Skilled nursing facility · CMS certification number 165495

Clarksville Skilled Nursing & Rehab Center

Clarksville, Iowa · Medicare and Medicaid

Certified beds, as filed in Care Compare: 42

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 30, 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$4,672,182	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$370,391	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,301,791	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,095,910	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$205,881	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$151,570	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$357,451	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $262,179 (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%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	42	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	15,372	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	513	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	5,653	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	7,009	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	13,175	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	22	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	8	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	34	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	64	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.32	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	706.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	205.86	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1421747, 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 June 26, 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$4,512,387	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$417,702	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,094,685	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,946,408	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$148,277	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$108,483	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$256,760	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $196,206 (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%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	42	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,625	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	74	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	470.17	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	170.61	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1386694, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 14, 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$3,312,388	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$198,808	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,113,580	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,426,850	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$313,270	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$63,675	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$249,595	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$268,230 (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%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	42	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,620	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	70	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	19.97	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	414.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	137.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1358243, 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 July 22, 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$3,202,788	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$134,515	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,068,273	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,251,962	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$183,689	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$341,463	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$157,774	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $131,267 (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%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	42	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,106	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	23.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	361.42	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	165.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1327583, 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 October 20, 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$3,183,166	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$94,979	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,088,187	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,219,801	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$131,614	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$786,140	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$654,526	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $635,019 (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%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	42	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,165	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	42	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	21.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	655.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	265.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1302451, 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 August 28, 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,308,892	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$123,216	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,185,676	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,220,091	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$34,415	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$31,701	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,714	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$26,938 (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%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	42	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,374	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	100	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	177.95	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	113.74	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1265390, 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 16, 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,117,965	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$165,440	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,952,525	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,193,558	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$241,033	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$35,755	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$205,278	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$215,656 (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%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	42	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,471	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	84	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	15.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	696.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	136.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237017, 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.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,258,124	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$363,955	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,894,169	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,101,827	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$207,658	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$90,073	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$117,585	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$132,082 (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%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	42	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,963	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	75	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	15.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	443.64	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	159.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1198903, 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 27, 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$3,518,178	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$343,453	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,174,725	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,156,214	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$18,511	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$61,027	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$79,538	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $58,780 (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%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	42	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,490	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	75	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	13.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	328.35	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	193.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1166379, 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.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$3,544,974	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$385,847	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,159,127	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,130,994	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$28,133	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$59,375	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$87,508	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $60,771 (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%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	42	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,169	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	16.16	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	801.36	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	219.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1134630, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended December 31, 2014

Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$3,524,401	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$363,154	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,161,247	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,093,286	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$67,961	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$64,412	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$132,373	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $132,373 (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%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	42	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,951	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	86	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	17.21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	442.42	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	173.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1103725, 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 17, 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$2,834,534	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$99,533	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,735,001	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,689,804	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$45,197	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$53,110	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$98,307	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $76,976 (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%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	42	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,760	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	55	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	18.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,221.14	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	268.36	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1065586, 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 28, 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$2,605,903	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$39,566	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,566,337	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,452,322	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$114,015	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$122,171	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$236,186	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $195,092 (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%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,676	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	13.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	834	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	447.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1040127, 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.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$2,496,411	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$90,511	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,405,900	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,399,040	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$6,860	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$57,026	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$63,886	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $50,893 (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%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,242	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	90	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	19.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	744.11	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	180.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1012730, 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.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$2,341,168	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,411,913	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$70,745	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$67,229	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$6,247	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$9,763 (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.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,784	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	26.26	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	443.71	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	197.3	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 401382, 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 May 28, 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$2,271,294	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,311,282	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$39,988	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$76,113	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $36,125 (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.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	57	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,024	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	93	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	19.84	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	412.16	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	183.05	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 371156, 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 August 13, 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$2,372,604	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,373,017	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$413	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$54,614	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $54,201 (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.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	57	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,770	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	38	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.38	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,655.6	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	493.95	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 354556, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended December 31, 2007

Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 28, 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$2,166,768	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,215,515	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$48,747	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$67,736	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $18,989 (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.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,860	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	49	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	9.31	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	566.69	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	364.49	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 321683, 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 December 21, 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,148,923	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,115,343	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$33,580	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$36,055	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $69,635 (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.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	66	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,256	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	65	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	13.26	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,323.83	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	280.86	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 299298, 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.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,064,114	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,091,102	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$26,988	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$23,305	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$3,683 (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.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	66	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,179	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	69	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	530.06	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	277.96	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 283508, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended December 31, 2004

Cost report for April 1, 2004 to December 31, 2004 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on February 8, 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$1,556,910	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,606,776	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$49,866	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$9,711	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$40,155 (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.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	66	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,374	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	51	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,011.71	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	321.06	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 242600, read from the public cost report file SNFFY2004.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.

The staffing record →

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
MARTIN, DEAN	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	6%	since 07/21/2011
BLUE STONE THERAPY INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2024
BRIGHTON CONSULTING GROUP LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2024
CARNEY ALEXANDER MAROLD & CO LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/31/2021
CATTAIL BCG LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2024
CATTAIL CONSULTING LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 09/30/2022
CATTAIL INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2024
CEDAR VALLEY NUTRITION CONSULTING LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2021
ECSI INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2024
FAGRE, LEE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/25/2026
FINN ENTERPRISES, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/31/2021
IOWA HEALTH CARE ASSOCIATION	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2024
RYKA INCORPORATED	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/31/2020
SELLS, HEATHER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/03/2026
AMUNSON, DALE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 11/17/2021
ARENHOLZ, JANE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/11/2025
ARENHOLZ, STEVEN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2018
BACKER, CHRIS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2018
KOLB, JEFFERY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 11/17/2021
LODGE, SUSAN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/21/2016
ARENHOLZ, STEVEN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2018
MENNENGA, CALVIN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/11/2024
METZ, JANICE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/28/2009
WYATT, ROBERT	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/01/2021
CRAMER, REBECCA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/22/2013
DERFIELD, BRANDI	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/01/2023
FAGRE, LEE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2016
MAYER, TAMELA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2023
MYERS, JONATHAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/15/2008
PIERCE, JORDAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/28/2023
SELLS, HEATHER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/04/2013

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of COMMUNITY NURSING HOME INC (enrollment ID O20040209001260).

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
DEAN MARTIN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	6.48	7/21/2011	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BLUE STONE THERAPY INC	Organization	ADP OF THE SNF	Not stated in the filing	1/1/2024	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
CARNEY ALEXANDER MAROLD & CO LLP	Organization	ADP OF THE SNF	Not stated in the filing	5/31/2021	Private equity company: No Real estate investment trust: No Holding company: No
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 CONSULTING LLC	Organization	ADP OF THE SNF	Not stated in the filing	9/30/2022	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
CEDAR VALLEY NUTRITION CONSULTING LLC	Organization	ADP OF THE SNF	Not stated in the filing	1/1/2021	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
FINN ENTERPRISES, INC.	Organization	ADP OF THE SNF	Not stated in the filing	1/31/2021	Private equity company: No Real estate investment trust: No Holding company: No
HEATHER M SELLS	Individual	ADP OF THE SNF	Not stated in the filing	3/3/2026	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
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
LEE O FAGRE	Individual	ADP OF THE SNF	Not stated in the filing	2/25/2026	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
RYKA INCORPORATED	Organization	ADP OF THE SNF	Not stated in the filing	12/31/2020	Private equity company: No Real estate investment trust: No Holding company: No
No owner named in the filing	Individual	ADP OF THE SNF	Not stated in the filing	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	12/31/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
No owner named in the filing	Individual	ADP OF THE SNF	Not stated in the filing	11/22/2022	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	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	1/1/2021	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	11/22/2022	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	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	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	1/31/2021	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	5/31/2021	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	12/31/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
No owner named in the filing	Individual	ADP OF THE SNF	Not stated in the filing	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	1/1/2021	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	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	10/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
CHRIS BACKER	Individual	CORPORATE DIRECTOR	11	4/1/2018	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DALE AMUNSON	Individual	CORPORATE DIRECTOR	Not stated in the filing	11/17/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JANE ARENHOLZ	Individual	CORPORATE DIRECTOR	Not stated in the filing	4/11/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JEFFERY KOLB	Individual	CORPORATE DIRECTOR	Not stated in the filing	11/17/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
STEVEN L ARENHOLZ	Individual	CORPORATE DIRECTOR	11	4/1/2018	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
SUSAN LODGE	Individual	CORPORATE DIRECTOR	11	4/21/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
CALVIN MENNENGA	Individual	CORPORATE OFFICER	Not stated in the filing	4/11/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JANICE L METZ	Individual	CORPORATE OFFICER	Not stated in the filing	4/28/2009	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ROBERT WYATT	Individual	CORPORATE OFFICER	Not stated in the filing	3/1/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
STEVEN L ARENHOLZ	Individual	CORPORATE OFFICER	11	4/1/2018	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BRANDI DERFIELD	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	3/1/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
HEATHER M SELLS	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	11/4/2013	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JONATHAN MYERS	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	12/15/2008	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JORDAN PIERCE	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	2/28/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LEE O FAGRE	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	7/1/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
REBECCA CRAMER	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	4/22/2013	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
TAMELA MAYER	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	6/1/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

April 1, 2026: LEE O FAGRE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: STEVEN SCHMADEKE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: LAVOLA ROHLWING no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: CALVIN MENNENGA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: ROBERT WYATT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: JANICE L METZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: HEATHER M SELLS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: BRIGHTON CONSULTING GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: FINN ENTERPRISES, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: CATTAIL BCG LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: BRANDI DERFIELD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: LEE O FAGRE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 25, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: LEE O FAGRE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: JORDAN PIERCE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: CATTAIL CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: E C S I INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: JANE ARENHOLZ (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: TAMELA MAYER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: IOWA HEALTH CARE ASSOCIATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: REBECCA CRAMER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 22, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: CATTAIL INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: CARNEY ALEXANDER MAROLD & CO LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: JONATHAN MYERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 15, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: BLUE STONE THERAPY INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: HEATHER M SELLS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: HEATHER M SELLS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 4, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: CEDAR VALLEY NUTRITION CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: RYKA INCORPORATED (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 31, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
October 1, 2024: CHRIS BACKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
October 1, 2024: LEE O FAGRE (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
October 1, 2024: CALVIN MENNENGA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since April 11, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv

Recent changes on this record

April 1, 2026: LEE O FAGRE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: STEVEN SCHMADEKE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: LAVOLA ROHLWING no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: CALVIN MENNENGA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: ROBERT WYATT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: JANICE L METZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: HEATHER M SELLS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: BRIGHTON CONSULTING GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: FINN ENTERPRISES, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: CATTAIL BCG LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: BRANDI DERFIELD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: LEE O FAGRE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 25, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: LEE O FAGRE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: JORDAN PIERCE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: CATTAIL CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: E C S I INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: JANE ARENHOLZ (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: TAMELA MAYER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: IOWA HEALTH CARE ASSOCIATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: REBECCA CRAMER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 22, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: CATTAIL INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: CARNEY ALEXANDER MAROLD & CO LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: JONATHAN MYERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 15, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: BLUE STONE THERAPY INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: HEATHER M SELLS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: HEATHER M SELLS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 4, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: CEDAR VALLEY NUTRITION CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: RYKA INCORPORATED (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 31, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 30, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
October 1, 2024: CHRIS BACKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
October 1, 2024: LEE O FAGRE (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
October 1, 2024: CALVIN MENNENGA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since April 11, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
June 26, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
July 14, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
July 22, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
October 20, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
August 28, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
July 16, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
July 19, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	April 9, 2026	April 9, 2026	1	1
2	April 3, 2025	April 3, 2025	7	1
3	April 11, 2024	April 11, 2024	2	2

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

10 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
April 9, 2026	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	No	Deficient, Provider has date of correction	April 10, 2026
July 10, 2025	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	July 11, 2025
July 10, 2025	Health	F 0805	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	G	Yes	Deficient, Provider has date of correction	July 11, 2025
April 3, 2025	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	Yes	Deficient, Provider has date of correction	April 22, 2025
April 3, 2025	Health	F 0710	Nursing and Physician Services Deficiencies	Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.	D	Yes	Deficient, Provider has date of correction	April 22, 2025
April 3, 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	Yes	Deficient, Provider has date of correction	April 22, 2025
April 3, 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	April 22, 2025
April 3, 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	No	Deficient, Provider has date of correction	April 22, 2025
April 11, 2024	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	Yes	Deficient, Provider has date of correction	April 22, 2024
April 11, 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	Yes	Deficient, Provider has date of correction	April 22, 2024

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	COMMUNITY NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid Services	2004-04-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Butler
Telephone Number	3192784900
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	34.8
Overall Rating	4
Health Inspection Rating	4
QM Rating	2
Long-Stay QM Rating	2
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 Clarksville Skilled Nursing & Rehab Center: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On April 30, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

Follow this record for $99/month

See a sample

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 Clarksville Skilled Nursing & Rehab Center

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Iowa at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

The citable document with full history — $295

Other public records in Iowa

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 165495.