Skilled nursing facility · CMS certification number 245343
MINNESOTA MASONIC HOME CARE CENTER
BLOOMINGTON, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 194
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,752,593 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,681,768 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $29,070,825 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $33,323,580 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,252,755 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,910,485 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$342,270 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$342,270 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 78,324 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 9,953 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 23,131 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 25,404 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 58,488 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 391 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 440 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 841 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,313.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1437189, 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 July 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,256,522 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,623,052 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $27,633,470 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $31,387,427 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,753,957 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,025,722 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$728,235 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$728,235 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 59,584 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 847 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,660.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1390065, 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 May 24, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,728,972 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,437,073 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $26,291,899 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $30,043,112 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,751,213 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,894,340 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$856,873 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$856,873 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,515 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 773 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,823.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1348220, 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 14, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,766,386 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,327,493 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $26,438,893 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $29,239,185 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,800,292 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,761,542 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$38,750 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$38,750 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 59,710 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 812 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,403.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1319606, 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 June 8, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,024,108 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,427,567 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,596,541 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $29,262,841 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,666,300 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,829,520 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$836,780 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$836,780 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,230 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 701 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,256.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1318741, 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 March 5, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $36,653,975 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,887,036 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $30,766,939 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $32,623,324 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,856,385 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,714,812 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $858,427 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $858,427 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 71,884 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,634 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 666.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 43.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280943, 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 June 6, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $37,950,185 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,613,701 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $31,336,484 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $31,555,139 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$218,655 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,761,517 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,542,862 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,542,862 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 72,616 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,753 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 567.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 41.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1226777, 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, reopened, processed by CMS on October 28, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $36,533,153 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,140,920 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $30,392,233 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $30,466,967 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$74,734 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,587,038 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,512,304 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,512,304 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 72,732 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,896 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 734.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 38.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1272554, 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 29, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $37,166,899 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,744,064 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $30,422,835 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $30,417,692 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $5,143 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,773,975 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,779,118 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,779,118 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 73,288 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,892 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 411.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 38.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1175286, 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 3, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $30,589,353 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,542,756 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $27,046,597 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,440,877 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,394,280 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,125,904 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,731,624 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,731,624 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 73,883 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,825 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 411.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 40.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139640, 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 May 26, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $30,546,578 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,330,794 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $27,215,784 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,914,865 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$699,081 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,896,850 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,197,769 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,197,769 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 72,822 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,883 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 477.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 38.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1124656, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 27, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,839,485 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,278,139 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $25,561,346 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,133,151 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$571,805 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,292,927 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,721,122 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,721,122 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 74,519 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,642 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 644.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 45.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089196, 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 November 19, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,282,768 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,532,159 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,750,609 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,908,615 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,158,006 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,416,013 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,258,007 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $458,049 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 74,863 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,551 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 619.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1080445, 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 February 14, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,546,517 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $956,203 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $26,590,314 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,238,280 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,352,034 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,993,733 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,345,767 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,345,767 (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 | 214 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 75,200 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,627 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 686.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055598, 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 27, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $24,789,038 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,909,233 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$120,195 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,795,726 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,675,531 (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 | 214 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 75,250 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,451 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 824.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 51.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 426763, 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 May 25, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $23,557,851 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,678,903 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,121,052 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,504,336 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $3,383,284 (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 | 214 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 75,200 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,560 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 807.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 48.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 400448, 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 April 28, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $20,182,537 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,466,640 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$4,284,103 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,522,378 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,353,690 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$4,115,415 (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 | 214 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 76,900 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,342 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 676.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 57.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 368368, 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 May 27, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $21,704,046 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,831,623 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$4,127,577 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,635,201 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,492,376 (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 | 268 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 91,723 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,221 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,375.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 75.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 340353, 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 June 9, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $20,945,948 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,512,207 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$4,566,259 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,471,756 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $20,575 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$2,115,078 (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 | 346 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 103,689 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,264 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,147.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 82.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 312120, 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 June 6, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $22,114,982 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,340,642 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$4,225,660 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,516,908 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $43,048 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$1,751,800 (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 | 346 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 117,291 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,301 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,105.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 90.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 281190, 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 | $22,798,785 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $27,255,464 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$4,456,679 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,524,971 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,931,708 (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 | 346 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 122,713 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,241 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,064.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 98.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 249355, 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 January 26, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $21,747,727 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,094,747 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,347,020 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,193,537 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$4,153,483 (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 | 346 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 123,397 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,133 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,389.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 108.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205354, 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 | $21,342,547 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $28,395,263 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$7,052,716 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,614,875 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$4,437,841 (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 | 358 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 126,816 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 871 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,122.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 145.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 191183, 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 September 22, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $19,905,685 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,128,476 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,222,791 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,781,850 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$3,440,941 (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 | 358 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 127,291 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 504 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,475.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 252.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 160374, 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 February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,690,147 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,246,087 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,555,940 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,463,155 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$4,092,785 (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 | 358 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 128,897 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 425 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,525.02 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 303.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 117065, 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, settled, processed by CMS on November 19, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,142,896 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,836,075 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,693,179 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,629,322 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$4,063,857 (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 | 358 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 125,993 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,220 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 430.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 103.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42129, 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, reopened, processed by CMS on August 14, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,900,621 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,898,458 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,997,837 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,566,325 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$2,431,512 (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 | 358 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 103,215 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 862 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 792.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 119.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42127, 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, reopened, processed by CMS on October 4, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $17,347,422 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,337,869 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$3,990,447 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,546,580 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$2,443,867 (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 | 358 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 126,919 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 869 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 293.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 146.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42125, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on January 5, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,213,347 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,685,666 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$3,472,319 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $548,138 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$1,022,910 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$1,901,271 (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 | 358 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 125,181 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 364 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 25,123.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 343.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28757, 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 |
|---|---|---|---|---|
| BERG, DAYTON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2021 |
| CAMPBELL, DOUGLAS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/15/2015 |
| COOK, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2021 |
| FENDLER, ROBERT | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2021 |
| HANSON, MARY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2021 |
| HIMMLER, PAUL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2021 |
| JOHNSON, STEVEN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/15/2015 |
| KRALL, TONY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2021 |
| MCCURDY, JOYCE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/15/2015 |
| MCNEAR, ROGER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2021 |
| NEETENBEEK, ERIC | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/15/2015 |
| PROCTOR, JAMES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2021 |
| ROSENZWEIG, MICHAEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2021 |
| SHIRLEY, JAMES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/15/2015 |
| SOLEM, FOSTER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2021 |
| STUDELL, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/15/2015 |
| SULLIVAN, BURNETT | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/15/2015 |
| WILLETTE, PAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2021 |
| MN MASONIC ELDER SERVICES | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/1992 |
| MORK, SUSAN | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 03/23/2010 |
| PELAVA, PATRICIA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/15/2015 |
| SCHROEDER, BETH | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/01/2017 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of MINNESOTA MASONIC HOME CARE CENTER (enrollment ID O20100720000218).
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 |
|---|---|---|---|---|---|
| BURNETT G SULLIVAN | Individual | CORPORATE OFFICER | Not stated in the filing | 6/15/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAYTON BERG | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS J CAMPBELL | Individual | CORPORATE OFFICER | Not stated in the filing | 6/15/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIC NEETENBEEK | Individual | CORPORATE OFFICER | Not stated in the filing | 6/15/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FOSTER SOLEM | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES C SHIRLEY | Individual | CORPORATE OFFICER | Not stated in the filing | 6/15/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES PROCTOR | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN B STUDELL | Individual | CORPORATE OFFICER | Not stated in the filing | 6/15/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN COOK | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOYCE D MCCURDY | Individual | CORPORATE OFFICER | Not stated in the filing | 6/15/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY HANSON | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL ROSENZWEIG | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAM WILLETTE | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL C HIMMLER | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT FENDLER | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROGER MCNEAR | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN R JOHNSON | Individual | CORPORATE OFFICER | Not stated in the filing | 6/15/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TONY KRALL | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MN MASONIC ELDER SERVICES | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 1/1/1992 | Private equity company: No Real estate investment trust: No Holding company: No |
| BETH SCHROEDER | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 2/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICIA H PELAVA | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 6/15/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN MORK | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 3/23/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: DAVID OLSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Recent changes on this record
- July 1, 2026: DAVID OLSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 23, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- May 24, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- June 14, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- June 8, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- March 5, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- October 28, 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- June 6, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 29, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 3, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- May 26, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- April 27, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- November 19, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- February 14, 2014: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- March 27, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- May 25, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- April 28, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- May 27, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- June 9, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- June 6, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- May 16, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- January 26, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- September 1, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- September 22, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 12, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- November 19, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- October 4, 2001: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- August 14, 2001: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- January 5, 1999: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 12, 2026 | February 12, 2026 | 6 | 5 |
| 2 | December 18, 2024 | December 18, 2024 | 3 | 6 |
| 3 | October 19, 2023 | October 19, 2023 | 9 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
18 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 12, 2026 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | March 26, 2026 |
| February 12, 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 | March 26, 2026 |
| February 12, 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 | March 26, 2026 |
| February 12, 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | March 26, 2026 |
| February 12, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 26, 2026 |
| February 12, 2026 | 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. | E | No | Deficient, Provider has date of correction | March 26, 2026 |
| December 18, 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 | January 21, 2025 |
| December 18, 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 | January 21, 2025 |
| December 18, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | January 21, 2025 |
| October 19, 2023 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | B | No | Deficient, Provider has date of correction | November 30, 2023 |
| October 19, 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 | No | Deficient, Provider has date of correction | November 30, 2023 |
| October 19, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | November 30, 2023 |
| October 19, 2023 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | November 30, 2023 |
| October 19, 2023 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | November 30, 2023 |
| October 19, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | November 30, 2023 |
| October 19, 2023 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | November 30, 2023 |
| October 19, 2023 | 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 | November 30, 2023 |
| October 19, 2023 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | No | Deficient, Provider has date of correction | November 30, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | MINNESOTA MASONIC HOME CARE CENTER |
| Date First Approved to Provide Medicare and Medicaid Services | 1986-09-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Hennepin |
| Telephone Number | 9529487000 |
| 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 | 194 |
| Average Number of Residents per Day | 160.9 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 4 |
| 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 MINNESOTA MASONIC HOME CARE CENTER: 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 August 29, 2025: A cost report was filed for fiscal year 2024, 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 MINNESOTA MASONIC HOME CARE CENTER
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 245343.