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $150,343 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,763 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $168,106 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,191 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 26 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,095 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 661.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 262211, 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 13, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,630,245 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,577,286 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $52,959 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,144 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $65,103 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,585 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 29 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 631.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 537.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 247243, read from the public cost report file SNFFY2004.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 with audit, processed by CMS on June 30, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,301,699 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,258,467 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $43,232 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,709 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $51,941 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,987 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 17 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 844.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 763.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 186122, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for November 14, 2001 to December 31, 2001 — a reporting period of 47 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 4, 2004.
None of these figures is carried on this report.
CMS report record 189290, read from the public cost report file SNFFY2002.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 |
|---|---|---|---|---|
| 4TH STREET HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/18/2011 |
| BURNAM, SOON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/09/2025 |
| CARETRUST GP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/18/2011 |
| CARETRUST REIT INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/18/2011 |
| CTR PARTNERSHIP LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/18/2011 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/01/2011 |
| KLEINSTREUBER, PETER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/09/2025 |
| OWEN, BRENT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/09/2025 |
| JORGENSEN, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/18/2011 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2011 |
| KOENIG, DEBRA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2020 |
| SATO, AMI | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/09/2024 |
| PORT, BARRY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/09/2025 |
| KLEINSTREUBER, PETER | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/19/2019 |
| OWEN, BRENT | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2014 |
| KLEINSTREUBER, PETER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/19/2019 |
| OWEN, BRENT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2014 |
| VENTURA MEDSTAFF, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/18/2011 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PRAIRIE CREEK HEALTHCARE INC (enrollment ID O20110808000576).
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 |
|---|---|---|---|---|---|
| GATEWAY HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/18/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Not stated in the filing | 1/30/2006 | Private equity company: No Real estate investment trust: No Holding company: No |
| 4TH STREET HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/18/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRENT D OWEN | Individual | ADP OF THE SNF | Not stated in the filing | 7/9/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARETRUST GP LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/18/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| CARETRUST REIT INC | Organization | ADP OF THE SNF | Not stated in the filing | 7/18/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| CTR PARTNERSHIP LP | Organization | ADP OF THE SNF | Not stated in the filing | 7/18/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 6/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| PETER KLEINSTREUBER | Individual | ADP OF THE SNF | Not stated in the filing | 7/9/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOON BURNAM | Individual | ADP OF THE SNF | Not stated in the filing | 7/9/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID JORGENSEN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMI SATO | Individual | CORPORATE OFFICER | Not stated in the filing | 9/9/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHAD KEETCH | Individual | CORPORATE OFFICER | Not stated in the filing | 3/1/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEBRA K KOENIG | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOON BURNAM | Individual | CORPORATE OFFICER | Not stated in the filing | 7/18/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRENT D OWEN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 5/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PETER KLEINSTREUBER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/19/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRENT D OWEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PETER KLEINSTREUBER | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 11/19/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VENTURA MEDSTAFF, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/18/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- April 1, 2026: PETER KLEINSTREUBER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SOON BURNAM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: PETER KLEINSTREUBER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: PETER KLEINSTREUBER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 19, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CARETRUST REIT INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 18, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: VENTURA MEDSTAFF, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 18, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DEBRA K KOENIG (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CARETRUST GP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 18, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DAVID JORGENSEN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CTR PARTNERSHIP LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 18, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: AMI SATO (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRENT D OWEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRENT D OWEN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRENT D OWEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: 4TH STREET HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 18, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- October 31, 2022: BEVERLY B WITTEKIND no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: SUZANNE D SNAPPER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: CHRISTOPHER R CHRISTENSEN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: CHRISTOPHER R CHRISTENSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: PAT ZAUGG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: PAT ZAUGG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JOHN NACKEL no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JOHN NACKEL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ANTOINETTE HUBENETTE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ANTOINETTE HUBENETTE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: PETER KLEINSTREUBER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since November 19, 2019. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: PETER KLEINSTREUBER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since November 19, 2019. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- June 25, 2026: A deficiency was cited under tag F 0628, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 25, 2026: A deficiency was cited under tag F 0607, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 25, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- April 1, 2026: PETER KLEINSTREUBER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SOON BURNAM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: PETER KLEINSTREUBER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: PETER KLEINSTREUBER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 19, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CHAD A KEETCH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CARETRUST REIT INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 18, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: VENTURA MEDSTAFF, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 18, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DEBRA K KOENIG (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CARETRUST GP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 18, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DAVID JORGENSEN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CTR PARTNERSHIP LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 18, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: AMI SATO (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 9, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ENSIGN SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRENT D OWEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRENT D OWEN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BRENT D OWEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: 4TH STREET HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 18, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- May 22, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 13, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 22, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- October 31, 2022: BEVERLY B WITTEKIND no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: SUZANNE D SNAPPER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: CHRISTOPHER R CHRISTENSEN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: CHRISTOPHER R CHRISTENSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: PAT ZAUGG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: PAT ZAUGG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JOHN NACKEL no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JOHN NACKEL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ANTOINETTE HUBENETTE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ANTOINETTE HUBENETTE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: PETER KLEINSTREUBER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since November 19, 2019. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: PETER KLEINSTREUBER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since November 19, 2019. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- September 21, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 28, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- October 14, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 12, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- July 19, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 25, 2026 | June 25, 2026 | 2 | 3 |
| 2 | May 1, 2025 | May 1, 2025 | 9 | 3 |
| 3 | March 7, 2024 | March 7, 2024 | 7 | 2 |
| 3 | December 29, 2022 | December 29, 2022 | 8 | 8 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
25 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 25, 2026 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | July 11, 2026 |
| June 25, 2026 | 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 | No | Deficient, Provider has date of correction | July 11, 2026 |
| May 1, 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 | No | Deficient, Provider has date of correction | May 16, 2025 |
| May 1, 2025 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | May 16, 2025 |
| May 1, 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 | May 16, 2025 |
| May 1, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | May 16, 2025 |
| May 1, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | May 16, 2025 |
| May 1, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 16, 2025 |
| December 16, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | January 22, 2025 |
| December 16, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | January 22, 2025 |
| December 16, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | January 22, 2025 |
| March 7, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | April 3, 2024 |
| March 7, 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 | April 3, 2024 |
| March 7, 2024 | 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 | April 3, 2024 |
| March 7, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | April 3, 2024 |
| March 7, 2024 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | No | Deficient, Provider has date of correction | April 3, 2024 |
| March 7, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 3, 2024 |
| January 12, 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | January 30, 2024 |
| December 29, 2022 | 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. | E | No | Deficient, Provider has date of correction | January 27, 2023 |
| December 29, 2022 | 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 | January 27, 2023 |
| December 29, 2022 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | January 27, 2023 |
| December 29, 2022 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | January 27, 2023 |
| December 29, 2022 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | No | Deficient, Provider has date of correction | January 27, 2023 |
| December 29, 2022 | 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 | January 27, 2023 |
| December 29, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | January 27, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | PRAIRIE CREEK HEALTHCARE INC |
| Date First Approved to Provide Medicare and Medicaid Services | 2001-11-14 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Palo Alto |
| Telephone Number | 5158874071 |
| Chain Name | THE ENSIGN GROUP |
| Chain ID | 507 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 45 |
| Average Number of Residents per Day | 43.2 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on West Bend Health and Rehabilitation: 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 June 25, 2026: A deficiency was cited under tag F 0628, scope and severity D. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for West Bend Health and Rehabilitation
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.
Other public records in Iowa
- CITY OF CORALVILLE, CORALVILLE Water discharge permit
- CITY OF SPENCER, SPENCER Water discharge permit
- JEFFERSON CITY OF STP, JEFFERSON Water discharge permit
- CITY OF ELDRIDGE, ELDRIDGE Water discharge permit
- CITY OF CRESCO, CRESCO Water discharge permit
- CITY OF HARLAN, HARLAN Water discharge permit
- CITY OF GREENFIELD, GREENFIELD Water discharge permit
- CITY OF CARROLL, CARROLL Water discharge permit
- AGGREGATES,INC., CEDAR RAPIDS Air emission source
- CARGILL INC-CEDAR RAPIDS_SW_SOYBEAN, CEDAR RAPIDS Air emission source
- CARGILL INC-CEDAR RAPIDS NE, CEDAR RAPIDS Air emission source
- CARGILL INC-CORN MILLING, CEDAR RAPIDS Air emission source
- CITY OF CEDAR RAPIDS PUBLIC WORKS, CEDAR RAPIDS Air emission source
- CEDAR RAPIDS TRUCK CENTER, CEDAR RAPIDS Air emission source
- CITY OF CEDAR RAPIDS WPCF, CEDAR RAPIDS Air emission source
- IPL-PRAIRIE CREEK STATION, CEDAR RAPIDS Air emission source
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 165444.