Skilled nursing facility · CMS certification number 165479
Calvin Community
Des Moines, Iowa · Medicare and Medicaid
Certified beds, as filed in Care Compare: 59
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 May 1, 2024 to April 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 25, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,766,461 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,766,461 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,109,880 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,343,419 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $296,672 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,046,747 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,046,747 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 235 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 85,775 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,843 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,429 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 37,748 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 46,020 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 62 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 742.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1445671, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended April 30, 2024
Cost report for May 1, 2023 to April 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 28, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,539,684 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $11,539,684 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,177,524 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,637,840 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $793,483 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$8,844,357 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$8,844,357 (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 | 235 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,579 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 63 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 786.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1399673, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended April 30, 2023
Cost report for May 1, 2022 to April 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 4, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,937,568 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,937,568 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,506,029 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,568,461 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,107,990 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,460,471 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,460,471 (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 | 235 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,726 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 39 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 1,249.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1369403, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended April 30, 2022
Cost report for May 1, 2021 to April 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 2, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,654,881 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $9,654,881 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,819,183 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,164,302 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,861,494 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $697,192 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $697,192 (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 | 235 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,786 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 48 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 953.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1337211, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended April 30, 2021
Cost report for May 1, 2020 to April 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 24, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,722,785 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $465,838 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,256,947 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,436,229 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,179,282 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,365,061 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,185,779 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,185,779 (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 | 235 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,321 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,728 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 599 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1307952, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended April 30, 2020
Cost report for May 1, 2019 to April 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 11, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,721,412 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $366,192 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,355,220 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,880,050 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $475,170 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $560,539 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,035,709 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,035,709 (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 | 235 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,730 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,165.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 692.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275834, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended April 30, 2019
Cost report for May 1, 2018 to April 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 21, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,716,339 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $425,885 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,290,454 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,164,188 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $126,266 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $368,069 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $494,335 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $494,335 (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 | 235 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 55,803 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 82 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,877.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 680.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1245931, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended April 30, 2018
Cost report for May 1, 2017 to April 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 5, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,235,338 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $258,650 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,976,688 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,301,856 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$325,168 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $271,289 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$53,879 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$53,879 (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 | 235 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 55,209 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 77 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,273 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 717 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1213605, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended April 30, 2017
Cost report for May 1, 2016 to April 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 22, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,943,760 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $190,135 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,753,625 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,970,824 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$217,199 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $327,922 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $110,723 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $110,723 (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 | 235 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,951 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,213.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 674.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1178772, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended April 30, 2016
Cost report for May 1, 2015 to April 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 2, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,109,096 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $391,118 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,717,978 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,685,748 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $32,230 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $191,451 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $223,681 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $223,681 (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 | 235 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 55,244 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,384.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,004.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1145775, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended April 30, 2015
Cost report for May 1, 2014 to April 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 22, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,283,626 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $426,602 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,857,024 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,609,025 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $247,999 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $307,036 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $555,035 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $555,035 (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 | 235 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,796 | 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 | 46.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 837.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111803, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended April 30, 2014
Cost report for May 1, 2013 to April 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 11, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,971,440 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $412,789 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,558,651 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,550,282 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $8,369 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $240,945 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $249,314 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $249,314 (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 | 235 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,590 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 82 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,093.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 702.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1080087, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended April 30, 2013
Cost report for May 1, 2012 to April 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 11, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,268,837 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $351,242 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,917,595 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,349,723 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$432,128 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $80,901 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$351,227 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$351,227 (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 | 235 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,787 | 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 | 22.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 7,076 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 777.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1050559, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended April 30, 2012
Cost report for May 1, 2011 to April 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,185,539 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $249,784 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,935,755 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,366,832 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$431,077 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $112,986 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$318,091 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$318,091 (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 | 235 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,142 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 56 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,128 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,038.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1016035, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended April 30, 2011
Cost report for May 1, 2010 to April 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 15, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,702,390 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,807,277 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$104,887 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $170,901 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $66,014 (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 | 235 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,349 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 56 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,232 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 916.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417777, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended April 30, 2010
Cost report for May 1, 2009 to April 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 4, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,566,380 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,764,337 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$197,957 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $127,898 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$70,059 (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 | 235 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,691 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 64 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,645.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 917.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 389287, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended April 30, 2009
Cost report for May 1, 2008 to April 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 21, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,181,826 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,489,403 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$307,577 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $162,983 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$144,594 (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 | 235 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,945 | 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 | 32.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 3,104 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,332.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 358053, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended April 30, 2008
Cost report for May 1, 2007 to April 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 5, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,641,918 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,065,194 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$423,276 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $220,864 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$202,412 (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 | 235 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,990 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,540 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,083.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 328010, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended April 30, 2007
Cost report for May 1, 2006 to April 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 19, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,067,153 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,988,549 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $78,604 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $223,405 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $302,009 (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 | 229 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 72,728 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 399.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 384.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302558, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended April 30, 2006
Cost report for May 1, 2005 to April 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 25, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,663,283 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,791,486 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$128,203 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $334,727 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $206,524 (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 | 229 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,257 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 205 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 467.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 347.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 295166, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended April 30, 2005
Cost report for May 1, 2004 to April 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 23, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,250,755 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,153,048 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $97,707 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $146,059 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $243,766 (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 | 229 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 73,150 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 503.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 365.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243452, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended April 30, 2004
Cost report for May 1, 2003 to April 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 14, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,506,960 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,796,081 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $710,879 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $239,639 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $950,518 (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 | 229 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 75,590 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 393.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 543.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 227724, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended April 30, 2003
Cost report for April 1, 2003 to April 30, 2003 — a reporting period of 29 days, not a full year, on form CMS-2540-96, settled, processed by CMS on October 28, 2003.
None of these figures is carried on this report.
CMS report record 161680, read from the public cost report file SNFFY2003.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 |
|---|---|---|---|---|
| BOYD, NANCY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2013 |
| HAMILTON, MIKE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2013 |
| HOFFMAN, JAMES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2017 |
| MILLS, ROBYN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2017 |
| MORGAN, CANDY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2017 |
| OBRADOVICH, JAMES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2013 |
| SMITH, JAMEY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2013 |
| STANGE, WHITEY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2017 |
| TOMES, DWIGHT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2013 |
| WELLS, DOUGLAS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2013 |
| COX, JAMEY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/14/2008 |
| TEIGLAND, MARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/01/2013 |
| COX, JAMEY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 10/08/2013 |
| TEIGLAND, MARK | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 10/06/2009 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CALVIN COMMUNITY (enrollment ID O20021203000013).
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 |
|---|---|---|---|---|---|
| CANDY MORGAN | Individual | CORPORATE DIRECTOR | 0 | 5/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS A WELLS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DWIGHT TRAVIS TOMES | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES HOFFMAN | Individual | CORPORATE DIRECTOR | 0 | 5/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES P OBRADOVICH | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMEY K SMITH | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MIKE R HAMILTON | Individual | CORPORATE DIRECTOR | 0 | 5/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NANCY S BOYD | Individual | CORPORATE DIRECTOR | 0 | 5/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBYN MILLS | Individual | CORPORATE DIRECTOR | 0 | 5/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WHITEY STANGE | Individual | CORPORATE DIRECTOR | 0 | 5/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMEY COX | Individual | CORPORATE OFFICER | Not stated in the filing | 1/14/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK TEIGLAND | Individual | CORPORATE OFFICER | Not stated in the filing | 7/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMEY COX | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 10/8/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK TEIGLAND | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 10/6/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- June 1, 2025: KENT FIELDSEND no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- September 1, 2024: WENDELL HARMS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- December 25, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- June 1, 2025: KENT FIELDSEND no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- November 28, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- September 1, 2024: WENDELL HARMS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- December 4, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- December 2, 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- December 24, 2021: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- December 11, 2020: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- November 21, 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- November 5, 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- November 22, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- November 2, 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- October 22, 2015: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- November 11, 2014: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- November 11, 2013: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- October 26, 2012: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- September 15, 2011: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- November 4, 2010: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- October 21, 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- November 5, 2008: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- February 19, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- October 25, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- February 23, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- July 14, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- October 28, 2003: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 18, 2025 | December 18, 2025 | 8 | 4 |
| 2 | January 23, 2025 | January 23, 2025 | 3 | 6 |
| 3 | March 28, 2024 | March 28, 2024 | 1 | 11 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
12 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| December 18, 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 | January 9, 2026 |
| December 18, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | January 9, 2026 |
| December 18, 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 | January 9, 2026 |
| December 18, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | January 9, 2026 |
| December 18, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | January 9, 2026 |
| December 18, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | January 9, 2026 |
| December 18, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | January 9, 2026 |
| December 18, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | January 9, 2026 |
| January 23, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | February 14, 2025 |
| January 23, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | February 14, 2025 |
| January 23, 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 14, 2025 |
| March 28, 2024 | 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 | April 18, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | CALVIN COMMUNITY |
| Date First Approved to Provide Medicare and Medicaid Services | 2003-04-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Polk |
| Telephone Number | 5152776141 |
| 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 | 59 |
| Average Number of Residents per Day | 59.0 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 3 |
| 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 Calvin Community: 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 December 25, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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The citable document for Calvin Community
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 165479.