Skilled nursing facility · CMS certification number 245359
EDENBROOK PINE HAVEN
PINE ISLAND, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 70
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $14,898.00 · Payment denials: 0. The most recent penalty on file: January 23, 2024, Fine, $14,898. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 22, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,697,407 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $420,274 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,277,133 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,866,924 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,410,209 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $627,766 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,037,975 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,037,975 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 25,620 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,994 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,491 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,352 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 20,837 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 38 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 14 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 69 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 677.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1420408, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 20, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,398,252 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $180,614 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,217,638 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,899,388 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,681,750 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $615,165 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,066,585 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,066,585 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,431 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,601 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 316.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375272, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 4, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,554,838 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $443,547 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,111,291 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,948,225 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $163,066 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,310,510 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,473,576 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,473,576 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,693 | 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 | 41.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 477.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 212.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1346738, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 3, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,961,666 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $805,783 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,155,883 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,452,998 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,297,115 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $273,075 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,024,040 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,024,040 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,842 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 73 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 787.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 326.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1315213, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 29, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,190,602 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $638,440 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,552,162 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,989,069 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$436,907 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,256,105 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $819,198 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $819,198 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,792 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 139 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 608.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 171.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1287801, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 15, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,450,819 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $468,623 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,982,196 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,910,845 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $71,351 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,101 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $83,452 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $83,452 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,132 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 490.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 148.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253998, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 28, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,638,616 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $509,393 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,129,223 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,757,785 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$628,562 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $85,354 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$543,208 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$543,208 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,122 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 653.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222080, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,544,959 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $243,312 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,301,647 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,876,024 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$574,377 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $155,477 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$418,900 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$418,900 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,570 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 649.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 189.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188401, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 15, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,954,584 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $94,226 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,860,358 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,646,714 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$786,356 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $246,456 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$539,900 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$286,360 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,692 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 81.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 420.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 256.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1157200, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 6, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,600,473 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$60,340 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,660,813 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,717,189 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$56,376 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $203,147 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $146,771 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $91,566 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,957 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 578.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 237.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1123443, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 19, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,050,876 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $142,746 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,908,130 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,626,298 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $281,832 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $50,855 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $332,687 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $332,687 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,571 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 352.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 176.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144639, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,377,363 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $104,392 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,272,971 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,432,274 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$159,303 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $179,094 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $19,791 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $21,127 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,954 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 805.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 255.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1110812, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,462,915 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $87,719 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,375,196 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,604,062 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$228,866 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $92,516 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$136,350 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$349,579 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,630 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 71 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,327.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 332.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077200, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 15, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,530,310 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,420,222 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $110,088 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $37,512 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,214 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $145,386 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,684 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,710.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 338.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428991, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 13, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,324,087 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,184,270 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $139,817 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $42,337 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $654 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $181,500 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,548 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,035.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 472.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 421548, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 8, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,411,386 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,309,260 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $102,126 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $52,379 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,696 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $151,809 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,456 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 80 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 717.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 293.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 395183, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 13, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,121,890 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,006,335 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $115,555 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $58,973 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $174,528 (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 | 68 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,770 | 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 | 46.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,997 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 321.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362284, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 6, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,049,796 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,912,077 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $137,719 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $61,558 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,716 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $196,561 (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 | 68 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,621 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 77 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 971.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 306.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 334658, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,905,376 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,908,421 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,045 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $98,238 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $95,193 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,717 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 4,744.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 304.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 300610, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 9, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,518,320 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,762,533 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$244,213 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $66,401 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$177,812 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,679 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 86 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,161.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 252.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 273430, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 14, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,878,055 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,959,748 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$81,693 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $160,515 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,413 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $75,409 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,831 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 89 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 736.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 267.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 242776, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 7, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,038,457 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,848,026 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $190,431 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $55,473 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,065 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $243,839 (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 | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,079 | 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 | 41.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,023.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 263.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 206434, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 17, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,730,728 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,806,753 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$76,025 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $85,332 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $19,856 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$10,549 (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 | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,542 | 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 | 54.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 816.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 396.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 182633, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 19, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,574,698 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,700,088 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$125,390 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $138,522 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,055 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $10,077 (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 | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,776 | 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 | 62.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,227.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 399.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 150052, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 22, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,940,119 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,481,698 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$541,579 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,932 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$87,811 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$426,836 (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 | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,592 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,074.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 422.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42187, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 24, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,734,330 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,355,752 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$621,422 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $157,587 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$463,835 (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 | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,820 | 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 | 72.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 770 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 469.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42185, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 1, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,607,039 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,010,681 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$403,642 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $154,764 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$248,878 (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 | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,163 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 86 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 130.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 794.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 292.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42184, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 3, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,877,420 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,908,874 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$31,454 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $192,056 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $107,281 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $53,321 (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 | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,552 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 97.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,048.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 541.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42183, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended September 30, 1996
Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 6, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,777,066 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,851,334 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$74,268 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $314,614 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $300,611 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$60,265 (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 | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,760 | 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 | 111 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,077.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 486.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28792, 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 |
|---|---|---|---|---|
| No owner named in the filing | Ownership Data Not Available | Not stated in the filing | Not stated in the filing | Not stated in the filing |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PINE HAVEN INC (enrollment ID O20080611000485).
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 |
|---|---|---|---|---|---|
| AMBER THORN | Individual | ADP OF THE SNF | Not stated in the filing | 3/7/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMBER THORN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRIAN HALE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GLENN HEMANN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/1994 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOANNE JUDGE-DIETZ | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/1994 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMBER THORN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- May 1, 2025: LISA D MARX no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JESSICA RIVERA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: MARCUS BRADLEY PARENCE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: AMBER THORN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since March 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: AMBER THORN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: AMBER THORN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
Recent changes on this record
- September 1, 2026: ownership_type: Non profit - Corporation → For profit - Limited Liability company. NH_ProviderInfo_Sep2026_3.csv
- July 17, 2026: A deficiency was cited under tag F 0732, scope and severity C. NH_HealthCitations_Sep2026_2.csv
- July 17, 2026: A deficiency was cited under tag F 0577, scope and severity C. NH_HealthCitations_Sep2026_2.csv
- July 17, 2026: A deficiency was cited under tag F 0656, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 17, 2026: A deficiency was cited under tag F 0550, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 17, 2026: A deficiency was cited under tag F 0880, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 17, 2026: A deficiency was cited under tag F 0761, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 17, 2026: A deficiency was cited under tag F 0760, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 17, 2026: A deficiency was cited under tag F 0580, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 17, 2026: A deficiency was cited under tag F 0565, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 17, 2026: A deficiency was cited under tag F 0940, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- July 17, 2026: A deficiency was cited under tag F 0835, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- July 17, 2026: A deficiency was cited under tag F 0726, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- July 17, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- May 1, 2025: LISA D MARX no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: JESSICA RIVERA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: MARCUS BRADLEY PARENCE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: AMBER THORN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since March 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: AMBER THORN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: AMBER THORN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since January 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- April 22, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 20, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- May 4, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- May 3, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- June 29, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 15, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- March 28, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- May 2, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- May 15, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- October 19, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- May 6, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- September 25, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 28, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- May 15, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- December 13, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- March 8, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- January 13, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- March 6, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- January 24, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- March 9, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 17, 2026 | July 17, 2026 | 12 | 13 |
| 2 | August 28, 2025 | August 28, 2025 | 10 | 4 |
| 3 | July 17, 2024 | July 17, 2024 | 13 | 13 |
| 3 | August 24, 2023 | August 24, 2023 | 7 | 11 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
40 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 17, 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 plan of correction | September 14, 2026 |
| July 17, 2026 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Yes | Deficient, Provider has plan of correction | September 14, 2026 |
| July 17, 2026 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | No | Deficient, Provider has plan of correction | September 14, 2026 |
| July 17, 2026 | 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. | E | No | Deficient, Provider has plan of correction | September 14, 2026 |
| July 17, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has plan of correction | September 14, 2026 |
| July 17, 2026 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Yes | Deficient, Provider has plan of correction | September 14, 2026 |
| July 17, 2026 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has plan of correction | September 14, 2026 |
| July 17, 2026 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | No | Deficient, Provider has plan of correction | September 14, 2026 |
| July 17, 2026 | 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 plan of correction | September 14, 2026 |
| July 17, 2026 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | No | Deficient, Provider has plan of correction | September 14, 2026 |
| July 17, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has plan of correction | September 14, 2026 |
| July 17, 2026 | Health | F 0940 | Administration Deficiencies | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Yes | Deficient, Provider has plan of correction | September 14, 2026 |
| August 28, 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 | October 15, 2025 |
| August 28, 2025 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | October 15, 2025 |
| August 28, 2025 | 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 | No | Deficient, Provider has date of correction | October 15, 2025 |
| August 28, 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | October 15, 2025 |
| August 28, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | October 15, 2025 |
| August 28, 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 | October 15, 2025 |
| December 24, 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 | January 31, 2025 |
| December 24, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | January 31, 2025 |
| October 3, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | November 8, 2024 |
| October 3, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | November 8, 2024 |
| July 17, 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | August 26, 2024 |
| July 17, 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 | August 26, 2024 |
| July 17, 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 | August 26, 2024 |
| July 17, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | August 26, 2024 |
| July 17, 2024 | 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 | August 26, 2024 |
| July 17, 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | August 26, 2024 |
| July 17, 2024 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | August 26, 2024 |
| July 17, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | August 26, 2024 |
| July 17, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | August 26, 2024 |
| July 17, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | August 26, 2024 |
| July 17, 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 | August 26, 2024 |
| January 23, 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 | Yes | Deficient, Provider has date of correction | February 16, 2024 |
| January 23, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Past Non-Compliance | January 17, 2024 |
| August 24, 2023 | 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 | October 4, 2023 |
| August 24, 2023 | 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 | Yes | Deficient, Provider has date of correction | October 4, 2023 |
| August 24, 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 | Yes | Deficient, Provider has date of correction | October 4, 2023 |
| August 24, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | September 22, 2023 |
| August 24, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | October 3, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| January 23, 2024 | Fine | $14,898 | 53760 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | Legal Business Name Not Available |
| Date First Approved to Provide Medicare and Medicaid Services | 1986-11-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Goodhue |
| Telephone Number | 5073568304 |
| 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 | 70 |
| Average Number of Residents per Day | 56.4 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 1 |
| 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 EDENBROOK PINE HAVEN: 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 September 1, 2026: ownership_type: Non profit - Corporation → For profit - Limited Liability company. 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 EDENBROOK PINE HAVEN
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
- CENTRAL SPECIALTIES INC-TEMPORARY GRAVEL LOCATIONS STATEWIDE, ALEXANDRIA Water discharge permit
- PROGRESSIVE CONTRACTORS INC-PCI1 PORTABLE, ST. MICHAEL Water discharge permit
- NORTHSTAR MATERIALS INC-PORTABLE ASHPALT PLANTS 1 & 2 & 5, BEMIDJI Water discharge permit
- MARK SAND & GRAVEL COMPANY-PORTABLE ASPHALT PLANTS, FERGUS FALLS Water discharge permit
- BITUMINOUS PAVING INC-PORTABLE ASPHALT PLANT, ODESSA Water discharge permit
- CENTRAL SPECIALTIES INC-PORTABLE ASPHALT PLANTS, ALEXANDRIA Water discharge permit
- HOLCIM-MWR, INC.-FILL PITS TEMPORARY GRAVEL SITES, EAGEN Water discharge permit
- MARK SAND & GRAVEL-TEMPORARY GRAVEL SITES, FERGUS FALLS 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 245359.