Skilled nursing facility · CMS certification number 165502

Hillcrest Home

Sumner, Iowa · Medicare and Medicaid

Certified beds, as filed in Care Compare: 61

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: 0 · Fines, total amount: $0.00 · Payment denials: 1. The most recent penalty on file: April 25, 2024, Payment Denial. Every penalty on file ↓

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

Finances, as filed

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

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 22, 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$6,522,048	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$416,435	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,105,613	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,715,946	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$610,333	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$116,667	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$493,666	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$581,610 (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	61	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	22,326	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	187	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	7,398	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	9,329	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	16,914	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	9	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	23	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	64	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	96	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.78	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	321.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	176.19	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1423546, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 9, 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,626,303	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$506,593	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,119,710	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,740,134	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$620,424	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$930,742	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$310,318	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $222,096 (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	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,080	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	119	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	273.82	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	160.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1391717, 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 13, 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$5,917,076	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$726,820	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,190,256	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,831,799	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$641,543	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$314,100	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$327,443	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$362,931 (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	61	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,238	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	54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	439.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	178.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1364587, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$4,106,153	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$4,106,153	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,151,425	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,045,272	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$682,095	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$363,177	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$363,177 (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	103	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,878	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	121	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	164.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	180.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1332454, 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 25, 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$4,793,937	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$4,793,937	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,617,023	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$823,086	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$559,926	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$263,160	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$263,160 (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	103	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,205	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	219	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	115.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305530, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 15, 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$4,527,034	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$4,527,034	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,751,354	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$224,320	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$173,627	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$50,693	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$50,693 (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	103	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,470	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	129	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	12.74	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	197.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1271539, 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 17, 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,824,262	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$3,824,262	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,337,342	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$513,080	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$204,684	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$308,396	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$308,396 (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	113	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,459	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	80.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	311.93	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237214, 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 26, 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,408,264	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$3,408,264	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,261,716	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$853,452	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$433,233	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$420,219	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$420,219 (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	110	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,173	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	48	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,425.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	441.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1202857, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 17, 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$3,585,392	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$3,585,392	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,071,614	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$486,222	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$155,993	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$330,229	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$330,229 (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	78	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,126	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	68	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	101.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	583.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	310.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169128, 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	$3,926,225	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$3,926,225	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,098,209	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$171,984	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$192,174	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$20,190	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $20,190 (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	78	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,392	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	44	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	143.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	534.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	508.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1137650, 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.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$4,166,422	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$4,166,422	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,240,468	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$74,046	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$57,720	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$16,326	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$16,326 (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	78	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,806	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	44	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	144.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,238.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	541.05	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1100659, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 31, 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$3,925,122	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$50,398	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,874,724	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,062,953	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$188,229	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$76,553	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$111,676	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$111,676 (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	81	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,654	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	114	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	91.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	423.18	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	225.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1074455, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended December 31, 2012

Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$4,002,993	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$53,479	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,949,514	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,991,945	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$42,431	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$123,474	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$81,043	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $81,043 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	81	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,424	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	96	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	87.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	488.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	275.25	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1041886, 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	$3,915,498	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$11,790	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,903,708	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,979,552	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$75,844	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$139,117	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$63,273	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $63,273 (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	71	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,657	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	30	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	64.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,023.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	755.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1012732, 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 June 21, 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$4,001,095	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,883,802	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$117,293	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,338	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $122,631 (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	71	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,789	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	36	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	63.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,977	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	660.81	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 406515, 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.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$3,523,382	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,798,004	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$274,622	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$66,241	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$208,381 (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	86	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,323	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	41	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicaid, in days	806.27	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	617.63	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 379972, 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.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,780,603	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,892,769	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$112,166	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$129,951	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$199,898	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$182,113 (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	86	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,733	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	47	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	85	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	547.51	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 349257, 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 August 12, 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$3,502,544	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,835,895	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$333,351	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$205,464	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$127,887 (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	86	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,452	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	46	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	70.25	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	575.04	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 323659, 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, reopened, processed by CMS on April 23, 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,583,249	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,874,148	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$290,899	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$219,984	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$70,915 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	86	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,455	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	45	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	99.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	632.33	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 307208, 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 29, 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$3,381,489	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,607,690	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$226,201	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$84,924	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$141,277 (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	86	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,422	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	53	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	44.13	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	517.4	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 287505, 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 May 10, 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$3,253,435	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,479,712	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$226,277	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$118,820	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$107,457 (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	86	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,056	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	46	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	52.89	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	609.91	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 248904, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended December 31, 2003

Cost report for November 1, 2003 to December 31, 2003 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on October 15, 2004.

None of these figures is carried on this report.

CMS report record 196973, 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
NORTHEAST SECURITY BANK	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 05/01/2023
ADAMS, RUSSELL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/10/2026
BRIGHTON CONSULTING GROUP LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2024
DIERS, ELIZABETH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/10/2026
DORNBUSCH COMPUTING LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/18/2024
EDWARDS, DEBORAH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2022
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
NORTHEAST SECURITY BANK	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/01/2023
PM ACQUISITION LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/31/2022
RYUN, GIVENS & COMPANY, P.C.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/20/2025
BOHLE, RON	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
KUHLMAN, KEITH	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 03/10/2023
MAIFELD, WENDI	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2020
MATTKE, DUSTIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
MEYER, KEVIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2025
SHEEHASE, SHERYLANN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
SMITH, RANDALL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2023
TUCKER, JANE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2010
WEDEMEIER, DWIGHT	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2022
BERGMANN, BONNIE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2022
MEYER, NANCY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2010
SCHWAKE, WILLIAM	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2020
ADAMS, RUSSELL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/01/2024
DIERS, ELIZABETH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/05/2007
DUGAN, LARISSA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/21/2022
GOODENBOUR, MARK	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/07/2019
HIRSCH, RAVEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/21/2014
HOVEY, JENNIFER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/04/2022
NIELSEN, SHERRY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/15/1976

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of HILLCREST HOME, INC. (enrollment ID O20030724000020).

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
NORTHEAST SECURITY BANK	Organization	5% OR GREATER MORTGAGE INTEREST	40	5/1/2023	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
DEBORAH EDWARDS	Individual	ADP OF THE SNF	Not stated in the filing	8/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DORNBUSCH COMPUTING LLC	Organization	ADP OF THE SNF	Not stated in the filing	6/18/2024	Private equity company: No Real estate investment trust: No Holding company: No
ELIZABETH DIERS	Individual	ADP OF THE SNF	Not stated in the filing	2/10/2026	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
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
NORTHEAST SECURITY BANK	Organization	ADP OF THE SNF	Not stated in the filing	5/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
PM ACQUISITION LLC	Organization	ADP OF THE SNF	Not stated in the filing	3/31/2022	Private equity company: No Real estate investment trust: No Holding company: No
RUSSELL ADAMS	Individual	ADP OF THE SNF	Not stated in the filing	2/10/2026	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
RYUN, GIVENS & COMPANY, P.C.	Organization	ADP OF THE SNF	Not stated in the filing	1/20/2025	Private equity company: No Real estate investment trust: No Holding company: No
No owner named in the filing	Individual	ADP OF THE SNF	Not stated in the filing	6/18/2024	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	1/20/2025	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	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	3/31/2022	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	3/31/2022	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	3/31/2022	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	3/31/2022	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	3/31/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DUSTIN MATTKE	Individual	CORPORATE DIRECTOR	Not stated in the filing	4/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DWIGHT WERNER WEDEMEIER	Individual	CORPORATE DIRECTOR	Not stated in the filing	4/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JANE F TUCKER	Individual	CORPORATE DIRECTOR	Not stated in the filing	4/1/2010	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
KEITH KUHLMAN	Individual	CORPORATE DIRECTOR	Not stated in the filing	3/10/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
KEVIN A MEYER	Individual	CORPORATE DIRECTOR	Not stated in the filing	4/1/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
RANDALL SMITH	Individual	CORPORATE DIRECTOR	Not stated in the filing	4/1/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
RON BOHLE	Individual	CORPORATE DIRECTOR	Not stated in the filing	4/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
SHERYLANN SHEEHASE	Individual	CORPORATE DIRECTOR	Not stated in the filing	4/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
WENDI MAIFELD	Individual	CORPORATE DIRECTOR	Not stated in the filing	4/1/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BONNIE BERGMANN	Individual	CORPORATE OFFICER	Not stated in the filing	4/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
NANCY J MEYER	Individual	CORPORATE OFFICER	Not stated in the filing	4/1/2010	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
WILLIAM F SCHWAKE	Individual	CORPORATE OFFICER	Not stated in the filing	4/1/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ELIZABETH DIERS	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	11/5/2007	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JENNIFER HOVEY	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/4/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LARISSA DUGAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	11/21/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARK GOODENBOUR	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	10/7/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
RAVEN HIRSCH	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	4/21/2014	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
RUSSELL ADAMS	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	2/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
SHERRY NIELSEN	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	4/15/1976	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

March 1, 2026: BRIAN PIPHO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: LAURIE STAUFFER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: MARGARET TEELING no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: DEANNA KAHLER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: DEANNA KAHLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: JOHN GILBERT BOK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: JOHN GILBERT BOK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: CHERYL A SCHWAKE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: NANCY J MEYER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: KENDRA ROCHFORD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: THERESE HEYER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: WILLIAM F SCHWAKE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: HILLCREST HOME, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: BRIGHTON CONSULTING GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: DORNBUSCH COMPUTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since June 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: SHERYLANN SHEEHASE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: KEITH KUHLMAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since March 10, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: DUSTIN MATTKE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: RYUN, GIVENS & COMPANY, P.C. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: BONNIE BERGMANN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: RAVEN HIRSCH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 21, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: KEVIN A MEYER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: MARK GOODENBOUR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 7, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: DEBORAH EDWARDS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: LARISSA DUGAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: DWIGHT WERNER WEDEMEIER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: FOX REHAB OT IA LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since June 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: FOX REHAB PT IA PLLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since June 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: NANCY J MEYER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: JENNIFER HOVEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 4, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: FOX REHAB SLP IA PLLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since June 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: RUSSELL ADAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: RUSSELL ADAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: RANDALL SMITH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: RON BOHLE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: SHERRY NIELSEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 15, 1976. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: ELIZABETH DIERS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: ELIZABETH DIERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 5, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: NORTHEAST SECURITY BANK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: NORTHEAST SECURITY BANK (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: PM ACQUISITION LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since March 31, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv

Recent changes on this record

July 2, 2026: A deficiency was cited under tag F 0699, scope and severity D. NH_HealthCitations_Sep2026_2.csv
July 2, 2026: A deficiency was cited under tag F 0689, scope and severity D. NH_HealthCitations_Sep2026_2.csv
July 2, 2026: A deficiency was cited under tag F 0656, scope and severity D. NH_HealthCitations_Sep2026_2.csv
July 2, 2026: A deficiency was cited under tag F 0644, scope and severity D. NH_HealthCitations_Sep2026_2.csv
July 2, 2026: A deficiency was cited under tag F 0637, scope and severity D. NH_HealthCitations_Sep2026_2.csv
July 2, 2026: A deficiency was cited under tag F 0761, scope and severity E. NH_HealthCitations_Sep2026_2.csv
July 2, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
March 1, 2026: BRIAN PIPHO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: LAURIE STAUFFER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: MARGARET TEELING no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: DEANNA KAHLER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: DEANNA KAHLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: JOHN GILBERT BOK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: JOHN GILBERT BOK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: CHERYL A SCHWAKE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: NANCY J MEYER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: KENDRA ROCHFORD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: THERESE HEYER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: WILLIAM F SCHWAKE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: HILLCREST HOME, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: BRIGHTON CONSULTING GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: DORNBUSCH COMPUTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since June 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: SHERYLANN SHEEHASE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: KEITH KUHLMAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since March 10, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: DUSTIN MATTKE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: RYUN, GIVENS & COMPANY, P.C. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 20, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: BONNIE BERGMANN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: RAVEN HIRSCH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 21, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: KEVIN A MEYER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: MARK GOODENBOUR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 7, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: DEBORAH EDWARDS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: LARISSA DUGAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: DWIGHT WERNER WEDEMEIER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: FOX REHAB OT IA LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since June 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: FOX REHAB PT IA PLLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since June 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: NANCY J MEYER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: JENNIFER HOVEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 4, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: FOX REHAB SLP IA PLLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since June 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: RUSSELL ADAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
March 1, 2026: RUSSELL ADAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	July 2, 2026	July 2, 2026	8	4
2	May 15, 2025	May 15, 2025	5	3
3	June 20, 2024	June 20, 2024	6	3
3	February 23, 2023	February 23, 2023	5	0

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

Deficiencies cited

21 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
July 2, 2026	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D	Yes	Deficient, Provider has date of correction	July 3, 2026
July 2, 2026	Health	F 0637	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D	No	Deficient, Provider has date of correction	July 3, 2026
July 2, 2026	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	July 3, 2026
July 2, 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	July 3, 2026
July 2, 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	July 6, 2026
July 2, 2026	Health	F 0699	Quality of Life and Care Deficiencies	Provide care or services that was trauma informed and/or culturally competent.	D	No	Deficient, Provider has date of correction	July 3, 2026
July 2, 2026	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	D	Yes	Deficient, Provider has date of correction	July 6, 2026
July 2, 2026	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	July 6, 2026
May 15, 2025	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	B	No	Deficient, Provider has date of correction	May 19, 2025
February 27, 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	Yes	Deficient, Provider has date of correction	February 28, 2025
February 27, 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G	Yes	Deficient, Provider has date of correction	March 11, 2025
February 27, 2025	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	Yes	Deficient, Provider has date of correction	March 11, 2025
February 27, 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	February 28, 2025
June 20, 2024	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	July 8, 2024
June 20, 2024	Health	F 0868	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	B	No	Deficient, Provider has date of correction	July 8, 2024
June 20, 2024	Health	F 0943	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.	D	No	Deficient, Provider has date of correction	July 8, 2024
May 30, 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	June 4, 2024
May 30, 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	June 4, 2024
April 25, 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	G	Yes	Deficient, Provider has date of correction	June 4, 2024
February 23, 2023	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	D	No	Deficient, Provider has date of correction	March 6, 2023
February 23, 2023	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	March 6, 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
April 25, 2024	Payment Denial		May 21, 2024	14

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 - Corporation
Legal Business Name	HILLCREST HOME, INC.
Date First Approved to Provide Medicare and Medicaid Services	2003-11-04
Provider Resides in Hospital	N
Continuing Care Retirement Community	Y
Urban	Y
County/Parish	Bremer
Telephone Number	5635788591
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	61
Average Number of Residents per Day	46.6
Overall Rating	4
Health Inspection Rating	3
QM Rating	2
Long-Stay QM Rating	1
Short-Stay QM Rating	4
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.

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On July 2, 2026: A deficiency was cited under tag F 0699, scope and severity D. That is one line of the alert.

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