Velarion Records

Skilled nursing facility · CMS certification number 245210

LAKE MINNETONKA SHORES

SPRING PARK, Minnesota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 60

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: $8,827.00 · Payment denials: 0. The most recent penalty on file: April 25, 2024, Fine, $8,827. 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 October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 7, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$19,141,165CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$474,289CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$18,666,876CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$19,152,511CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$485,635CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,191,795CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,706,160CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,706,160 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components21,960CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,131CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days7,070CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days11,373CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components19,574CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges47CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges37CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges117CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components201CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.06CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days191.08CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days97.38CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403383, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended September 30, 2023

Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 17, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$17,575,359CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$352,092CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$17,223,267CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,005,639CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$782,372CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,290,482CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$508,110CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $508,110 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,002CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components187CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days125.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days101.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1372090, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended September 30, 2022

Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 30, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$15,780,590CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$170,276CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,610,314CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$16,897,622CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,287,308CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,739,327CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$452,019CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $452,019 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components136CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,807CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components183CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.65CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days289.38CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days97.31CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1345176, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended September 30, 2021

Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$16,665,285CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$98,665CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$16,566,620CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,655,381CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,088,761CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,536,753CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$447,992CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $442,721 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components136CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,406CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components199CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.93CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days361.85CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days102.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1314497, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended September 30, 2020

Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 29, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$19,416,762CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$52,062CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$19,364,700CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$19,991,835CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$627,135CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,733,138CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,106,003CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,106,003 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components136CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,486CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components532CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.24CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days95.76CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days53.55CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1283068, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended September 30, 2019

Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 28, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$22,017,725CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$772,376CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$21,245,349CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$21,596,972CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$351,623CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,126,953CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,775,330CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,524,948 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components136CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,083CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components696CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.01CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days132.07CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days51.84CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254648, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended September 30, 2018

Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 14, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$22,140,627CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$513,373CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$21,627,254CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$21,614,616CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$12,638CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$998,797CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,011,435CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $11,435 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components136CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,040CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components680CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days20.69CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days145.11CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days58.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1221162, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended September 30, 2017

Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$21,605,227CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$448,729CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$21,156,498CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$21,422,415CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$265,917CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,013,078CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$747,161CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $747,161 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components42,090CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components731CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days19.48CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days122.52CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days57.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188100, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended September 30, 2016

Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 14, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$21,516,124CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$613,620CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$20,902,504CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$21,932,015CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,029,511CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,023,916CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$5,595CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$5,595 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components131CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components45,578CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components692CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days19.23CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days172.41CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days65.86CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1154383, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended September 30, 2015

Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 22, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$21,376,369CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$179,785CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$21,196,584CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$21,163,048CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$33,536CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$908,072CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$941,608CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $941,608 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components145CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components49,930CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components711CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.7CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days170.22CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days70.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1122595, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended September 30, 2014

Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 26, 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$20,907,173CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$332,937CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$20,574,236CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$20,812,956CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$238,720CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,044,325CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$805,605CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$320,149 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components145CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components50,538CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components666CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days133.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days75.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1124652, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended September 30, 2013

Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 22, 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$20,677,864CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$227,425CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$20,450,439CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$20,588,648CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$138,209CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$849,394CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$711,185CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $711,185 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components145CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components50,432CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components686CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.76CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days131.02CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days73.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1110609, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended September 30, 2012

Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 19, 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$19,419,806CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$237,896CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$19,181,910CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$20,107,230CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$925,320CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$773,132CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$152,188CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$152,188 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components145CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components50,802CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components705CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.65CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days124.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days72.06CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1078235, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended September 30, 2011

Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 22, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$17,358,807CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$17,457,473CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$98,666CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$987,698CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $889,032 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components158CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components50,276CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components450CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days28.47CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days470.13CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days111.72CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 429350, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended June 2, 2010

Cost report for October 1, 2009 to June 2, 2010 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 9, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$8,381,525CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,950,284CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$431,241CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$148,846CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $580,087 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components158CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,347CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components274CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.56CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days241.14CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days129CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 414987, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended September 30, 2009

Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 6, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$12,377,514CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,848,066CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$529,448CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$220,193CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$79,038CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $670,603 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components158CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components52,747CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components446CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days26.39CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days245.45CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days118.27CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 368972, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended September 30, 2008

Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 19, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$11,568,214CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,728,358CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$160,144CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$208,780CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $48,636 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components164CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components55,645CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components492CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days13.27CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,247.59CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days113.1CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 339552, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended September 30, 2007

Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 23, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$11,337,378CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,535,164CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$197,786CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$250,789CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $53,003 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components164CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components57,122CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components514CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days29.46CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days200.56CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days111.13CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 306464, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended September 30, 2006

Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 26, 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$11,135,208CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,165,585CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$30,377CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$154,156CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $123,779 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components164CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components57,558CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components520CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.1CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days223.08CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days110.69CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 302954, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended September 30, 2005

Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 9, 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$10,639,483CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,673,099CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$33,616CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$131,892CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $98,276 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components56,410CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components483CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.87CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days219.14CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days116.79CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 273429, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended September 30, 2004

Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 14, 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$10,906,801CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,071,968CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$165,167CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$119,712CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$45,455 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components166CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components57,501CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components388CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.73CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days312.33CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days148.2CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 244953, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended September 30, 2003

Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 21, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$10,543,361CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,849,245CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$305,884CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$122,869CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$183,015 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components170CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components59,276CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components372CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.87CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days339.22CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days159.34CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 204956, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended September 30, 2002

Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 17, 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$10,598,982CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,753,543CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$154,561CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$95,962CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$58,599 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components170CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components61,023CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components215CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.66CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days799.68CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days283.83CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 182628, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended September 30, 2001

Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 19, 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$9,581,611CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,099,883CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$518,272CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$321,644CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$196,628 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components170CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components59,464CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components295CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.15CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days742.34CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days201.57CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 150048, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended September 30, 2000

Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$8,686,716CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,142,979CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,456,263CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$244,484CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$6,751CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$1,218,530 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components170CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components62,129CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components316CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days41.48CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days467.35CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days196.61CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 115138, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended September 30, 1999

Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 19, 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$8,522,036CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,013,513CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,491,477CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$124,476CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$3,140CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$1,370,141 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components192CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components63,719CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components318CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.27CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days597.36CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days200.37CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 41834, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended September 30, 1998

Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 8, 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$8,971,841CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,502,139CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$530,298CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$145,625CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$14,693CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$399,366 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components192CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components66,270CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components259CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days51.66CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days664.44CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days255.87CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 41833, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended September 30, 1997

Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 26, 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$9,102,454CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,281,759CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$179,305CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$306,466CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $127,161 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components192CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components67,915CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components164CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days87.87CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days897.41CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days414.12CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 28582, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended September 30, 1996

Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 7, 1998.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$8,288,550CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,402,614CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$114,064CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$119,432CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $5,368 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
FigureAs filedWhere it comes from
Total facility beds, all components192CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components68,195CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components227CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days75.54CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days618.37CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days300.42CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 28580, read from the public cost report file SNFFY1996.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC.5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 04/14/2010
NORTHEAST BANK5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 06/03/2014
NORTHEAST BANK5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 06/03/2014
MIELKE, JOHNADP OF THE SNFIndividualNOT APPLICABLEsince 08/29/2019
PETERSON, HEIDIADP OF THE SNFIndividualNOT APPLICABLEsince 01/12/2025
PHS MANAGEMENT, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 07/17/2025
PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC.ADP OF THE SNFOrganizationNOT APPLICABLEsince 09/30/2025
SOKOLOSKI, SHAYLEEADP OF THE SNFIndividualNOT APPLICABLEsince 07/11/2019
FLETCHER, JONATHANCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/01/2025
MEYER, MARKCORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/14/2010
PEDERSON, MARKCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2023
FLETCHER, JONATHANCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/01/2025
MEYER, MARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/14/2010
MIELKE, JOHNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/29/2019
PHS MANAGEMENT, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 03/11/2011
PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 04/14/2010
SOKOLOSKI, SHAYLEEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/11/2019

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PHS LAKE MINNETONKA LLC (enrollment ID O20100826000517).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST1004/14/2010
Private equity company: No
Real estate investment trust: No
Holding company: No
NORTHEAST BANKOrganization5% OR GREATER MORTGAGE INTEREST756/3/2014
Private equity company: No
Real estate investment trust: No
Holding company: No
NORTHEAST BANKOrganization5% OR GREATER SECURITY INTEREST756/3/2014
Private equity company: No
Real estate investment trust: No
Holding company: No
HEIDI A PETERSONIndividualADP OF THE SNFNot stated in the filing1/12/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHN W MIELKEIndividualADP OF THE SNFNot stated in the filing8/29/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PHS MANAGEMENT, LLCOrganizationADP OF THE SNFNot stated in the filing7/17/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC.OrganizationADP OF THE SNFNot stated in the filing9/30/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
SHAYLEE V SOKOLOSKIIndividualADP OF THE SNFNot stated in the filing7/11/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JONATHAN DAVID FLETCHERIndividualCORPORATE DIRECTOR332/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARK A PEDERSONIndividualCORPORATE DIRECTOR331/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARK T MEYERIndividualCORPORATE DIRECTOR334/14/2010
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JONATHAN DAVID FLETCHERIndividualCORPORATE OFFICER502/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARK T MEYERIndividualCORPORATE OFFICER504/14/2010
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHN W MIELKEIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/29/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PHS MANAGEMENT, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL1003/11/2011
Private equity company: No
Real estate investment trust: No
Holding company: No
PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/14/2010
Private equity company: No
Real estate investment trust: No
Holding company: No
SHAYLEE V SOKOLOSKIIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing7/11/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1July 23, 2026July 23, 202623
2April 3, 2025April 3, 202500
3April 25, 2024April 25, 202460
3August 24, 2023August 24, 202336

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

Deficiencies cited

11 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
July 23, 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has no plan of correction
July 23, 2026HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DNoDeficient, Provider has no plan of correction
April 25, 2024HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.JNoDeficient, Provider has date of correctionMay 17, 2024
April 25, 2024HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correctionMay 17, 2024
April 25, 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionMay 17, 2024
April 25, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionMay 17, 2024
April 25, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionMay 17, 2024
April 25, 2024HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DNoDeficient, Provider has date of correctionMay 17, 2024
August 24, 2023HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.DNoDeficient, Provider has date of correctionSeptember 28, 2023
August 24, 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correctionSeptember 28, 2023
August 24, 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correctionSeptember 28, 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
April 25, 2024Fine$8,82753818

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NamePHS LAKE MINNETONKA LLC
Date First Approved to Provide Medicare and Medicaid Services1977-01-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishHennepin
Telephone Number9524714001
Chain NamePRESBYTERIAN HOMES & SERVICES
Chain ID412
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds60
Average Number of Residents per Day54.2
Overall Rating5
Health Inspection Rating5
QM Rating2
Long-Stay QM Rating1
Short-Stay QM Rating4
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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One email a day naming what moved on LAKE MINNETONKA SHORES: 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 July 23, 2026: A deficiency was cited under tag F 0883, scope and severity D. That is one line of the alert.

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The citable document for LAKE MINNETONKA SHORES

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