Skilled nursing facility · CMS certification number 245221
GOOD SAMARITAN SOCIETY - MAPLEWOOD
SAINT PAUL, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 71
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 25, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,720,063 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,061,811 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,658,252 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,889,062 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $769,190 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,619 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $775,809 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $610,097 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 25,986 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,871 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,845 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,388 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,104 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 71 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 40 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 343 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 454 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 246.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1420390, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,346,547 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,836,598 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,509,949 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,206,343 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,303,606 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,105 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,304,711 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,243,412 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,935 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 431 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 203.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1390826, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,849,531 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,367,205 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,482,326 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,773,419 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $708,907 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,299 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $711,206 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $471,519 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,470 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 184 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 388.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376563, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,192,996 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,139,571 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,053,425 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,037,530 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $15,895 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$663 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $15,232 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$99,968 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,863 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 244 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 196.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331409, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 23, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,793,061 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,090,910 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,702,151 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,947,391 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$245,240 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,797 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$220,443 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$162,622 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,324 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 240 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 134.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1312753, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 24, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,549,374 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,739,097 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,810,277 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,763,129 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,047,148 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $53,359 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,100,507 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $970,770 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,807 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 407 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 321.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1269464, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,503,572 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,318,152 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,185,420 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,640,075 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $545,345 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,956 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $573,301 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $192,819 (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 | 71 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,482 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 651 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 331.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 36.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1242042, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,985,836 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,208,908 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,776,928 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,744,869 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $32,059 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $33,486 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $65,545 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$458 (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 | 76 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,520 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 593 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 172.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 39.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1199325, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,531,383 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,525,545 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,005,838 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,462,461 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $543,377 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $47,139 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $590,516 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $547,152 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,211 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 577 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 319 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 43.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169044, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 2, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,752,146 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,235,379 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,516,767 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,536,630 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$19,863 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,361 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,502 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$10,724 (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 | 88 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,806 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 666 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 365.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 41.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139350, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,080,968 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,016,951 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,064,017 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,948,682 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $115,335 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,785 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $150,120 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $106,967 (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 | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,780 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 524 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,007.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1101459, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 29, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,417,788 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,839,156 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,578,632 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,903,102 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$324,470 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $49,016 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$275,454 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$346,125 (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 | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,825 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 439 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 781 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089399, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,991,566 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,712,456 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,279,110 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,405,317 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$126,207 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,129 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$105,078 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$102,483 (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 | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,178 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 504 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 88.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1043075, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,240,533 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,319,053 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,921,480 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,093,856 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$172,376 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $128,493 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$43,883 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$21,679 (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 | 102 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,599 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 585 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 435.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 57.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023083, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 1, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,070,369 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,185,254 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$114,885 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $115,180 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $53,591 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$53,296 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,642 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 641 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 340.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 57.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 425256, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on August 27, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,350,837 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,870,485 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $480,352 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,329 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $69,297 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $451,384 (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 | 117 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,389 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 557 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 391.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 70.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 386492, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on June 29, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,575,153 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,887,446 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$312,293 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $327,772 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $83,975 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$68,496 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,543 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 233 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 831.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 186.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 348137, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 31, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,180,291 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,521,817 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$341,526 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $75,144 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $154,287 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$420,669 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,320 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 528 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,055.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 91.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322418, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 29, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,539,219 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,877,881 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$338,662 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $82,706 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $48,079 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$304,035 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,825 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 585 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 13.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,914.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 83.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 303320, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 29, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,380,066 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,581,227 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$201,161 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $69,535 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $102,418 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$234,044 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,947 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 585 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 14.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,754.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 83.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 271203, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 11, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,837,072 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,047,375 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$210,303 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $58,421 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $79,684 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$231,566 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,799 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 589 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 12.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,672.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 82.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 246931, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 17, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,494,637 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,856,306 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$361,669 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,893 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,812 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$330,588 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,028 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 589 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 13.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,828.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 83.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 223803, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 21, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,440,597 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,683,749 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$243,152 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $101,203 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $84,904 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$226,853 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,536 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 778 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 13.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 361.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 62.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195621, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 25, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,208,142 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,465,702 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$257,560 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $103,612 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $13,665 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$167,613 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,895 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 608 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 865.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 80.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 157587, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,727,562 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,146,686 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$419,124 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $73,254 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$345,870 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,149 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 615 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,427.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 79.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 143567, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on January 10, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,283,988 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,597,959 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$313,971 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $51,811 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $104 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$262,264 (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 | 140 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,150 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 611 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 961.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 80.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 1340, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 18, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,454,658 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,184,353 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$729,695 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $134,652 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$595,043 (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 | 148 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,321 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 327 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 955.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 147.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 1339, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on July 30, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,269,825 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,447,069 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$177,244 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $160,310 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$16,934 (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 | 148 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,239 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 186 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 742.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 291.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 155802, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on February 1, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,863,592 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,084,964 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$221,372 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $114,216 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$107,156 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,922 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 147 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 842.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 373.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 18307, 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.
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 |
|---|---|---|---|---|
| SANFORD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/2019 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/2019 |
| BROWN, GEORGE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| DTN STAFFING INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2019 |
| DYKHOUSE, DANA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/30/2024 |
| ENGBRECHT, WESLEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/30/2024 |
| FLUIT, JOEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| FOCUSONE SOLUTIONS | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2019 |
| GASSEN, WILLIAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/30/2024 |
| GRAPE TREE MEDICAL STAFFING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/13/2018 |
| GULSVIG, NEIL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/30/2024 |
| HERSETH SANDLIN, STEPHANIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/30/2024 |
| JENSEN, SUSAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2005 |
| KARLINSKI, KAREN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2018 |
| LUNDEEN, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/30/2024 |
| MCCAUSLAND, MAUREEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| MIDDLETON, AIMEE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/27/2022 |
| MOLBERT, LAURIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/30/2024 |
| MORRISON, TONY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2019 |
| NORTH, ANDREW | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/30/2024 |
| OLSON, NICHOLAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/08/2024 |
| SANDGREN, DEEANDRA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/16/2023 |
| SANFORD | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2019 |
| SCHEMA, NATHAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2022 |
| SCHIEFFER, KEVIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| SHULKIN, DAVID | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/30/2024 |
| TEIKEN, BRENT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/30/2024 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2019 |
| THRIFTY DRUG STORES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/01/2017 |
| VENTLING-HERRMANN, MARNIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/30/2024 |
| WENZEL, THOMAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| BROWN, GEORGE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| DYKHOUSE, DANA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| ENGBRECHT, WESLEY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| GASSEN, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| GULSVIG, NEIL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| HERSETH SANDLIN, STEPHANIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| LUNDEEN, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| MCCAUSLAND, MAUREEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| MOLBERT, LAURIS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| NORTH, ANDREW | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| SCHIEFFER, KEVIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| SHULKIN, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| TEIKEN, BRENT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| VENTLING-HERRMANN, MARNIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| WENZEL, THOMAS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| FLUIT, JOEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2022 |
| GASSEN, WILLIAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/30/2024 |
| MIDDLETON, AIMEE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/27/2022 |
| OLSON, NICHOLAS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/08/2024 |
| SCHEMA, NATHAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2022 |
| FLUIT, JOEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2026 |
| JENSEN, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2005 |
| KARLINSKI, KAREN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2018 |
| MORRISON, TONY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| SANDGREN, DEEANDRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/16/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (enrollment ID O20050926000797).
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 |
|---|---|---|---|---|---|
| SANFORD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| AIMEE NICOLE MIDDLETON | Individual | ADP OF THE SNF | Not stated in the filing | 1/27/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREW STEWART NORTH | Individual | ADP OF THE SNF | Not stated in the filing | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRENT GERARD TEIKEN | Individual | ADP OF THE SNF | Not stated in the filing | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANA JAMES DYKHOUSE | Individual | ADP OF THE SNF | Not stated in the filing | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID JONATHAN SHULKIN | Individual | ADP OF THE SNF | Not stated in the filing | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEEANDRA DAWN SANDGREN | Individual | ADP OF THE SNF | Not stated in the filing | 7/16/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DTN STAFFING INC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| FOCUSONE SOLUTIONS | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| GEORGE JOSEPH BROWN | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GRAPE TREE MEDICAL STAFFING LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/13/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOEL ADAM FLUIT | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KAREN M KARLINSKI | Individual | ADP OF THE SNF | Not stated in the filing | 11/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN VICTOR SCHIEFFER | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURIS NELSON MOLBERT | Individual | ADP OF THE SNF | Not stated in the filing | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK ALLEN LUNDEEN | Individual | ADP OF THE SNF | Not stated in the filing | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARNIE LYNN VENTLING-HERRMANN | Individual | ADP OF THE SNF | Not stated in the filing | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MAUREEN PATRICIA MCCAUSLAND | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATHAN THOMAS SCHEMA | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NEIL LESLIE GULSVIG | Individual | ADP OF THE SNF | Not stated in the filing | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICHOLAS WAYNE OLSON | Individual | ADP OF THE SNF | Not stated in the filing | 4/8/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SANFORD | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| STEPHANIE MARIE HERSETH SANDLIN | Individual | ADP OF THE SNF | Not stated in the filing | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN BARBARA JENSEN | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2005 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| THOMAS RICHARD WENZEL | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THRIFTY DRUG STORES INC | Organization | ADP OF THE SNF | Not stated in the filing | 8/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| TONY LEE MORRISON | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WESLEY OWEN ENGBRECHT | Individual | ADP OF THE SNF | Not stated in the filing | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM JOSEPH GASSEN | Individual | ADP OF THE SNF | Not stated in the filing | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 4/14/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 3/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 3/12/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREW STEWART NORTH | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRENT GERARD TEIKEN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANA JAMES DYKHOUSE | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID JONATHAN SHULKIN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GEORGE JOSEPH BROWN | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN VICTOR SCHIEFFER | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURIS NELSON MOLBERT | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK ALLEN LUNDEEN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARNIE LYNN VENTLING-HERRMANN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MAUREEN PATRICIA MCCAUSLAND | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NEIL LESLIE GULSVIG | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHANIE MARIE HERSETH SANDLIN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS RICHARD WENZEL | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WESLEY OWEN ENGBRECHT | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM JOSEPH GASSEN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AIMEE NICOLE MIDDLETON | Individual | CORPORATE OFFICER | 0 | 1/27/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOEL ADAM FLUIT | Individual | CORPORATE OFFICER | 0 | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATHAN THOMAS SCHEMA | Individual | CORPORATE OFFICER | 0 | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICHOLAS WAYNE OLSON | Individual | CORPORATE OFFICER | 0 | 4/8/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM JOSEPH GASSEN | Individual | CORPORATE OFFICER | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEEANDRA DAWN SANDGREN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/16/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KAREN M KARLINSKI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN BARBARA JENSEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2005 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TONY LEE MORRISON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- March 1, 2026: TONY LEE MORRISON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MICHAEL ROGERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SUSAN BARBARA JENSEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JAMES EDWARD CAIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TONY LEE MORRISON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KAREN M KARLINSKI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NICHOLAS WAYNE OLSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LAURIS NELSON MOLBERT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KEVIN VICTOR SCHIEFFER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KEVIN VICTOR SCHIEFFER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NEIL LESLIE GULSVIG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DEEANDRA DAWN SANDGREN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DEEANDRA DAWN SANDGREN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAVID JONATHAN SHULKIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: THOMAS RICHARD WENZEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: THOMAS RICHARD WENZEL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NATHAN THOMAS SCHEMA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SANFORD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MAUREEN PATRICIA MCCAUSLAND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MAUREEN PATRICIA MCCAUSLAND (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: WESLEY OWEN ENGBRECHT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GEORGE JOSEPH BROWN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GEORGE JOSEPH BROWN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: WILLIAM JOSEPH GASSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GRAPE TREE MEDICAL STAFFING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 13, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: STEPHANIE MARIE HERSETH SANDLIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AIMEE NICOLE MIDDLETON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ANDREW STEWART NORTH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DTN STAFFING INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DANA JAMES DYKHOUSE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JOEL ADAM FLUIT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BRENT GERARD TEIKEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: FOCUSONE SOLUTIONS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SUSAN BARBARA JENSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2005. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SUSAN BARBARA JENSEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2005. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TONY LEE MORRISON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MARNIE LYNN VENTLING-HERRMANN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: THRIFTY DRUG STORES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KAREN M KARLINSKI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KAREN M KARLINSKI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since November 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MARK ALLEN LUNDEEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- October 1, 2024: DAVID A BRECHTELSBAUER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: THOMAS PHILLIP KOOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SANFORD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MICHAEL ROGERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: WILLIAM D MARLETTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: LINDA OLAYINKA NORMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SUSAN BARBARA JENSEN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since October 1, 2005. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: NICHOLAS WAYNE OLSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since April 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: LAURIS NELSON MOLBERT (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: NEIL LESLIE GULSVIG (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DAVID JONATHAN SHULKIN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SANFORD (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: WESLEY OWEN ENGBRECHT (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: WILLIAM JOSEPH GASSEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: WILLIAM JOSEPH GASSEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: STEPHANIE MARIE HERSETH SANDLIN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: ANDREW STEWART NORTH (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MICHAEL ROGERS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DANA JAMES DYKHOUSE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: BRENT GERARD TEIKEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: JAMES EDWARD CAIN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MARNIE LYNN VENTLING-HERRMANN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: KAREN M KARLINSKI (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since November 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MARK ALLEN LUNDEEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 2, 2023: REBECCA MARIE BOLLIG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: KELBY K KRABBENHOFT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LISA MELBY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOANN L KUNKEL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOANN L KUNKEL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: NORVAL BUCKNEBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: TIMOTHY PHILLIPPE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JAVIER ESPINOSA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOSEPH E HERDINA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOSEPH E HERDINA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JILL SCHUMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: HEATHER LYNN KRZMARZICK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: CHAD JUNGMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: ALAN GARD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: ERIC VANDEN HULL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: ERIC VANDEN HULL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHELLE MARIE MICKA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHELLE MARIE MICKA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOHN R RACEK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: STEPHANIE MARIE SWENSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: STEPHANIE MARIE SWENSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: GWEN E HALAAS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: THOMAS A SYVERSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: PATRICIA CAMERO no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOLYN JOY MUNSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOLYN JOY MUNSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: RANDY BURY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: RANDY BURY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DINA ROBINSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: SUSAN BARBARA JENSEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: KARIN LOUISE DULSKI no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: KARIN LOUISE DULSKI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: TONY LEE MORRISON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LEE LAAVEG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DALE M THOMPSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DAVID A BRECHTELSBAUER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 25, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DEAN LOUIS BRESCIANI (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: THOMAS PHILLIP KOOP (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 16, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: NATHAN THOMAS SCHEMA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 24, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MATTHEW RYAN HOCKS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: AIMEE NICOLE MIDDLETON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since January 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: AIMEE NICOLE MIDDLETON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since January 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHAEL ROGERS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOEL FLUIT (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: WILLIAM D MARLETTE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: TONY LEE MORRISON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since February 1, 1991. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DARRELL EVAN SCHMITH (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 25, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LINDA OLAYINKA NORMAN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 22, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DAVID AUSTAD (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 25, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: HELEN ISABELLA MELLAND (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 22, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
Recent changes on this record
- August 13, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 13, 2026: A deficiency was cited under tag F 0695, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 13, 2026: A deficiency was cited under tag F 0689, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 13, 2026: A deficiency was cited under tag F 0657, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 13, 2026: A deficiency was cited under tag F 0641, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 13, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- March 1, 2026: TONY LEE MORRISON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MICHAEL ROGERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SUSAN BARBARA JENSEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JAMES EDWARD CAIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: TONY LEE MORRISON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KAREN M KARLINSKI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NICHOLAS WAYNE OLSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LAURIS NELSON MOLBERT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KEVIN VICTOR SCHIEFFER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KEVIN VICTOR SCHIEFFER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NEIL LESLIE GULSVIG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DEEANDRA DAWN SANDGREN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DEEANDRA DAWN SANDGREN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAVID JONATHAN SHULKIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: THOMAS RICHARD WENZEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: THOMAS RICHARD WENZEL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NATHAN THOMAS SCHEMA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SANFORD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MAUREEN PATRICIA MCCAUSLAND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: MAUREEN PATRICIA MCCAUSLAND (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: WESLEY OWEN ENGBRECHT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GEORGE JOSEPH BROWN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GEORGE JOSEPH BROWN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: WILLIAM JOSEPH GASSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: GRAPE TREE MEDICAL STAFFING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since April 13, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: STEPHANIE MARIE HERSETH SANDLIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: AIMEE NICOLE MIDDLETON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ANDREW STEWART NORTH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DTN STAFFING INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DANA JAMES DYKHOUSE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JOEL ADAM FLUIT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BRENT GERARD TEIKEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: FOCUSONE SOLUTIONS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SUSAN BARBARA JENSEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 1, 2005. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 13, 2026 | August 13, 2026 | 11 | 8 |
| 2 | August 28, 2025 | August 28, 2025 | 4 | 3 |
| 3 | August 22, 2024 | August 22, 2024 | 19 | 6 |
| 3 | September 28, 2023 | September 28, 2023 | 12 | 11 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
38 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| August 13, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has no plan of correction | |
| August 13, 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has no plan of correction | |
| August 13, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has no plan of correction | |
| August 13, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has no plan of correction | |
| August 13, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has no plan of correction | |
| May 12, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | June 22, 2026 |
| May 12, 2026 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | June 22, 2026 |
| May 12, 2026 | 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 | Yes | Deficient, Provider has date of correction | June 22, 2026 |
| May 12, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | June 22, 2026 |
| March 24, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Yes | Deficient, Provider has date of correction | April 16, 2026 |
| March 24, 2026 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Yes | Deficient, Provider has date of correction | April 16, 2026 |
| August 28, 2025 | Health | F 0578 | Resident Rights Deficiencies | Honor 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. | D | No | Deficient, Provider has date of correction | October 3, 2025 |
| August 28, 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | October 3, 2025 |
| August 28, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | October 3, 2025 |
| August 28, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | October 3, 2025 |
| August 22, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | September 20, 2024 |
| August 22, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | September 20, 2024 |
| August 22, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | September 20, 2024 |
| August 22, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | September 20, 2024 |
| August 22, 2024 | 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 | September 20, 2024 |
| August 22, 2024 | 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 | September 20, 2024 |
| August 22, 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | September 20, 2024 |
| August 22, 2024 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | September 20, 2024 |
| August 22, 2024 | 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 | September 20, 2024 |
| August 22, 2024 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | No | Deficient, Provider has date of correction | September 20, 2024 |
| August 22, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | September 20, 2024 |
| May 16, 2024 | 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 | Yes | Deficient, Provider has date of correction | June 10, 2024 |
| December 18, 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor 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. | G | Yes | Deficient, Provider has date of correction | January 12, 2024 |
| December 18, 2023 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | C | Yes | Deficient, Provider has date of correction | January 12, 2024 |
| December 18, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | January 12, 2024 |
| December 18, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | January 12, 2024 |
| December 18, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | January 12, 2024 |
| December 18, 2023 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | January 12, 2024 |
| December 18, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | Yes | Deficient, Provider has date of correction | January 12, 2024 |
| September 28, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | November 15, 2023 |
| September 28, 2023 | 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 | November 15, 2023 |
| September 28, 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | November 15, 2023 |
| September 28, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | November 15, 2023 |
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 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Date First Approved to Provide Medicare and Medicaid Services | 1978-04-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Ramsey |
| Telephone Number | 6517749765 |
| Chain Name | GOOD SAMARITAN SOCIETY |
| Chain ID | 726 |
| 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 | 71 |
| Average Number of Residents per Day | 63.2 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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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 August 13, 2026: A deficiency was cited under tag F 0880, scope and severity D. That is one line of the alert.
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The citable document for GOOD SAMARITAN SOCIETY - MAPLEWOOD
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 Minnesota 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.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 245221.