Skilled nursing facility · CMS certification number 165462
Sunny Hill Care Center
Tama, Iowa · Medicare and Medicaid
Certified beds, as filed in Care Compare: 57
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: 2 · Fines: 2 · Fines, total amount: $24,756.00 · Payment denials: 0. The most recent penalty on file: February 8, 2024, Fine, $13,787. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,805,357 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,959,020 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,846,337 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,923,836 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$77,499 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$274 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$77,773 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$77,773 (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 | 68 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 24,888 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 760 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,922 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,069 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 16,751 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 14 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 46 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 992.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 239.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433829, 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 30, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,956,476 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $45,088 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,911,388 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,544,005 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $367,383 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$340 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $367,043 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $367,043 (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 | 68 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,014 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 409.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 208.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1396251, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 26, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,180,844 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $66,090 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,114,754 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,729,987 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $384,767 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $384,767 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $384,767 (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 | 68 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,244 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 284.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365447, 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 | $3,982,714 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $203,403 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,779,311 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,412,898 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $366,413 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$700 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $365,713 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $365,713 (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 | 68 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,767 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 466.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 246.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332447, 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 24, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,440,081 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $96,887 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,343,194 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,892,100 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $451,094 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $451,094 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $451,094 (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 | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,492 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,155.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 265.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305351, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,653,301 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,653,301 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,412,910 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $240,391 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,987 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $243,378 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $243,378 (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 | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,746 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 293.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 123.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1276356, 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 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,384,107 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,384,107 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,242,523 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $141,584 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $57,208 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $198,792 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $198,792 (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 | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,351 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 131 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 430 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238055, 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 25, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,504,879 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,504,879 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,367,331 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $137,548 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,495 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $179,043 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $179,043 (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 | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,909 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 361.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1202644, 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 August 8, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,651,152 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,651,152 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,523,020 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $128,132 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,768 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $146,900 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $146,900 (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 | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,997 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 71 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 854 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 281.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1172408, 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 27, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,491,002 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,491,002 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,317,051 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $173,951 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $108,106 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $282,057 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $282,057 (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 | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,672 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 802 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 327.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138343, 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 August 12, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,504,454 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,504,454 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,365,101 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $139,353 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $92,158 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $231,511 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $231,511 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,462 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 488.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 314.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1107579, 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 | $3,236,190 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,236,190 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,106,697 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $129,493 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,757 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $168,250 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $168,250 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,119 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 651.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 313.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1070227, 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 | $2,932,329 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,932,329 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,837,142 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $95,187 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,065 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $110,252 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $110,252 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,453 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 916.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 329.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042779, 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 September 27, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,596,547 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,596,547 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,692,078 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$95,531 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,071 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$57,460 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$57,460 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,214 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 64 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 912.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 284.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1012716, 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 | $2,522,232 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,615,947 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$93,715 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $51,355 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$42,360 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,650 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,601.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 414.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 410774, 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 | $2,158,775 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,251,104 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$92,329 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,909 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$45,420 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,409 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 999.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 386.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 381301, 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 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,060,473 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,135,857 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$75,384 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,140 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$48,244 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,950 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 58 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 689.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 292.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 349829, 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 28, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,920,465 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,015,402 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$94,937 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,357 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$68,580 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,655 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 930.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 396.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 321680, 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 March 4, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,900,407 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,928,933 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$28,526 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,359 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$20,167 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,515 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 55 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 503.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 318.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 303440, 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 25, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,861,058 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,863,681 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$2,623 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $782 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,841 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,640 | 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 | 70.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 357.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 367.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 286378, 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 March 29, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,798,156 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,735,533 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $62,623 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,031 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $63,654 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,483 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 848 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 316.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 246274, 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 March 17, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,792,470 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,746,867 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $45,603 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,225 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $46,828 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,129 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 35 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 577.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 546.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 211418, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for June 1, 2002 to December 31, 2002 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on May 19, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,699,532 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,769,517 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$69,985 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,070 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$67,915 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,475 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 22 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 893.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 885.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 176774, 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 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| HINEMAN, POLLY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2020 |
| KILIAN, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2001 |
| LTC ACCOUNTING SERVICES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/26/2025 |
| OSTHUS, DAVID | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2001 |
| POTTER AND BRANT PLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/10/2025 |
| PREMIER SENIOR MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/10/2025 |
| THIESSEN, MEGAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/19/2012 |
| WALTON, CALEB | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2016 |
| KILIAN, MARK | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/01/2001 |
| OSTHUS, DAVID | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/01/2001 |
| WALTON, CALEB | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 01/01/2016 |
| HINEMAN, POLLY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2020 |
| LTC ACCOUNTING SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2021 |
| OSTHUS, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2001 |
| POTTER AND BRANT PLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/01/2001 |
| PREMIER SENIOR MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2005 |
| THIESSEN, MEGAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/19/2012 |
| WALTON, CALEB | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2016 |
Medicare enrollment
As filed (Medicare enrollment ownership), under the enrollment of TAMA HEALTH CARE ENTERPRISES LLC (enrollment ID O20031118000528).
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 |
|---|---|---|---|---|---|
| CALEB D WALTON | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID OSTHUS | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LTC ACCOUNTING SERVICES, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/26/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARK G KILIAN | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MEGAN THIESSEN | Individual | ADP OF THE SNF | Not stated in the filing | 3/19/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| POLLY J HINEMAN | Individual | ADP OF THE SNF | 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 |
| POTTER AND BRANT PLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/10/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| PREMIER SENIOR MANAGEMENT LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/10/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 3/29/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/21/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 4/7/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 5/24/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | 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 |
| No owner named in the filing | Individual | ADP OF THE SNF | 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 |
| CALEB D WALTON | Individual | DIRECT OWNERSHIP INTEREST | 15.6 | 1/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID OSTHUS | Individual | DIRECT OWNERSHIP INTEREST | 62.06 | 8/1/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK G KILIAN | Individual | DIRECT OWNERSHIP INTEREST | 22.34 | 8/1/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CALEB D WALTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID OSTHUS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LTC ACCOUNTING SERVICES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| MEGAN THIESSEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/19/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| POLLY J HINEMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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 |
| POTTER AND BRANT PLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2001 | Private equity company: No Real estate investment trust: No Holding company: No |
| PREMIER SENIOR MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 1/1/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- November 1, 2025: MARK G KILIAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CALEB D WALTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CALEB D WALTON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID OSTHUS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID OSTHUS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARK G KILIAN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARK G KILIAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MEGAN THIESSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 19, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MEGAN THIESSEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 19, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LTC ACCOUNTING SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since June 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LTC ACCOUNTING SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CALEB D WALTON (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CALEB D WALTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CALEB D WALTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: PREMIER SENIOR MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID OSTHUS (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID OSTHUS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID OSTHUS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 29, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: POLLY J HINEMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: POLLY J HINEMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: POTTER AND BRANT PLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: POTTER AND BRANT PLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- January 5, 2024: RAMON L OSTHUS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- April 14, 2023: TAMA HEALTH CARE ENTERPRISES LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Recent changes on this record
- November 1, 2025: MARK G KILIAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CALEB D WALTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CALEB D WALTON no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID OSTHUS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID OSTHUS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARK G KILIAN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARK G KILIAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MEGAN THIESSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 19, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MEGAN THIESSEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 19, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LTC ACCOUNTING SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since June 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LTC ACCOUNTING SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CALEB D WALTON (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CALEB D WALTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CALEB D WALTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: PREMIER SENIOR MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID OSTHUS (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID OSTHUS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID OSTHUS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2001. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 29, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: POLLY J HINEMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: POLLY J HINEMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: POTTER AND BRANT PLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: POTTER AND BRANT PLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2001. 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
- September 30, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- January 5, 2024: RAMON L OSTHUS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- September 26, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- April 14, 2023: TAMA HEALTH CARE ENTERPRISES LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- September 16, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 24, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- December 16, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- July 25, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 8, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- July 27, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 12, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- July 23, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- July 23, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- September 27, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- July 19, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 5, 2026 | March 5, 2026 | 2 | 0 |
| 2 | February 6, 2025 | February 6, 2025 | 5 | 1 |
| 3 | February 8, 2024 | February 8, 2024 | 7 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
14 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 5, 2026 | 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. | D | No | Deficient, Provider has date of correction | March 20, 2026 |
| March 5, 2026 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | March 20, 2026 |
| August 21, 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. | G | Yes | Deficient, Provider has date of correction | September 8, 2025 |
| February 6, 2025 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | No | Deficient, Provider has date of correction | February 17, 2025 |
| February 6, 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 | February 17, 2025 |
| February 6, 2025 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | E | No | Deficient, Provider has date of correction | February 17, 2025 |
| November 26, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | December 6, 2024 |
| February 8, 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 | February 23, 2024 |
| February 8, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | February 23, 2024 |
| February 8, 2024 | 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 | Yes | Deficient, Provider has date of correction | February 23, 2024 |
| February 8, 2024 | 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 | Yes | Deficient, Provider has date of correction | February 23, 2024 |
| October 3, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | October 19, 2023 |
| October 3, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | Yes | Deficient, Provider has date of correction | October 19, 2023 |
| October 3, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | K | Yes | Deficient, Provider has date of correction | October 19, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| February 8, 2024 | Fine | $13,787 | 79389 | ||
| October 3, 2023 | Fine | $10,969 | 79269 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | TAMA HEALTH CARE ENTERPRISES LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2002-06-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Tama |
| Telephone Number | 6414844061 |
| 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 | 57 |
| Average Number of Residents per Day | 52.3 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| 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 Sunny Hill 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 August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for Sunny Hill 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 165462.