Skilled nursing facility · CMS certification number 165614
Rose Haven Nursing Home
Marengo, Iowa · Medicare and Medicaid
Certified beds, as filed in Care Compare: 58
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $10,062.00 · Payment denials: 0. The most recent penalty on file: November 7, 2023, Fine, $10,062. 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 December 1, 2023 to November 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 14, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,564,006 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $785,676 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,778,330 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,469,270 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $309,060 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $45,110 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $354,170 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$160,839 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 21,960 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,424 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 7,839 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,308 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 17,571 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 36 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 18 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 66 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 435.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405273, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended November 30, 2023
Cost report for December 1, 2022 to November 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 26, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,703,319 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $776,743 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,926,576 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,818,120 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $108,456 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,117,826 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,226,282 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $878,892 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,337 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 176 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 180.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1386698, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended November 30, 2022
Cost report for December 1, 2021 to November 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 24, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,425,244 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $535,809 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,889,435 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,251,653 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$362,218 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $97,579 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$264,639 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$426,136 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,493 | 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 | 37.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 209.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 161.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1348184, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended November 30, 2021
Cost report for December 1, 2020 to November 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,095,212 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $480,590 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,614,622 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,696,688 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$82,066 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,093,938 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,011,872 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $839,046 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,463 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 351.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 193.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327397, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended November 30, 2020
Cost report for December 1, 2019 to November 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 26, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,268,081 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $414,116 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,853,965 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,738,828 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $115,137 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,329 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $132,466 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$73,536 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,693 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 77.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 323.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 252.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282889, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended November 30, 2019
Cost report for December 1, 2018 to November 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 2, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,661,004 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $684,247 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,976,757 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,618,509 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $358,248 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,494 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $388,742 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $227,243 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,939 | 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 | 80.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 181.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 178.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1256596, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended November 30, 2018
Cost report for December 1, 2017 to November 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 9, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,276,668 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $725,111 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,551,557 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,543,530 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $8,027 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $91,094 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $99,121 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$5,383 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,509 | 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 | 56.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 306.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 182.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1223976, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended November 30, 2017
Cost report for December 1, 2016 to November 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 9, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,790,058 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $510,281 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,279,777 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,316,577 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$36,800 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $49,211 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $12,411 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$91,031 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,300 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 351 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 203.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189518, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended November 30, 2016
Cost report for March 17, 2016 to November 30, 2016 — a reporting period of 258 days, not a full year, on form CMS-2540-10, settled, processed by CMS on June 22, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,094,890 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $393,823 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,701,067 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,504,201 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $196,866 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,636 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $214,502 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $133,077 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,416 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 165.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 153.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1165193, read from the public cost report file SNF10FY2016.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 |
|---|---|---|---|---|
| SISSEL, SHANE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 50% | since 01/01/2016 |
| SISSEL, SUSAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 50% | since 01/01/2016 |
| KEYSTONE SAVINGS BANK | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 01/01/2016 |
| ACCESS TECHNOLOGIES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/24/2017 |
| BAKERSTARRETT LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/17/2020 |
| BCG HOLDINGS INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| BRIGHTON CONSULTING GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| CATTAIL BCG LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| CATTAIL INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| DOSE, RONALD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/08/2025 |
| ECSI INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| IOWA HEALTH CARE ASSOCIATION | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| J EVANS NUTRITION CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/30/2022 |
| KEPLER, TERENI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/08/2025 |
| KEY REHABILITATION INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/31/2012 |
| KEYSTONE SAVINGS BANK | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2016 |
| PM ACQUISITION LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2017 |
| SCHAFFNER, TRISTA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/08/2025 |
| SISSEL, SHANE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2012 |
| SISSEL, SUSAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/30/2012 |
| VIRTUOUS LTC CONSULTING | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/29/2020 |
| SISSEL, SHANE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2012 |
| SISSEL, SUSAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2012 |
| DOSE, RONALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2018 |
| GERARD, DALE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/18/2022 |
| GULICK, KENSEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/29/2015 |
| KEPLER, TERENI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/26/2021 |
| MCMANN, MACY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/22/2022 |
| RADEKE, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/05/2024 |
| SCHAFFNER, TRISTA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/08/2025 |
| SISSEL, SHANE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2012 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PARADYM HEALTH CARE INC (enrollment ID O20151229000145).
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 |
|---|---|---|---|---|---|
| SHANE M SISSEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 1/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN R SISSEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 1/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEYSTONE SAVINGS BANK | Organization | 5% OR GREATER MORTGAGE INTEREST | 50 | 1/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| ACCESS TECHNOLOGIES INC | Organization | ADP OF THE SNF | Not stated in the filing | 10/24/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| BAKERSTARRETT LLP | Organization | ADP OF THE SNF | Not stated in the filing | 7/17/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| BCG HOLDINGS INC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRIGHTON CONSULTING GROUP LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CATTAIL BCG LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CATTAIL INC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| ECSI INC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| IOWA HEALTH CARE ASSOCIATION | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| J EVANS NUTRITION CONSULTING LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/30/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| KEY REHABILITATION INC | Organization | ADP OF THE SNF | Not stated in the filing | 10/31/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| KEYSTONE SAVINGS BANK | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2016 | 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 | 7/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| RONALD W DOSE | Individual | ADP OF THE SNF | Not stated in the filing | 10/8/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHANE M SISSEL | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN R SISSEL | Individual | ADP OF THE SNF | Not stated in the filing | 10/30/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TERENI KEPLER | Individual | ADP OF THE SNF | Not stated in the filing | 10/8/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRISTA L SCHAFFNER | Individual | ADP OF THE SNF | Not stated in the filing | 12/8/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VIRTUOUS LTC CONSULTING | Organization | ADP OF THE SNF | Not stated in the filing | 2/29/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/31/2012 | 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 | 2/29/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 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 | 7/1/2017 | 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 | 7/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 7/17/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/24/2017 | 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 | 7/17/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 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 | 7/1/2017 | 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 | 7/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 11/30/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHANE M SISSEL | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN R SISSEL | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANGELA RADEKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/5/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DALE GERARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/18/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KENSEY GULICK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/29/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MACY MCMANN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/22/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RONALD W DOSE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHANE M SISSEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TERENI KEPLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/26/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRISTA L SCHAFFNER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/8/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: SARA SMITH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: TRISTA L SCHAFFNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: TRISTA L SCHAFFNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- January 1, 2026: SHANE M SISSEL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SHANE M SISSEL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SUSAN R SISSEL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRIGHTON CONSULTING GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KEY REHABILITATION INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 31, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ANGELA RADEKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 5, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CATTAIL BCG LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: J EVANS NUTRITION CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KEYSTONE SAVINGS BANK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: E C S I INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: VIRTUOUS LTC CONSULTING (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 29, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TERENI KEPLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TERENI KEPLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 26, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KENSEY GULICK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 29, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: IOWA HEALTH CARE ASSOCIATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BCG HOLDINGS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CATTAIL INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MACY MCMANN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SHANE M SISSEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DALE GERARD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 18, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ACCESS TECHNOLOGIES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 24, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SUSAN R SISSEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 30, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SARA SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BAKERSTARRETT LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 17, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: PM ACQUISITION LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RONALD W DOSE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RONALD W DOSE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
Recent changes on this record
- July 1, 2026: SARA SMITH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: TRISTA L SCHAFFNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: TRISTA L SCHAFFNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- January 1, 2026: SHANE M SISSEL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SHANE M SISSEL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SUSAN R SISSEL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRIGHTON CONSULTING GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KEY REHABILITATION INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 31, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ANGELA RADEKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 5, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CATTAIL BCG LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: J EVANS NUTRITION CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 30, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KEYSTONE SAVINGS BANK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: E C S I INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: VIRTUOUS LTC CONSULTING (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 29, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TERENI KEPLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TERENI KEPLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 26, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KENSEY GULICK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 29, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: IOWA HEALTH CARE ASSOCIATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BCG HOLDINGS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CATTAIL INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MACY MCMANN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since February 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SHANE M SISSEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DALE GERARD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 18, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: ACCESS TECHNOLOGIES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 24, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SUSAN R SISSEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 30, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SARA SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BAKERSTARRETT LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 17, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: PM ACQUISITION LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RONALD W DOSE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RONALD W DOSE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- March 14, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 26, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- May 24, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- July 22, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- April 26, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- June 2, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- May 9, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- May 9, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- June 22, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 11, 2025 | December 11, 2025 | 8 | 3 |
| 2 | October 24, 2024 | October 24, 2024 | 8 | 3 |
| 3 | August 30, 2023 | August 30, 2023 | 10 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
26 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 7, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | June 3, 2026 |
| December 11, 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | December 29, 2025 |
| December 11, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | December 29, 2025 |
| December 11, 2025 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | No | Deficient, Provider has date of correction | December 29, 2025 |
| December 11, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | December 29, 2025 |
| December 11, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | December 29, 2025 |
| December 11, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | December 29, 2025 |
| December 11, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | December 29, 2025 |
| March 10, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | April 4, 2025 |
| March 10, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | April 4, 2025 |
| March 10, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | April 4, 2025 |
| March 10, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | April 4, 2025 |
| March 10, 2025 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | C | Yes | Deficient, Provider has date of correction | April 4, 2025 |
| October 24, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | November 13, 2024 |
| October 24, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | November 13, 2024 |
| October 24, 2024 | 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 | Yes | Deficient, Provider has date of correction | November 13, 2024 |
| November 7, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Past Non-Compliance | November 7, 2023 |
| August 30, 2023 | 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. | E | No | Deficient, Provider has date of correction | September 29, 2023 |
| August 30, 2023 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | September 29, 2023 |
| August 30, 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 | September 29, 2023 |
| August 30, 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | September 29, 2023 |
| August 30, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | September 29, 2023 |
| August 30, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | September 29, 2023 |
| August 30, 2023 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | No | Deficient, Provider has date of correction | September 29, 2023 |
| August 30, 2023 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | C | No | Deficient, Provider has date of correction | September 29, 2023 |
| August 30, 2023 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | No | Deficient, Provider has date of correction | September 29, 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 |
|---|---|---|---|---|---|
| November 7, 2023 | Fine | $10,062 | 79151 |
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 | For profit - Corporation |
| Legal Business Name | PARADYM HEALTH CARE INC |
| Date First Approved to Provide Medicare and Medicaid Services | 2016-03-17 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Iowa |
| Telephone Number | 3196425533 |
| 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 | 58 |
| Average Number of Residents per Day | 47.5 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| 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.
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The citable document for Rose Haven Nursing Home
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 165614.