Skilled nursing facility · CMS certification number 245393
GOOD SHEPHERD LUTHERAN HOME
RUSHFORD, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 65
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 October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 7, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,325,770 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $29,836 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,295,934 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,508,122 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$212,188 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $652,581 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $440,393 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $440,393 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 23,790 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 690 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,596 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,750 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 17,036 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 24 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 959.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 387.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401904, 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 7, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,830,912 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $33,358 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,797,554 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,325,748 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$528,194 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $321,139 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$207,055 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$207,055 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,115 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 871.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 369.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1374575, 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 March 21, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,759,612 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $22,284 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,737,328 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,155,322 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$417,994 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $226,951 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$191,043 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$191,043 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,184 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,262.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 480.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344660, 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 April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,765,809 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $29,889 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,735,920 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,331,680 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$595,760 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $805,549 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $209,789 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $209,789 (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 | 20,996 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 41 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 86.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,541.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 512.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313467, 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 May 26, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,110,164 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $34,171 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,075,993 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,441,629 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$365,636 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,061,321 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $695,685 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $695,685 (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 | 23,029 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 52 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,049 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 442.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1284695, 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 21, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,249,995 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $31,761 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,218,234 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,096,281 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $121,953 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $147,952 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $269,905 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $269,905 (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 | 24,107 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 56 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,675.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 430.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254311, 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 April 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,846,224 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $20,724 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,825,500 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,983,181 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$157,681 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $145,033 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$12,648 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$12,648 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,179 | 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 | 41.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 305.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 350.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222318, 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 | $5,823,200 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$162,984 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,986,184 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,576,920 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$590,736 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $175,093 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$415,643 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$415,643 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,140 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 36 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,027.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 642.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188216, 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 April 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,824,477 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$358,981 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,183,458 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,141,193 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $42,265 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $150,303 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $192,568 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $192,568 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,628 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,739.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 424.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1155871, 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 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,305,763 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$311,535 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,617,298 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,708,038 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$90,740 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $87,497 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,243 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,243 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,517 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,720.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 344.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1124341, 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 February 4, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,260,918 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$239,111 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,500,029 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,533,950 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$33,921 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $91,346 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $57,425 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $57,425 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,369 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 56 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,084.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 453.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1118631, 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 August 6, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,217,022 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$294,213 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,511,235 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,421,660 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $89,575 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $118,671 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $208,246 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $208,246 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,375 | 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 | 59.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,251.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 479.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1106853, 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 September 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,330,234 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$330,755 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,660,989 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,565,900 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $95,089 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $110,430 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $205,519 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $205,519 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,420 | 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 | 60.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,361.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 302.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1078304, 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 June 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,430,949 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,405,631 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $25,318 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $111,862 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $137,180 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,117 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 71 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,333.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 353.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434864, 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 | $5,349,714 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,379,551 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$29,837 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $143,075 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $113,238 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,325 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 68 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,971.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 387.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 421551, 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 December 9, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,465,649 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,320,602 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $145,047 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $110,444 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $43,366 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $212,125 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,234 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 73 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 632.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 359.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 390787, 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 April 21, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,002,191 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,085,013 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$82,822 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $95,704 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $12,882 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,105 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,198.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 502.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 337532, 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 April 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,870,863 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,875,952 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,089 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $114,472 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $109,383 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,646 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 59 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,305.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 451.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306275, 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 | $4,582,244 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,043,648 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$461,404 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $230,326 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $815 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$231,893 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,209 | 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 | 49.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 998.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 305.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 300614, 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 January 24, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,703,780 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,710,059 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$6,279 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $157,794 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $151,515 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,909 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 64 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 859 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 436.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 270929, 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 | $4,438,579 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,557,650 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$119,071 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $119,559 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $488 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,506 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 947.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 366.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 242778, 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 January 26, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,286,127 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,191,167 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $94,960 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $103,287 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $198,247 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,749 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,381.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 578.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205363, 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 May 7, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,006,314 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,984,971 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $21,343 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $66,775 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $88,118 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,992 | 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 | 60.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,189.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 571.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 175582, 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 May 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,909,918 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,841,110 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $68,808 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $111,935 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $180,743 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,321 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 73 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 717.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 374.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 144457, 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 | $3,488,196 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,838,464 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$350,268 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $94,780 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$255,488 (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 | 85 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,461 | 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 | 51.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 670.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 356.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42309, 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 August 14, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,456,328 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,699,401 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$243,073 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $132,809 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$110,264 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 85 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,017 | 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 | 52.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 588.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 363.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42307, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 8, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,509,336 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,673,669 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$164,333 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $167,160 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,827 (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 | 85 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,220 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 136 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 212.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 368.16 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 214.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42306, 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 May 3, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,484,405 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,449,812 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $34,593 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $102,708 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $137,301 (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 | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,509 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 289.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 697.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 303.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28888, 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 March 9, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,332,316 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,262,773 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $69,543 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $82,657 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $152,200 (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 | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,521 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 161 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 261 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 559.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 208.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28886, 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 |
|---|---|---|---|---|
| USDA DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 10/01/2024 |
| A & H PHARMACIST CONSULTANT SERVICE | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| CLIFTONLARSONALLEN LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2025 |
| COLBENSON, SAMANTHA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/11/2021 |
| GRAPE TREE MEDICAL STAFFING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| MODJESKI, NICHOLAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2024 |
| ONESTAFF MEDICAL | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| PRIME TIME HEALTHCARE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| SPECE, RHONDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/12/2018 |
| TRIAGE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2024 |
| BENSON, RANDY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2024 |
| COOK, SONJA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2023 |
| CULHANE, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2024 |
| DVORAK, LUANNE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2021 |
| EBNER, WENDY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2024 |
| HATLEVIG, DEAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2024 |
| INGRAM, KATHRYN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2023 |
| PRONK, JUDITH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2024 |
| SNYDER, NANCY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2021 |
| ZOELLE-JOHNSON, BARBARA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2023 |
| CULHANE, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2024 |
| SNYDER, NANCY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2021 |
| SPECE, RHONDA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/12/2018 |
| ZOELLE-JOHNSON, BARBARA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2024 |
| COLBENSON, SAMANTHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/11/2021 |
| SPECE, RHONDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/18/2000 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of GOOD SHEPHERD LUTHERAN HOME (enrollment ID O20070227000687).
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 |
|---|---|---|---|---|---|
| USDA DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT | Organization | 5% OR GREATER MORTGAGE INTEREST | 11 | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| A & H PHARMACIST CONSULTANT SERVICE | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLIFTONLARSONALLEN LLP | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| GRAPE TREE MEDICAL STAFFING LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| NICHOLAS MODJESKI | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ONESTAFF MEDICAL | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| PRIME TIME HEALTHCARE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| RHONDA S SPECE | Individual | ADP OF THE SNF | Not stated in the filing | 2/12/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SAMANTHA J COLBENSON | Individual | ADP OF THE SNF | Not stated in the filing | 4/11/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRIAGE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| BARBARA J ZOELLE-JOHNSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEAN HATLEVIG | Individual | CORPORATE DIRECTOR | Not stated in the filing | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN M CULHANE | Individual | CORPORATE DIRECTOR | 0 | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUDITH C PRONK | Individual | CORPORATE DIRECTOR | Not stated in the filing | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHRYN J INGRAM | Individual | CORPORATE DIRECTOR | Not stated in the filing | 4/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LUANNE K DVORAK | Individual | CORPORATE DIRECTOR | Not stated in the filing | 4/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NANCY L SNYDER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 4/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDY BENSON | Individual | CORPORATE DIRECTOR | 5 | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SONJA A COOK | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WENDY EBNER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BARBARA J ZOELLE-JOHNSON | Individual | CORPORATE OFFICER | 0 | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN M CULHANE | Individual | CORPORATE OFFICER | 0 | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NANCY L SNYDER | Individual | CORPORATE OFFICER | Not stated in the filing | 4/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RHONDA S SPECE | Individual | CORPORATE OFFICER | Not stated in the filing | 2/12/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RHONDA S SPECE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/18/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SAMANTHA J COLBENSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/11/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- April 1, 2026: LUANNE K DVORAK (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RHONDA S SPECE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 12, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RHONDA S SPECE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 12, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NANCY L SNYDER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- May 1, 2025: RHONDA S SPECE 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: RHONDA S SPECE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: SAMANTHA J COLBENSON 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: SAMANTHA J COLBENSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: LUANNE K DVORAK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: NICHOLAS MODJESKI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: RHONDA S SPECE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 18, 2000. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: SAMANTHA J COLBENSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since April 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: GRAPE TREE MEDICAL STAFFING, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ONESTAFF MEDICAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: PRIME TIME HEALTHCARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: USDA DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: TRIAGE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: A & H PHARMACIST CONSULTANT SERVICE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: RANDY BENSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CLIFTONLARSENALLEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: NICHOLAS MODJESKI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- August 1, 2024: KAREN EICH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: RICHARD J JOHNSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: LOUIS BOEHMKE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: DEAN HATLEVIG (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: WENDY EBNER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JUDITH C PRONK (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BARBARA J ZOELLE-JOHNSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JOHN CULHANE (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: NICHOLAS MODJESKI (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- July 17, 2023: DARLENE CHIOLO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: LINDA A PAULSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: MARVIN D HOSCH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: DAVID U'REN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: SONJA COOK (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: KATHERYN INGRAM (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BARBARA ZOELLE-JOHNSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JOHN CULHANE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
Recent changes on this record
- April 1, 2026: LUANNE K DVORAK (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RHONDA S SPECE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 12, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RHONDA S SPECE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 12, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NANCY L SNYDER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since April 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- May 1, 2025: RHONDA S SPECE 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: RHONDA S SPECE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: SAMANTHA J COLBENSON 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: SAMANTHA J COLBENSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: LUANNE K DVORAK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: NICHOLAS MODJESKI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: RHONDA S SPECE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since February 18, 2000. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: SAMANTHA J COLBENSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since April 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: GRAPE TREE MEDICAL STAFFING, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ONESTAFF MEDICAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: PRIME TIME HEALTHCARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: USDA DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: TRIAGE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: A & H PHARMACIST CONSULTANT SERVICE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: RANDY BENSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CLIFTONLARSENALLEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: NICHOLAS MODJESKI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- January 7, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 1, 2024: KAREN EICH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: RICHARD J JOHNSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: LOUIS BOEHMKE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: DEAN HATLEVIG (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: WENDY EBNER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JUDITH C PRONK (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: BARBARA J ZOELLE-JOHNSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JOHN CULHANE (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: NICHOLAS MODJESKI (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- March 7, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 17, 2023: DARLENE CHIOLO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: LINDA A PAULSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: MARVIN D HOSCH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: DAVID U'REN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: SONJA COOK (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: KATHERYN INGRAM (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: BARBARA ZOELLE-JOHNSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 17, 2023: JOHN CULHANE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 12, 2026 | May 12, 2026 | 2 | 0 |
| 2 | March 12, 2025 | March 12, 2025 | 1 | 3 |
| 3 | January 25, 2024 | January 25, 2024 | 2 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
5 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 12, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | C | No | Deficient, Provider has date of correction | June 26, 2026 |
| May 12, 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | June 26, 2026 |
| February 12, 2025 | 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 | March 6, 2025 |
| January 25, 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 | February 29, 2024 |
| January 25, 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | February 29, 2024 |
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 - Other |
| Legal Business Name | GOOD SHEPHERD LUTHERAN HOME |
| Date First Approved to Provide Medicare and Medicaid Services | 1986-12-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Fillmore |
| Telephone Number | 5078647714 |
| 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 | 65 |
| Average Number of Residents per Day | 50.2 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 4 |
| Long-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 GOOD SHEPHERD LUTHERAN HOME: 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 January 7, 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 GOOD SHEPHERD LUTHERAN HOME
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 245393.