Skilled nursing facility · CMS certification number 245271
PROVIDENCE PLACE
MINNEAPOLIS, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 190
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: 3 · Fines: 3 · Fines, total amount: $116,400.00 · Payment denials: 0. The most recent penalty on file: April 14, 2025, Fine, $75,459. 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 November 6, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,032,181 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $332,884 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,699,297 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,228,827 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,529,530 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $848,440 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$681,090 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$682,298 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 69,160 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,548 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 38,125 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,712 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 50,385 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 55 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 70 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 153 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 693.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 329.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442013, 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 November 7, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,942,065 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $497,157 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,444,908 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,269,957 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $174,951 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $144,460 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $319,411 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $319,411 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,483 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 183 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 442.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 297.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398735, 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 January 25, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,149,394 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $710,991 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,438,403 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,248,861 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $189,542 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $468,751 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $658,293 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $658,293 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,945 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 172 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 555.99 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 313.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372575, 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 June 28, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,624,438 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $612,077 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,012,361 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,219,536 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$207,175 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,874,405 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,667,230 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,667,230 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 59,926 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 199 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,541 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 301.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1355233, 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 January 13, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,416,534 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $627,382 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,789,152 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,276,021 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$486,869 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,238,674 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $751,805 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $751,805 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,218 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 269 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 624.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 231.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1308757, 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 May 5, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,868,474 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,285,038 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,583,436 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,013,401 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $570,035 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,709 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $612,744 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $612,744 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,534 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 319 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 404.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 196.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283363, 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 October 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,169,036 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,184,206 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,984,830 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,821,020 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $163,810 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $124,616 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $288,426 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $288,426 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,880 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 260 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 479.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 241.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1244847, 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 May 2, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,383,152 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $871,278 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,511,874 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,058,952 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$547,078 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $98,290 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$448,788 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$448,788 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 62,385 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 368 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 408.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 169.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1223613, 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 December 14, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,482,557 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $987,775 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,494,782 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,257,850 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$763,068 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $67,091 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$695,977 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$701,136 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 61,857 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 437 | 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 | 309.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 141.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1215840, 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 November 9, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,020,279 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $415,346 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,604,933 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,964,338 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$359,405 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $496,461 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $137,056 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $137,056 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 64,859 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 309 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 749.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 209.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1178196, 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 August 3, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,957,188 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,159,419 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,797,769 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,512,019 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $285,750 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,898 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $316,648 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $316,648 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 65,157 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 313 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,179.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 208.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139636, 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 December 11, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,513,334 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,134,817 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,378,517 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,067,232 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $311,285 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,285 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $334,570 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $334,570 (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 | 190 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 116,659 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 478 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 968.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 244.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1114779, 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 December 4, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,025,956 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,353,513 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,672,443 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,475,763 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $196,680 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,613 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $229,293 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $223,643 (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 | 210 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 67,835 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 461 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 578.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081575, 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 December 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,083,439 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $667,360 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,416,079 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,443,382 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$27,303 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $26,884 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$419 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$419 (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 | 204 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 68,333 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 540 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 458.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1052867, 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 7, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,033,997 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,991,075 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $42,922 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,126 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $58,048 (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 | 210 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 68,947 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 467 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 639.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 147.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 425606, 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, settled, processed by CMS on June 29, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,885,117 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,674,587 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $210,530 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,825 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $226,355 (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 | 218 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,815 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 518 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 589.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 138.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 408844, 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, settled, processed by CMS on September 26, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,976,638 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,861,040 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $115,598 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $101,941 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $127 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $217,412 (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 | 211 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,882 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 617 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 593.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 116.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 388097, 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 April 29, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,604,706 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,625,654 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,020,948 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $165,383 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,706 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$857,271 (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 | 211 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 72,460 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 595 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 381.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 337969, 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 May 8, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,343,466 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,597,923 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$254,457 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $163,459 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$90,998 (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 | 210 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,545 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 609 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 424.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 117.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 308444, 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 May 29, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,251,180 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,917,697 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$666,517 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $287,147 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$379,370 (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 | 210 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,979 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 454 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 504.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 158.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 279698, 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 May 16, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,575,455 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,772,261 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,196,806 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $109,147 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,087,659 (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 | 218 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 65,390 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 211 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 496.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 309.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 249350, 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 July 27, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,974,581 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,567,906 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,593,325 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $174,218 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,419,107 (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 | 190 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 66,342 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 202 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 621.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 328.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 228989, 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 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,150,549 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,248,834 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$98,285 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $106,271 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $7,986 (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 | 256 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 73,323 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 267 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 677.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 274.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 191837, 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 January 22, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,891,344 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,882,256 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$990,912 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $108,833 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$882,079 (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 | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 78,824 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 381 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 647.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 206.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 166533, 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 March 26, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,032,829 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,518,964 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $513,865 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $158,073 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $671,938 (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 | 231 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 76,678 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 254 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,180.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 301.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41965, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for May 1, 1999 to December 31, 1999 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled, processed by CMS on June 29, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,000,145 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,276,009 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$275,864 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $98,963 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$176,901 (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 | 256 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,988 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 746.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 319.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41963, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 8, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,846,112 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,132,012 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$285,900 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $495,792 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $93,618 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $116,274 (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 | 256 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 67,355 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 231 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 967.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 291.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 41961, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 26, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,822,542 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,966,641 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$144,099 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $383,402 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $112,506 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $126,797 (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 | 256 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 70,582 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 205 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 677.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 344.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28649, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended September 30, 1996
Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 15, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,967,351 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,366,364 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$399,013 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $203,856 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$195,157 (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 | 256 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,369 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 191 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 690.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 337.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28647, 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 |
|---|---|---|---|---|
| FAIRBAIRN, SCOTT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/28/2019 |
| KING, RYAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2025 |
| LOVAS, NOEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2021 |
| SENIOR CARE COMMUNITIES | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2007 |
| SIEBENALER, ELLEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/26/2021 |
| TWSL. LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/17/2026 |
| MARSHALL, SUSAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/07/2011 |
| MARTIN, RICHARD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/07/2011 |
| SENIOR CARE COMMUNITIES | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 03/01/2007 |
| TWSL. LLC | GENERAL PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 06/30/2020 |
| LIFESPARK MANAGEMENT SERVICES | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 06/30/2020 |
| LIFESPRK HOLDINGS, INC. | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 06/30/2020 |
| FAIRBAIRN, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/28/2019 |
| KING, RYAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2025 |
| LIFESPARK MANAGEMENT SERVICES | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/30/2020 |
| LOVAS, NOEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2021 |
| SIEBENALER, ELLEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
| TWSL. LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2015 |
| SENIOR CARE COMMUNITIES | TRUSTEE OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2007 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SENIOR CARE PROVIDENCE, LLC (enrollment ID O20080206000538).
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 |
|---|---|---|---|---|---|
| SENIOR CARE COMMUNITIES | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/26/1999 | Private equity company: No Real estate investment trust: No Holding company: No |
| ELLEN SIEBENALER | Individual | ADP OF THE SNF | Not stated in the filing | 12/26/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NOEL LOVAS | Individual | ADP OF THE SNF | Not stated in the filing | 11/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RYAN KING | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT JOHN FAIRBAIRN | Individual | ADP OF THE SNF | Not stated in the filing | 2/28/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SENIOR CARE COMMUNITIES | Organization | ADP OF THE SNF | Not stated in the filing | 3/1/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| TWSL. LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/17/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 3/17/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2023 | 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 | 1/1/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 3/17/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 3/17/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2009 | 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 | 1/1/2009 | 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 | 12/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2019 | 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 | 12/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD MARTIN | Individual | CORPORATE OFFICER | Not stated in the filing | 12/7/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN LANDWEHR MARSHALL | Individual | CORPORATE OFFICER | 100 | 12/7/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SENIOR CARE COMMUNITIES | Organization | DIRECT OWNERSHIP INTEREST | 100 | 3/1/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| TWSL. LLC | Organization | GENERAL PARTNERSHIP INTEREST | 100 | 6/30/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| LIFESPARK MANAGEMENT SERVICES | Organization | INDIRECT OWNERSHIP INTEREST | 100 | 6/30/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| LIFESPRK HOLDINGS, INC. | Organization | INDIRECT OWNERSHIP INTEREST | 100 | 6/30/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | INDIRECT OWNERSHIP INTEREST | 100 | 1/1/2009 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | INDIRECT OWNERSHIP INTEREST | 100 | 12/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | INDIRECT OWNERSHIP INTEREST | 100 | 12/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | INDIRECT OWNERSHIP INTEREST | 100 | 12/6/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | INDIRECT OWNERSHIP INTEREST | 100 | 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 | INDIRECT OWNERSHIP INTEREST | 100 | 7/1/2019 | 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 | LIMITED PARTNERSHIP INTEREST | 100 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELLEN SIEBENALER | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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 |
| LIFESPARK MANAGEMENT SERVICES | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/30/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| NOEL LOVAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RYAN KING | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT JOHN FAIRBAIRN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/28/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TWSL. LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| SENIOR CARE COMMUNITIES | Organization | TRUSTEE OF THE SNF | Not stated in the filing | 3/1/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | TRUSTEE 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 | TRUSTEE OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | TRUSTEE 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 | TRUSTEE 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 |
Changes in ownership
- July 1, 2026: TYLER DONOHUE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SANDRA HESSE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MOLLY TOULOUSE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MOLLY TOULOUSE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JIM THOMAS MONTEZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOHN NELSON MARSHALL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: TWSL. LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 17, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: TWSL. LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: TWSL. LLC (GENERAL PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 30, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LIFESPRK HOLDINGS, INC. (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 30, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LIFESPARK MANAGEMENT SERVICES (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 30, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LIFESPARK MANAGEMENT SERVICES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 30, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ELLEN SIEBENALER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 26, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ELLEN SIEBENALER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RYAN KING (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RYAN KING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SENIOR CARE COMMUNITIES (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SENIOR CARE COMMUNITIES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SENIOR CARE COMMUNITIES (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: A listing under LIMITED PARTNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: NOEL LOVAS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: NOEL LOVAS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SCOTT JOHN FAIRBAIRN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 28, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SCOTT JOHN FAIRBAIRN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 28, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: A listing under TRUSTEE OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 17, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- July 14, 2026: A deficiency was cited under tag F 0677, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 1, 2026: TYLER DONOHUE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SANDRA HESSE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MOLLY TOULOUSE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MOLLY TOULOUSE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JIM THOMAS MONTEZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JOHN NELSON MARSHALL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: TWSL. LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 17, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: TWSL. LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: TWSL. LLC (GENERAL PARTNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 30, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LIFESPRK HOLDINGS, INC. (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 30, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LIFESPARK MANAGEMENT SERVICES (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 30, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LIFESPARK MANAGEMENT SERVICES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 30, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ELLEN SIEBENALER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since December 26, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ELLEN SIEBENALER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RYAN KING (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RYAN KING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SENIOR CARE COMMUNITIES (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SENIOR CARE COMMUNITIES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SENIOR CARE COMMUNITIES (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 1, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: A listing under LIMITED PARTNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: NOEL LOVAS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: NOEL LOVAS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SCOTT JOHN FAIRBAIRN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 28, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SCOTT JOHN FAIRBAIRN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 28, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: A listing under TRUSTEE OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 17, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- November 6, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- November 7, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- January 25, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- June 28, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- January 13, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- May 5, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- October 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- May 2, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- December 14, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- November 9, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 3, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- December 11, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 14, 2026 | May 14, 2026 | 19 | 3 |
| 2 | February 27, 2025 | February 27, 2025 | 14 | 2 |
| 3 | April 4, 2024 | April 4, 2024 | 18 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
52 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 14, 2026 | 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. | E | Yes | Deficient, Provider has date of correction | August 4, 2026 |
| June 29, 2026 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | August 3, 2026 |
| May 14, 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | July 10, 2026 |
| May 14, 2026 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | July 10, 2026 |
| May 14, 2026 | Health | F 0576 | Resident Rights Deficiencies | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | No | Deficient, Provider has date of correction | July 10, 2026 |
| May 14, 2026 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | July 10, 2026 |
| May 14, 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 date of correction | July 10, 2026 |
| May 14, 2026 | 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 | July 10, 2026 |
| May 14, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | July 10, 2026 |
| May 14, 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 date of correction | July 10, 2026 |
| May 14, 2026 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | July 10, 2026 |
| May 14, 2026 | Health | F 0745 | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | No | Deficient, Provider has date of correction | July 10, 2026 |
| May 14, 2026 | 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 | July 10, 2026 |
| May 14, 2026 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | No | Deficient, Provider has date of correction | July 10, 2026 |
| May 14, 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Yes | Deficient, Provider has date of correction | July 10, 2026 |
| May 14, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | July 10, 2026 |
| May 14, 2026 | 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. | E | No | Deficient, Provider has date of correction | July 10, 2026 |
| May 14, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | July 10, 2026 |
| January 12, 2026 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | February 27, 2026 |
| May 23, 2025 | 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 | June 9, 2025 |
| April 30, 2025 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 14, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | May 12, 2025 |
| February 27, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | B | Yes | Deficient, Provider has date of correction | March 31, 2025 |
| February 27, 2025 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | No | Deficient, Provider has date of correction | March 31, 2025 |
| February 27, 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. | J | No | Deficient, Provider has date of correction | March 31, 2025 |
| February 27, 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | B | No | Deficient, Provider has date of correction | March 31, 2025 |
| February 27, 2025 | 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. | E | Yes | Deficient, Provider has date of correction | March 31, 2025 |
| February 27, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | March 31, 2025 |
| February 27, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | March 31, 2025 |
| February 27, 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | March 31, 2025 |
| February 27, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | March 31, 2025 |
| October 1, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | October 25, 2024 |
| October 1, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | October 25, 2024 |
| April 4, 2024 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | No | Deficient, Provider has date of correction | May 12, 2024 |
| April 4, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | May 12, 2024 |
| April 4, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | May 12, 2024 |
| April 4, 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 | May 12, 2024 |
| April 4, 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. | E | No | Deficient, Provider has date of correction | May 12, 2024 |
| April 4, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | May 12, 2024 |
| April 4, 2024 | 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 | May 12, 2024 |
| April 4, 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | May 12, 2024 |
| April 4, 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 | May 12, 2024 |
| April 4, 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 | May 12, 2024 |
| April 4, 2024 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | E | No | Deficient, Provider has date of correction | May 12, 2024 |
| April 4, 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | May 12, 2024 |
| April 4, 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | May 12, 2024 |
| November 16, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | Yes | Deficient, Provider has date of correction | December 19, 2023 |
| October 30, 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | December 1, 2023 |
| October 30, 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 | December 1, 2023 |
| October 30, 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 | December 1, 2023 |
| October 2, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | G | Yes | Deficient, Provider has date of correction | October 25, 2023 |
| August 3, 2023 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Yes | Deficient, Provider has date of correction | August 25, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 14, 2025 | Fine | $75,459 | 53935 | ||
| February 27, 2025 | Fine | $19,140 | 53919 | ||
| October 2, 2023 | Fine | $21,801 | 53697 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | SENIOR CARE PROVIDENCE, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1984-05-29 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Hennepin |
| Telephone Number | 6122382545 |
| Chain Name | LIFESPARK |
| Chain ID | 316 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 190 |
| Average Number of Residents per Day | 152.4 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 2 |
| 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
One email a day naming what moved on PROVIDENCE PLACE: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On July 14, 2026: A deficiency was cited under tag F 0677, scope and severity E. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for PROVIDENCE PLACE
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 245271.