Skilled nursing facility · CMS certification number 165485
Lutheran Retirement Home
Northwood, Iowa · Medicare and Medicaid
Certified beds, as filed in Care Compare: 42
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: 1 · Fines: 1 · Fines, total amount: $24,922.00 · Payment denials: 0. The most recent penalty on file: August 19, 2024, Fine, $24,922. 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 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,306,110 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $443,381 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,862,729 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,945,870 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,083,141 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,146,397 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$936,744 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$936,744 (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 | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 16,836 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 627 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 11,947 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 12,574 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 31 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 41 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 306.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436805, 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 27, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,054,384 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $440,527 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,613,857 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,358,998 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$745,141 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $670,731 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$74,410 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$74,410 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,029 | 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 | 22.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 289.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 435.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1396115, 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 | $4,017,230 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $121,439 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,895,791 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,764,392 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$868,601 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$590,964 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,459,565 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,459,565 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,867 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 452.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 537.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365450, 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 28, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,761,136 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,848 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,751,288 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,589,392 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$838,104 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $542,101 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$296,003 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$296,003 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,629 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 538.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 512.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334400, 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 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,860,928 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $56,801 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,804,127 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,790,388 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$986,261 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,126,484 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $140,223 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $140,223 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,095 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 35 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,272.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 774.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303804, 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 July 22, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,239,622 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $36,577 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,203,045 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,434,992 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$231,947 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $734,978 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $503,031 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $503,031 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,299 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 762.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 552.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1260956, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 12, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,961,236 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $35,688 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,925,548 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,442,209 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$516,661 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$211,803 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$728,464 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$728,464 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,878 | 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 | 20.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 879.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 373.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1236692, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,138,780 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $29,241 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,109,539 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,390,852 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$281,313 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $516,059 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $234,746 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $234,746 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,111 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,061.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 386.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1199500, 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 June 20, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,730,940 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $30,580 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,700,360 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,288,829 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$588,469 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $312,937 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$275,532 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$275,532 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,686 | 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 | 16.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 840.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 449.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1163728, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,096,584 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $52,149 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,044,435 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,336,378 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$291,943 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$114,461 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$406,404 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$406,404 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,774 | 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 | 23.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 682.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 504.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1136911, 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 June 29, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,209,991 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $44,875 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,165,116 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,278,273 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$113,157 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $255,680 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $142,523 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $142,523 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,981 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 826.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 430.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1100658, 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 June 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,664,081 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $33,311 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,630,770 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,029,790 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$399,020 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $306,142 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$92,878 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$92,878 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,459 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 89 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,002.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 308.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1067006, 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 June 26, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,641,260 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $19,300 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,621,960 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,971,874 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$349,914 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $459,972 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $110,058 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $110,058 (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 | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,380 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 909.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 322.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1039107, 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 | $3,701,566 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $47,472 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,654,094 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,052,420 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$398,326 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $268,604 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$129,722 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$129,722 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 104 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,116 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 15.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 586.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 404.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1012725, 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 May 31, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,703,893 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,114,218 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$410,325 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $525,255 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $101,459 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $13,471 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,279 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 625.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 464.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 401380, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 14, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,756,647 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,879,863 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$123,216 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $991,531 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $33,398 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $834,917 (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 | 124 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,351 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 487.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 371.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 380672, 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 | $3,463,621 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,574,326 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$110,705 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $258,805 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $676,926 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$528,826 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,652 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 401.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 380.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 349648, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,096,060 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,375,204 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$279,144 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $404,099 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $124,955 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,178 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 80 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 462.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 339.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 319297, 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 | $3,262,654 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,711,850 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$449,196 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $439,961 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$9,235 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,022 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 870.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 277.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 303442, 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 14, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,106,593 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,902,918 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$796,325 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $480,685 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$315,640 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,827 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 563.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 313.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 283848, 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 | $3,068,598 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,487,737 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$419,139 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $552,830 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $133,691 (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 | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,152 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 77 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 835.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 469.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 246275, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for May 1, 2003 to December 31, 2003 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 28, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,192,695 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,198,623 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,928 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $397,971 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $392,043 (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 | 84 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,738 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 54 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 978.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 347 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 215367, 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 |
|---|---|---|---|---|
| NSB BANK | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 06/29/2007 |
| BCG HOLDINGS INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| BRIGHTON CONSULTING GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| CATTAIL BCG LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| CATTAIL INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| CLIFTONLARSONALLEN LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/25/2021 |
| ECSI INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| FOX REHAB OT IA LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/30/2024 |
| FOX REHAB PT IA PLLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/30/2024 |
| FOX REHAB SLP IA PLLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/30/2024 |
| IOWA HEALTH CARE ASSOCIATION | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| MERCY HEALTH SERVICES- IOWA CORP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/27/2021 |
| NEXT GENERATION TECHNOLOGIES | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/02/2022 |
| NSB BANK | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/29/2007 |
| WALETZKO BARTZ, BRITTANY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/10/2025 |
| WINTER, SHARINA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/10/2025 |
| BIDNE, KEVIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2025 |
| BRUNSVOLD, JERRY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| KNUTSON, TIMOTHY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/20/2024 |
| KRONEMAN, MARI | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2023 |
| LOFTAAS, CAROLYN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/20/2021 |
| STEINBERG, JOSH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/20/2022 |
| DAVIS, LYNN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2005 |
| JULSETH, PETER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/20/2022 |
| NELSON, BRIAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/10/2017 |
| DAVIS, CASSIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/02/2018 |
| LAMP, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/25/2024 |
| MERCHANT, RUTH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/20/2025 |
| SCHRUPP, NANCY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2009 |
| THOFSON, KATELYN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/05/2014 |
| WALETZKO BARTZ, BRITTANY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2022 |
| WINTER, SHARINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/04/2024 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LUTHERAN RETIREMENT HOME INC. (enrollment ID O20030203000031).
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 |
|---|---|---|---|---|---|
| NSB BANK | Organization | 5% OR GREATER SECURITY INTEREST | 28.6 | 6/29/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| BCG HOLDINGS INC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRIGHTON CONSULTING GROUP LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRITTANY R WALETZKO BARTZ | Individual | ADP OF THE SNF | Not stated in the filing | 10/10/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CATTAIL BCG LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CATTAIL INC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLIFTONLARSONALLEN LLP | Organization | ADP OF THE SNF | Not stated in the filing | 8/25/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| ECSI INC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| FOX REHAB OT IA LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/30/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| FOX REHAB PT IA PLLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/30/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| FOX REHAB SLP IA PLLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/30/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| IOWA HEALTH CARE ASSOCIATION | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| MERCY HEALTH SERVICES- IOWA CORP | Organization | ADP OF THE SNF | Not stated in the filing | 5/27/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| NEXT GENERATION TECHNOLOGIES | Organization | ADP OF THE SNF | Not stated in the filing | 11/2/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| NSB BANK | Organization | ADP OF THE SNF | Not stated in the filing | 6/29/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHARINA WINTER | Individual | ADP OF THE SNF | Not stated in the filing | 10/10/2025 | 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 | 6/29/2007 | 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 | 6/29/2007 | 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 | 5/27/2021 | 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 | 6/29/2007 | 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 | 10/1/2024 | 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 | 5/27/2021 | 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 | 6/30/2024 | 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 | 11/2/2022 | 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 | 6/30/2024 | 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 | 10/1/2024 | 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 | 10/1/2024 | 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 | 10/1/2024 | 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 | 10/1/2024 | 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 | 5/27/2021 | 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 | 6/29/2007 | 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 | 10/1/2024 | 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 | 5/27/2021 | 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 | 10/1/2024 | 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 | 5/27/2021 | 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 | 6/29/2007 | 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 | 10/1/2024 | 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 | 10/1/2024 | 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 | 6/29/2007 | 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 | 10/1/2024 | 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 | 5/27/2021 | 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 | 6/30/2024 | 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 | 10/1/2024 | 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 | 5/27/2021 | 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 | 10/1/2024 | 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 | 10/1/2024 | 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 | 10/1/2024 | 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 | 10/1/2024 | 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 | 5/27/2021 | 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 | 6/29/2007 | 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 | 10/1/2024 | 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 | 10/1/2024 | 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 | 10/1/2024 | 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 | 6/29/2007 | 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 | 6/29/2007 | 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 | 10/1/2024 | 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 | 10/1/2024 | 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 | 10/1/2024 | 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 | 6/29/2007 | 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 | 5/7/2021 | 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 | 10/1/2024 | 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 | 5/27/2021 | 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 | 10/1/2024 | 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 | 5/27/2021 | 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 | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROLYN LOFTAAS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/20/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JERRY BRUNSVOLD | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSH STEINBERG | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/20/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN BIDNE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 6/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARI KRONEMAN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIMOTHY KNUTSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/20/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRIAN NELSON | Individual | CORPORATE OFFICER | Not stated in the filing | 1/10/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LYNN DAVIS | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2005 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PETER JULSETH | Individual | CORPORATE OFFICER | Not stated in the filing | 1/20/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRITTANY R WALETZKO BARTZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CASSIE DAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/2/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATELYN THOFSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/5/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NANCY SCHRUPP | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT LAMP | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/25/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RUTH MERCHANT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/20/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHARINA WINTER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/4/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- January 1, 2026: LYNN DAVIS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: HEATHER GENE RYSAVY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: HEATHER GENE RYSAVY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: HEATHER GENE RYSAVY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JERRY BRUNSVOLD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRIGHTON CONSULTING GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CATTAIL BCG LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CASSIE DAVIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 2, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: NEXT GENERATION TECHNOLOGIES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MERCY HEALTH SERVICES- IOWA CORP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JOSH STEINBERG (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 20, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KEVIN BIDNE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RUTH MERCHANT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TIMOTHY KNUTSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LYNN DAVIS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2005. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: PETER JULSETH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 20, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: E C S I INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ROBERT LAMP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: FOX REHAB OT IA LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MARI KRONEMAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SHARINA WINTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SHARINA WINTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: NANCY SCHRUPP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 31, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: FOX REHAB PT IA PLLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: IOWA HEALTH CARE ASSOCIATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BCG HOLDINGS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KATELYN THOFSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 5, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CATTAIL INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: FOX REHAB SLP IA PLLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: NSB BANK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 29, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: NSB BANK (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 29, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRIAN NELSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 10, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CLIFTONLARSONALLEN LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 25, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JERRY BRUNSVOLD (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRITTANY R WALETZKO BARTZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRITTANY R WALETZKO BARTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAROLYN LOFTAAS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 20, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
Recent changes on this record
- January 1, 2026: LYNN DAVIS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: HEATHER GENE RYSAVY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: HEATHER GENE RYSAVY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: HEATHER GENE RYSAVY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JERRY BRUNSVOLD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRIGHTON CONSULTING GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CATTAIL BCG LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CASSIE DAVIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 2, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: NEXT GENERATION TECHNOLOGIES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MERCY HEALTH SERVICES- IOWA CORP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JOSH STEINBERG (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 20, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KEVIN BIDNE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RUTH MERCHANT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TIMOTHY KNUTSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LYNN DAVIS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2005. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: PETER JULSETH (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 20, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: E C S I INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ROBERT LAMP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: FOX REHAB OT IA LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MARI KRONEMAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SHARINA WINTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SHARINA WINTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: NANCY SCHRUPP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 31, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: FOX REHAB PT IA PLLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: IOWA HEALTH CARE ASSOCIATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BCG HOLDINGS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KATELYN THOFSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 5, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CATTAIL INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: FOX REHAB SLP IA PLLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: NSB BANK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 29, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: NSB BANK (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 29, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRIAN NELSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 10, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CLIFTONLARSONALLEN LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 25, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JERRY BRUNSVOLD (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRITTANY R WALETZKO BARTZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRITTANY R WALETZKO BARTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAROLYN LOFTAAS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 20, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 27, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 26, 2026 | February 26, 2026 | 4 | 4 |
| 2 | January 30, 2025 | January 30, 2025 | 4 | 2 |
| 3 | March 14, 2024 | March 14, 2024 | 5 | 10 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
13 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 26, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | March 17, 2026 |
| February 26, 2026 | 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 | March 17, 2026 |
| February 26, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | March 17, 2026 |
| February 26, 2026 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | No | Deficient, Provider has date of correction | March 17, 2026 |
| January 30, 2025 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | No | Deficient, Provider has date of correction | January 31, 2025 |
| January 30, 2025 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | No | Deficient, Provider has date of correction | January 31, 2025 |
| January 30, 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 31, 2025 |
| January 30, 2025 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | No | Deficient, Provider has date of correction | February 4, 2025 |
| August 19, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | September 19, 2024 |
| August 19, 2024 | 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. | J | Yes | Deficient, Provider has date of correction | September 19, 2024 |
| August 19, 2024 | 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. | J | Yes | Deficient, Provider has date of correction | September 19, 2024 |
| August 19, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | J | Yes | Deficient, Provider has date of correction | September 19, 2024 |
| November 20, 2023 | 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 | December 4, 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 |
|---|---|---|---|---|---|
| August 19, 2024 | Fine | $24,922 | 79486 |
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 | Non profit - Church related |
| Legal Business Name | LUTHERAN RETIREMENT HOME INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 2003-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | N |
| County/Parish | Worth |
| Telephone Number | 6413241712 |
| 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 | 42 |
| Average Number of Residents per Day | 34.5 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-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 Lutheran Retirement Home: 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 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for Lutheran Retirement Home
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Iowa at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in Iowa
- CITY OF CORALVILLE, CORALVILLE Water discharge permit
- CITY OF SPENCER, SPENCER Water discharge permit
- JEFFERSON CITY OF STP, JEFFERSON Water discharge permit
- CITY OF ELDRIDGE, ELDRIDGE Water discharge permit
- CITY OF CRESCO, CRESCO Water discharge permit
- CITY OF HARLAN, HARLAN Water discharge permit
- CITY OF GREENFIELD, GREENFIELD Water discharge permit
- CITY OF CARROLL, CARROLL Water discharge permit
- AGGREGATES,INC., CEDAR RAPIDS Air emission source
- CARGILL INC-CEDAR RAPIDS_SW_SOYBEAN, CEDAR RAPIDS Air emission source
- CARGILL INC-CEDAR RAPIDS NE, CEDAR RAPIDS Air emission source
- CARGILL INC-CORN MILLING, CEDAR RAPIDS Air emission source
- CITY OF CEDAR RAPIDS PUBLIC WORKS, CEDAR RAPIDS Air emission source
- CEDAR RAPIDS TRUCK CENTER, CEDAR RAPIDS Air emission source
- CITY OF CEDAR RAPIDS WPCF, CEDAR RAPIDS Air emission source
- IPL-PRAIRIE CREEK STATION, CEDAR RAPIDS Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 165485.