Skilled nursing facility · CMS certification number 165605
Kennybrook Village
Grimes, Iowa · Medicare and Medicaid
Certified beds, as filed in Care Compare: 40
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,906,613 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $990,553 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,916,060 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,459,298 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $456,762 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,288 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $494,050 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $429,230 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 14,640 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,110 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 1,356 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,586 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 14,052 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 31 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 1 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 26 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,356 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 242.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433867, 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 14, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,974,676 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $926,062 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,048,614 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,258,846 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$210,232 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,049 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$202,183 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$260,822 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,578 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 63 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 547.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 215.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392103, 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 9, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,885,374 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $576,586 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,308,788 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,510,962 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$202,174 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,722 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$200,452 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$226,397 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,098 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 38 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 76.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,269 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 371 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364109, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 28, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,525,306 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $470,998 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,054,308 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,805,979 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $248,329 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $187,459 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $435,788 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $405,723 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,142 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 29 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,579 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 487.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334404, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,121,261 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $723,044 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,398,217 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,166,487 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $231,730 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $818,149 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,049,879 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,045,368 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,885 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 43 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 852.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 322.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303674, 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 September 9, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,567,018 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $490,212 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,076,806 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,445,780 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $631,026 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,762 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $642,788 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $642,788 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,122 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 505.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 227.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1266086, 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 10, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,346,659 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $578,405 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,768,254 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,124,296 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $643,958 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,339 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $650,297 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $634,661 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,961 | 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 | 32.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 552.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1236113, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,768,882 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $649,430 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,119,452 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,807,428 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $312,024 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,842 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $322,866 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $308,703 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,372 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 940.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200438, 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 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,626,651 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $706,941 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,919,710 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,334,440 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $585,270 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,861 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $595,131 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $577,788 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,150 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 560.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169866, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,009,389 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $554,972 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,454,417 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,873,591 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $580,826 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,546 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $588,372 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $573,446 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,107 | 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 | 23.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,446.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1134363, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,359,735 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $338,267 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,021,468 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,269,622 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $751,846 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,306 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $764,152 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $764,152 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,733 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,504.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 123.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103263, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,956,004 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $897,808 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,058,196 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,275,008 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $783,188 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,679 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $817,867 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $809,391 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,283 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 146 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 562 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1070230, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for March 23, 2012 to December 31, 2012 — a reporting period of 283 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,831,472 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $533,178 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,298,294 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,178,450 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $119,844 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,277 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $132,121 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $127,246 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,980 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 562.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1043694, read from the public cost report file SNF10FY2012.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| GULLEDGE, SCOTT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/16/2012 |
| GULLEDGE, TRAVIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/24/2011 |
| OCONNER, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/24/2011 |
| PIVOTAL HEALTH CARE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/18/2025 |
| SUMMIT CARE, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/16/2012 |
| VANSICKEL, SPENCER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/20/2026 |
| SCENIC DEVELOPMENT LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 03/16/2012 |
| SCENIC HOLDINGS LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 12/31/2018 |
| 3RK, LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 01/01/2021 |
| 5 R CATTLE, LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 03/16/2012 |
| ANDERSON, JORDAN | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 10/01/2021 |
| ANDERSON, MARLENE | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 03/16/2012 |
| ANDERSON, WAYNE | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 03/16/2012 |
| CADET INVESTMENT LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 03/16/2012 |
| GULLEDGE, SCOTT | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 03/16/2012 |
| GULLEDGE, TRAVIS | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 10/01/2021 |
| HOWARD, STEVEN | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 03/16/2012 |
| LMRAY, LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 03/16/2012 |
| POKY FEEDERS INC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 03/16/2012 |
| WOOD, GILBERT | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 03/16/2012 |
| WSG LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 03/16/2012 |
| ANDERSON, JORDAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| GULLEDGE, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/16/2012 |
| GULLEDGE, TRAVIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| OCONNER, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/24/2011 |
| PIVOTAL HEALTH CARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/16/2012 |
| SCENIC DEVELOPMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/16/2012 |
| VANSICKEL, SPENCER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/20/2026 |
| WOOD, GILBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/16/2012 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CCRC OF GRIMES, LLC (enrollment ID O20111207000874).
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 |
|---|---|---|---|---|---|
| IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION | Organization | ADP OF THE SNF | Not stated in the filing | 10/24/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAYCE D WILSON | Individual | ADP OF THE SNF | Not stated in the filing | 4/16/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL P OCONNER | Individual | ADP OF THE SNF | Not stated in the filing | 10/24/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PIVOTAL HEALTH CARE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/18/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SCOTT E GULLEDGE | Individual | ADP OF THE SNF | Not stated in the filing | 3/16/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUMMIT CARE, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/16/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRAVIS S GULLEDGE | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/13/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/13/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/13/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SCENIC DEVELOPMENT LLC | Organization | DIRECT OWNERSHIP INTEREST | 21.92 | 3/16/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| SCENIC HOLDINGS LLC | Organization | DIRECT OWNERSHIP INTEREST | 78.08 | 12/31/2018 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| 3RK, LLC | Organization | INDIRECT OWNERSHIP INTEREST | 6.28 | 1/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| 5 R CATTLE, LLC | Organization | INDIRECT OWNERSHIP INTEREST | 6.29 | 3/16/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| CADET INVESTMENT LLC | Organization | INDIRECT OWNERSHIP INTEREST | 10.87 | 3/16/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| GILBERT R WOOD | Individual | INDIRECT OWNERSHIP INTEREST | 2.24 | 3/16/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JORDAN R ANDERSON | Individual | INDIRECT OWNERSHIP INTEREST | 1.79 | 10/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LMRAY, LLC | Organization | INDIRECT OWNERSHIP INTEREST | 6.29 | 3/16/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| MARLENE A ANDERSON | Individual | INDIRECT OWNERSHIP INTEREST | 6.4 | 3/16/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| POKY FEEDERS INC | Organization | INDIRECT OWNERSHIP INTEREST | 6.29 | 3/16/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| SCOTT E GULLEDGE | Individual | INDIRECT OWNERSHIP INTEREST | 3.12 | 3/16/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN M HOWARD | Individual | INDIRECT OWNERSHIP INTEREST | 11.28 | 3/16/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRAVIS S GULLEDGE | Individual | INDIRECT OWNERSHIP INTEREST | 0.89 | 10/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WAYNE C ANDERSON | Individual | INDIRECT OWNERSHIP INTEREST | 6.4 | 3/16/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WSG LLC | Organization | INDIRECT OWNERSHIP INTEREST | 16.44 | 3/16/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| GILBERT R WOOD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/16/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAYCE D WILSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/16/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JORDAN R ANDERSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL P OCONNER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/24/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PIVOTAL HEALTH CARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 3/16/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| SCENIC DEVELOPMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/16/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| SCOTT E GULLEDGE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/16/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRAVIS S GULLEDGE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2026: WILSON, JAYCE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: WILSON, JAYCE no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: VANSICKEL, SPENCER appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: VANSICKEL, SPENCER appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- October 1, 2025: SCENIC DEVELOPMENT LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GILBERT R WOOD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GILBERT R WOOD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARILYN HOWARD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: POKY-5R LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WSG LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARLENE A ANDERSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JAYCE D WILSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CADET INVESTMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SCENIC HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SCOTT E GULLEDGE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WAYNE C ANDERSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: STEVEN M HOWARD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 24, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SCENIC DEVELOPMENT LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SCENIC DEVELOPMENT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JORDAN R ANDERSON (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JORDAN R ANDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: 3RK, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SUMMIT CARE, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TRAVIS S GULLEDGE (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TRAVIS S GULLEDGE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TRAVIS S GULLEDGE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GILBERT R WOOD (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GILBERT R WOOD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LMRAY, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WSG LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARLENE A ANDERSON (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: 5 R CATTLE, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JAYCE D WILSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 16, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JAYCE D WILSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 16, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CADET INVESTMENT LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SCENIC HOLDINGS LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 31, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SCOTT E GULLEDGE (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SCOTT E GULLEDGE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PIVOTAL HEALTH CARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since June 18, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WAYNE C ANDERSON (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MICHAEL P OCONNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 24, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MICHAEL P OCONNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 24, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: STEVEN M HOWARD (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: POKY FEEDERS INC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
Recent changes on this record
- September 1, 2026: WILSON, JAYCE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: WILSON, JAYCE no longer appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: VANSICKEL, SPENCER appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: VANSICKEL, SPENCER appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- October 1, 2025: SCENIC DEVELOPMENT LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GILBERT R WOOD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GILBERT R WOOD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARILYN HOWARD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: POKY-5R LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WSG LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARLENE A ANDERSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JAYCE D WILSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CADET INVESTMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SCENIC HOLDINGS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SCOTT E GULLEDGE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WAYNE C ANDERSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: STEVEN M HOWARD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 24, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SCENIC DEVELOPMENT LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SCENIC DEVELOPMENT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JORDAN R ANDERSON (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JORDAN R ANDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: 3RK, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SUMMIT CARE, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TRAVIS S GULLEDGE (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TRAVIS S GULLEDGE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TRAVIS S GULLEDGE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GILBERT R WOOD (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: GILBERT R WOOD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LMRAY, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since May 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WSG LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARLENE A ANDERSON (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: 5 R CATTLE, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JAYCE D WILSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 16, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JAYCE D WILSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 16, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CADET INVESTMENT LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SCENIC HOLDINGS LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 31, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SCOTT E GULLEDGE (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SCOTT E GULLEDGE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 16, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 22, 2026 | January 22, 2026 | 3 | 2 |
| 2 | January 9, 2025 | January 9, 2025 | 4 | 2 |
| 3 | September 28, 2023 | September 28, 2023 | 5 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
12 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| January 22, 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | February 6, 2026 |
| January 22, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | February 6, 2026 |
| January 22, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | February 6, 2026 |
| January 9, 2025 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | January 31, 2025 |
| January 9, 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | January 31, 2025 |
| January 9, 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. | E | No | Deficient, Provider has date of correction | January 31, 2025 |
| January 9, 2025 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | F | No | Deficient, Provider has date of correction | January 31, 2025 |
| September 28, 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | October 20, 2023 |
| September 28, 2023 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | October 20, 2023 |
| September 28, 2023 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Yes | Deficient, Provider has date of correction | October 20, 2023 |
| September 28, 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | October 20, 2023 |
| September 28, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | October 20, 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on August 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 - Individual |
| Legal Business Name | CCRC OF GRIMES, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2012-03-23 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Polk |
| Telephone Number | 5153693900 |
| Chain Name | PIVOTAL HEALTH CARE |
| Chain ID | 404 |
| 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 | 40 |
| Average Number of Residents per Day | 39.0 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| 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 Kennybrook Village: 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 September 1, 2026: WILSON, JAYCE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for Kennybrook Village
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Iowa at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in Iowa
- CITY OF CORALVILLE, CORALVILLE Water discharge permit
- CITY OF SPENCER, SPENCER Water discharge permit
- JEFFERSON CITY OF STP, JEFFERSON Water discharge permit
- CITY OF ELDRIDGE, ELDRIDGE Water discharge permit
- CITY OF CRESCO, CRESCO Water discharge permit
- CITY OF HARLAN, HARLAN Water discharge permit
- CITY OF GREENFIELD, GREENFIELD Water discharge permit
- CITY OF CARROLL, CARROLL Water discharge permit
- AGGREGATES,INC., CEDAR RAPIDS Air emission source
- CARGILL INC-CEDAR RAPIDS_SW_SOYBEAN, CEDAR RAPIDS Air emission source
- CARGILL INC-CEDAR RAPIDS NE, CEDAR RAPIDS Air emission source
- CARGILL INC-CORN MILLING, CEDAR RAPIDS Air emission source
- CITY OF CEDAR RAPIDS PUBLIC WORKS, CEDAR RAPIDS Air emission source
- CEDAR RAPIDS TRUCK CENTER, CEDAR RAPIDS Air emission source
- CITY OF CEDAR RAPIDS WPCF, CEDAR RAPIDS Air emission source
- IPL-PRAIRIE CREEK STATION, CEDAR RAPIDS Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 165605.