Skilled nursing facility · CMS certification number 245332
THE ESTATES AT EXCELSIOR LLC
EXCELSIOR, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 45
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on June 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,705,286 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $70,584 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,634,702 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,997,780 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$363,078 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,536 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$338,542 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$338,542 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 16,470 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 700 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 5,564 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,835 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 11,099 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 20 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 65 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 113 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 278.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1427993, 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 October 10, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,825,093 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $46,407 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,778,686 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,629,728 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$851,042 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $281,392 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$569,650 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$569,650 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,136 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 103 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 337.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440613, 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 October 29, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,734,960 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $80,767 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,654,193 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,335,319 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$681,126 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,220 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$679,906 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$598,871 (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 | 56 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,143 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 459.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398290, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,999,423 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $114,851 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,884,572 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,145,535 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$260,963 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $853,473 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $592,510 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $592,510 (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 | 56 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,099 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 104 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 237.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333646, 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 December 3, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,285,071 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$14,312 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,299,383 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,620,464 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$321,081 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $367,967 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $46,886 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $46,886 (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 | 56 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,715 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 455.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 141.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1306176, 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 November 30, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,679,085 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $164,201 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,514,884 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,466,095 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $48,789 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,998 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $51,787 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $51,787 (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 | 56 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,918 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 513.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 180.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274461, 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, reopened, processed by CMS on January 21, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,388,931 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $148,077 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,240,854 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,230,295 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $10,559 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,431 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $11,990 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $11,990 (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 | 56 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,645 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,048.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 158.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249621, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for March 1, 2017 to December 31, 2017 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,105,152 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$6,885 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,112,037 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,279,131 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$167,094 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $335,068 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $167,974 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $167,974 (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 | 56 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,474 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,127.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 190.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208597, 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 August 7, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,212,954 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $780,597 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,432,357 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,847,011 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$414,654 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $79,052 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$335,602 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$335,602 (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 | 56 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,940 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 147.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1172168, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,185,714 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $919,583 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,266,131 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,798,428 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$532,297 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $107,702 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$424,595 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$424,595 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 56 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,638 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 175 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 95.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142183, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,010,075 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $776,403 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,233,672 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,970,486 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$736,814 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,279 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$695,535 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$695,535 (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 | 56 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,560 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 209 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 79.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1136436, 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 September 9, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,885,835 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $684,750 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,201,085 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,648,343 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$447,258 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $39,697 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$407,561 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$407,561 (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 | 56 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,240 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 153 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 106.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1109313, 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, as submitted, processed by CMS on May 30, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,293,716 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $620,118 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,673,598 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,741,668 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$68,070 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,689 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$49,381 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$49,381 (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 | 56 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,142 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 149.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1030922, 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 March 28, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,719,939 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $842,994 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,876,945 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,756,040 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $120,905 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,121 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $126,026 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $126,026 (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 | 56 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,883 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 159.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1026670, 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, reopened, processed by CMS on June 28, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,633,060 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,761,766 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$128,706 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,404 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$111,302 (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 | 56 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,574 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 195.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434999, 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 November 8, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,616,672 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,640,541 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$23,869 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,095 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$18,774 (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 | 56 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,949 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 239.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 389404, 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 May 27, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,581,857 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,365,908 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $215,949 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,568 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $238,517 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,800 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 237.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 370987, 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, reopened, processed by CMS on February 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,443,616 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,204,929 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $238,687 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,497 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $251,184 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,578 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 201.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 394097, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for April 1, 2006 to December 31, 2006 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 28, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,526,231 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,392,809 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $133,422 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,260 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $162,682 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,452 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 181.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305873, 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, reopened, processed by CMS on December 11, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,994,549 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,856,278 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $138,271 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$16,624 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $121,647 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,691 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 123 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 135.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 268372, 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 January 26, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,226,179 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,848,858 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $377,321 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,108 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $391,429 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,035 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 204.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241287, 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, reopened, processed by CMS on September 15, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,349,394 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,962,363 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $387,031 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,821 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $389,852 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,406 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 196.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 262870, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for November 1, 2002 to December 31, 2002 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 23, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $508,500 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $504,926 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $3,574 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,911 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $19,485 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 3,166 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 17 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 91.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 186.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 171527, read from the public cost report file SNFFY2003.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 May 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,946,686 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,758,582 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $188,104 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,216 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $203,320 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,271 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 67 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 302.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 143329, 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, as submitted, processed by CMS on June 12, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,765,978 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,651,163 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $114,815 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,339 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $119,154 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,436 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 55 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 371.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 74461, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on August 10, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,477,322 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,532,739 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$55,417 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,828 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$44,589 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,454 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 35 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 94.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 584.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 6411, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on November 12, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,567,753 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,577,068 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$9,315 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,268 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,047 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,339 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 35 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 96.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 581.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 6410, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on July 31, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,642,864 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,551,954 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $90,910 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,070 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $112,980 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,503 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 35 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 89.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 585.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 6409, read from the public cost report file SNFFY1997.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 |
|---|---|---|---|---|
| NIJ LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 7% | since 03/01/2017 |
| SPARTAN HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 30% | since 03/01/2017 |
| STERN, WILLIAM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 20% | since 03/01/2017 |
| YAZOMA HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 30% | since 03/01/2017 |
| HALPERT, MARC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 30% | since 03/01/2017 |
| JAFFA, NOAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 7% | since 03/01/2017 |
| LEGUM, JOSHUA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 30% | since 03/01/2017 |
| HALPERT, MARC | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2017 |
| LEGUM, JOSHUA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2017 |
| STERN, WILLIAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2017 |
| MONARCH HEALTHCARE OPERATING IV LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/01/2017 |
| STERN, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2017 |
| LEGUM, JOSHUA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 03/01/2017 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ESTATES AT EXCELSIOR LLC (enrollment ID O20170405000071).
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 |
|---|---|---|---|---|---|
| NIJ LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6.68 | 3/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| SPARTAN HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30 | 3/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILLIAM STERN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20 | 3/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YAZOMA HOLDINGS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30 | 3/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| JEFFREY AREM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6.66 | 3/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA LEGUM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30 | 3/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARC HALPERT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30 | 3/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NOAM JAFFA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6.68 | 3/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA LEGUM | Individual | CORPORATE OFFICER | 30 | 3/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARC HALPERT | Individual | CORPORATE OFFICER | 30 | 3/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM STERN | Individual | CORPORATE OFFICER | 20 | 3/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MONARCH HEALTHCARE OPERATING IV LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 3/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILLIAM STERN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA LEGUM | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 3/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- October 10, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- June 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- October 29, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 22, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- December 3, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- November 30, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- January 21, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- October 31, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 7, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 22, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 25, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- September 9, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- June 28, 2013: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- May 30, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- March 28, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- February 17, 2011: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- November 8, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- May 27, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- March 28, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- March 29, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- December 11, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- September 15, 2006: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- January 26, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- March 23, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2003.zip
- March 23, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- May 7, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- June 12, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- August 10, 2000: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- November 12, 1999: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- July 31, 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 7, 2026 | April 7, 2026 | 12 | 8 |
| 2 | June 16, 2025 | June 16, 2025 | 24 | 1 |
| 3 | May 16, 2024 | May 16, 2024 | 6 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
46 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 7, 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 | No | Deficient, Provider has date of correction | May 22, 2026 |
| April 7, 2026 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | May 22, 2026 |
| April 7, 2026 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | No | Deficient, Provider has date of correction | May 22, 2026 |
| April 7, 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 | May 22, 2026 |
| April 7, 2026 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | May 22, 2026 |
| April 7, 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 | May 22, 2026 |
| April 7, 2026 | 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 22, 2026 |
| April 7, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | May 22, 2026 |
| April 7, 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 | May 22, 2026 |
| April 7, 2026 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | May 22, 2026 |
| April 7, 2026 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | No | Deficient, Provider has date of correction | May 22, 2026 |
| November 26, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Yes | Past Non-Compliance | November 17, 2025 |
| June 16, 2025 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 2025 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Yes | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 2025 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | No | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | No | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 2025 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 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 | No | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 2025 | 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 30, 2025 |
| June 16, 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 | July 30, 2025 |
| June 16, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 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 | July 30, 2025 |
| June 16, 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 2025 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 2025 | Health | F 0809 | Nutrition and Dietary Deficiencies | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | No | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 2025 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | F | No | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 2025 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | No | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 2025 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | July 30, 2025 |
| June 16, 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | July 30, 2025 |
| January 29, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | February 28, 2025 |
| January 29, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | February 28, 2025 |
| November 7, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | November 29, 2024 |
| May 16, 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | June 18, 2024 |
| May 16, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | June 18, 2024 |
| May 16, 2024 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | No | Deficient, Provider has date of correction | June 18, 2024 |
| May 16, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | June 18, 2024 |
| May 16, 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | June 18, 2024 |
| April 25, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | May 8, 2024 |
| August 11, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | September 1, 2023 |
| August 11, 2023 | 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 | Yes | Deficient, Provider has date of correction | September 1, 2023 |
| August 11, 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | September 1, 2023 |
| August 11, 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | Yes | Deficient, Provider has date of correction | September 1, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | ESTATES AT EXCELSIOR LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1986-07-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Hennepin |
| Telephone Number | 9524745488 |
| Chain Name | MONARCH HEALTHCARE MANAGEMENT |
| Chain ID | 361 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 45 |
| Average Number of Residents per Day | 28.5 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 2 |
| Long-Stay QM Rating | 3 |
| 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 THE ESTATES AT EXCELSIOR LLC: 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 October 10, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for THE ESTATES AT EXCELSIOR LLC
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.
Other public records in Minnesota
- AACRON INC, PLYMOUTH Water discharge permit
- ALEXANDRIA LIGHT & POWER, ALEXANDRIA Water discharge permit
- NORTHWOODS ICE OF BEMIDJI INC, BEMIDJI Water discharge permit
- HIAWATHA METALCRAFT INC, MINNEAPOLIS Water discharge permit
- PREMIER PRODUCTS INC, BRAHAM Water discharge permit
- EDEN PRAIRIE WELL HOUSE 6 & 7, EDEN PRAIRIE Water discharge permit
- MARINE IRON & SHIP BUILDING CO, DULUTH Water discharge permit
- MICRON MOLDING, BLOOMINGTON Water discharge permit
- CENTRAL SPECIALTIES INC - PLANT 6, ALEXANDRIA Air emission source
- CENTRAL SPECIALTIES INC - PLANT 5, ALEXANDRIA Air emission source
- CENTRAL SPECIALTIES INC - PLANT 4, ALEXANDRIA Air emission source
- CENTRAL SPECIALTIES INC - PLANT 3, ALEXANDRIA Air emission source
- INTEX CORP, ALBERTVILLE Air emission source
- HAWKINSON CONSTRUCTION CO INC - PLANT 2, GRAND RAPIDS Air emission source
- TRI CITY PAVING INC, LITTLE FALLS Air emission source
- KNIFE RIVER CORP N CENTRAL - PLANT 7, LITTLE FALLS Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 245332.