Skilled nursing facility · CMS certification number 175468
PRAIRIE MISSION RETIREMENT VILLAGE
SAINT PAUL, Kansas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 61
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 July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 16, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,934,277 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $806,133 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,128,144 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,039,032 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $89,112 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $539,948 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $629,060 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $629,060 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 16,425 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 895 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 5,471 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,089 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 10,455 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 12 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 8 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 41 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 683.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 171.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1444706, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 14, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,003,861 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $774,746 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,229,115 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,800,316 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $428,799 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $305,150 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $733,949 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $733,949 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,851 | 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 | 125.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 393.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 252.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1402212, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,480,904 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $949,667 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,531,237 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,001,329 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$470,092 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $110,688 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$359,404 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$359,404 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,282 | 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 | 78.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 429.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372000, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 17, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,521,535 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $934,291 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,587,244 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,920,654 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$333,410 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $368,419 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $35,009 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $35,009 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,853 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,517.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 348.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1339696, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 23, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,189,553 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,079,206 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,110,347 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,294,441 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$184,094 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $633,134 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $449,040 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $449,040 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,915 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 513.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 355.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1307852, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 15, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,889,210 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $875,188 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,014,022 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,056,875 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$42,853 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $307,985 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $265,132 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $265,132 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,099 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 67 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 459.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 225.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278355, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 26, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,883,326 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $514,911 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,368,415 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,142,815 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $225,600 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $74,484 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $300,084 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $300,084 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,113 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 551.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 285.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1246331, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,733,622 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $431,349 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,302,273 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,156,365 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $145,908 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $59,986 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $205,894 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $205,894 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,962 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 386.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 181.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217723, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 1, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,568,177 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $353,645 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,214,532 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,076,288 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $138,244 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $56,502 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $194,746 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $194,746 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,356 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 103 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 303.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 149.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1183185, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 30, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,366,143 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $121,128 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,245,015 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,192,844 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $52,171 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $169,428 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $221,599 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $221,599 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,589 | 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 | 33.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 282.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 139.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1152151, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 29, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,805,551 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$3,916 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,809,467 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,147,978 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$338,511 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,224 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$311,287 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$311,287 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,058 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 268.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 181.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1116652, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 14, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,837,115 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$164,641 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,001,756 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,170,596 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$168,840 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,335,066 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,166,226 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,166,226 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,773 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 431.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 184.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084356, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 7, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,740,815 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$149,509 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,890,324 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,948,548 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$58,224 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,860 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$20,364 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$20,364 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,655 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 521.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 271.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055354, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,487,812 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$90,107 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,577,919 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,676,489 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$98,570 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $35,742 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$62,828 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$62,828 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,220 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 211.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 139.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023414, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 18, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,739,356 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,669,796 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $69,560 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,587 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $111,147 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,303 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 121 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 422.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 126.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422809, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 19, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,205,803 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,489,841 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$284,038 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54,927 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$229,111 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,871 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 123 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 226.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 120.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392803, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 22, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,247,861 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,380,088 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$132,227 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $34,669 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$97,558 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,319 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 117 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 225.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 122.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362714, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,214,342 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,259,569 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$45,227 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,230 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$16,997 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,275 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 94 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 311 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 151.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333511, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 10, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,855,527 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,084,845 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$229,318 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,262 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$191,056 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,541 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 204.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 153.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 325691, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 28, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,947,996 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,065,998 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$118,002 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,868 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$85,134 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,685 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 83 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 446.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 275958, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 4, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,065,774 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,945,830 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $119,944 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,335 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $130,279 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,398 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 67 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 415.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 229.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 260569, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for September 1, 2003 to June 30, 2004 — a reporting period of 303 days, on form CMS-2540-96, settled, processed by CMS on August 22, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,563,824 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,525,578 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $38,246 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,331 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $60,577 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,458 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 619.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 254.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 231342, read from the public cost report file SNFFY2003.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| EWAN, MELINDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/12/2016 |
| CARTER, CHRIS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/27/2003 |
| CARTER, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/27/2003 |
| SMITH, KEITH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/27/2003 |
| BOOKOUT, LOGAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2024 |
| EWAN, MELINDA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/12/2016 |
| BOOKOUT, LOGAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2025 |
| EWAN, MELINDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/12/2016 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PRAIRIE MISSION RETIREMENT VILLAGE (enrollment ID O20030827000024).
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 |
|---|---|---|---|---|---|
| MELINDA EWAN | Individual | ADP OF THE SNF | Not stated in the filing | 9/12/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRIS CARTER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/27/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEITH SMITH | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/27/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL CARTER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/27/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LOGAN BOOKOUT | Individual | CORPORATE OFFICER | Not stated in the filing | 3/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MELINDA EWAN | Individual | CORPORATE OFFICER | 100 | 9/12/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LOGAN BOOKOUT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MELINDA EWAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/12/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- November 1, 2025: MELINDA EWAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LINDA KAY SARTIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MELINDA EWAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 12, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LOGAN BOOKOUT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- February 1, 2025: KIMBERLY SCHLUP no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MELINDA EWAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MELINDA EWAN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 12, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MELINDA EWAN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 12, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: CHRIS CARTER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since August 27, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: LOGAN BOOKOUT (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- September 1, 2024: EUGENE BEACHNER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- December 16, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- November 1, 2025: MELINDA EWAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LINDA KAY SARTIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MELINDA EWAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 12, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LOGAN BOOKOUT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- February 1, 2025: KIMBERLY SCHLUP no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MELINDA EWAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MELINDA EWAN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 12, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MELINDA EWAN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 12, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: CHRIS CARTER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since August 27, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: LOGAN BOOKOUT (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since March 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- January 14, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- September 1, 2024: EUGENE BEACHNER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- January 16, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- January 17, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- December 23, 2021: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- January 15, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- November 26, 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- January 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- February 1, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- January 30, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- December 29, 2015: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- January 14, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- February 7, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- January 24, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- January 18, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- January 19, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- January 22, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- February 13, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- September 10, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- March 28, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- August 4, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- August 22, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 13, 2025 | March 13, 2025 | 9 | 6 |
| 2 | June 21, 2023 | June 21, 2023 | 4 | 15 |
| 3 | January 26, 2022 | January 26, 2022 | 3 | 12 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
16 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 13, 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 | No | Deficient, Provider has date of correction | April 14, 2025 |
| March 13, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | April 14, 2025 |
| March 13, 2025 | 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 | April 14, 2025 |
| March 13, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | April 14, 2025 |
| March 13, 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. | E | No | Deficient, Provider has date of correction | April 14, 2025 |
| March 13, 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | April 14, 2025 |
| March 13, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | April 14, 2025 |
| March 13, 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | April 14, 2025 |
| March 13, 2025 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | April 14, 2025 |
| June 21, 2023 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | July 20, 2023 |
| June 21, 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. | D | No | Deficient, Provider has date of correction | July 20, 2023 |
| June 21, 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. | F | No | Deficient, Provider has date of correction | July 20, 2023 |
| June 21, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | July 20, 2023 |
| January 26, 2022 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | February 25, 2022 |
| January 26, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | February 25, 2022 |
| January 26, 2022 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | F | No | Deficient, Provider has date of correction | February 25, 2022 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | PRAIRIE MISSION RETIREMENT VILLAGE |
| Date First Approved to Provide Medicare and Medicaid Services | 2003-09-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | N |
| County/Parish | Neosho |
| Telephone Number | 6204492400 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 61 |
| Average Number of Residents per Day | 29.4 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on PRAIRIE MISSION RETIREMENT 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 December 16, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for PRAIRIE MISSION RETIREMENT 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 Kansas 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 Kansas
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- MIDWEST CONCRETE - K-10 READY MIX PLANT (SWPP), LAWRENCE Water discharge permit
- CENTURY CONCRETE - OLATHE FACILITY, OLATHE Water discharge permit
- PRESTRESSED CONCRETE - NEWTON FACILITY, NEWTON Water discharge permit
- PENNY'S CONCRETE - OTTAWA FACILITY, OTTAWA Water discharge permit
- INDEPENDENCE READY MIX, INDEPENDENCE Water discharge permit
- BUILDERS CONCRETE - NEWTON FACILITY, NEWTON Water discharge permit
- GEIGER READY-MIX - OLATHE FACILITY, OLATHE Water discharge permit
- TRIPLE M STEEL INC, MARIENTHAL Air emission source
- HAUPT CONST AIR CURTAIN INCINERATOR (AIR), SPRING HILL Air emission source
- HEAD, INC. TEMPORARY ASPHALT PLANT - TOPEKA (AIR), TOPEKA Air emission source
- ANDALE READY MIX - MILAN (PORTABLE)(AIR), MILAN Air emission source
- BETTIS ASPHALT - BAC - PP4 (AIR), TOPEKA Air emission source
- EMERY SAPP-NORTH CONCRETE PLANT (AIR), LAWRENCE Air emission source
- HAUPT CONST AIR CURTAIN INCINERATOR (AIR), SPRING HILL Air emission source
- HEAD, INC. - TOPEKA (ASPHALT) (AIR), TOPEKA 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 175468.