Skilled nursing facility · CMS certification number 245434
BETHANY ON THE LAKE LLC
ALEXANDRIA, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 83
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: $19,330.00 · Payment denials: 0. The most recent penalty on file: March 26, 2026, Fine, $19,330. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,569,874 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,303,003 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,266,871 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,551,044 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $715,827 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $516,824 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,232,651 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,232,651 (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 | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 30,378 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,675 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 14,223 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,245 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 26,143 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 99 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 14 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 164 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 277 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,015.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1437199, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 27, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,092,438 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,099,591 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,992,847 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,817,948 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,174,899 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $663,304 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,838,203 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,838,203 (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 | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,717 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 116.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1393186, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,089,772 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,465,757 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,624,015 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,881,566 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$257,551 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $70,228 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$187,323 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$47,983 (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 | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,990 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 282 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,517.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1359767, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,586,626 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,842,778 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,743,848 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,366,477 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $377,371 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,322,905 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,700,276 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,700,276 (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 | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,215 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 323 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 471 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332495, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,404,303 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,846,826 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,557,477 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,131,757 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$574,280 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,007,631 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $433,351 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $433,351 (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 | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,199 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 320 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 879.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303695, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 25, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,793,104 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,753,309 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,039,795 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,741,281 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$701,486 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,260,174 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $558,688 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $558,688 (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 | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,225 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 395 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 568.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1284579, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for December 29, 2017 to December 31, 2018 — a reporting period of 367 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,715,193 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,875,260 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,839,933 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,996,574 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$156,641 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,161,209 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,004,568 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,004,568 (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 | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,706 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 402 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 685.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238093, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 28, 2017
Cost report for January 1, 2017 to December 28, 2017 — a reporting period of 361 days, on form CMS-2540-10, settled, processed by CMS on June 28, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,426,564 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,852,221 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,574,343 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,736,411 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$162,068 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,584,492 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $9,422,424 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $9,421,480 (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 | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,247 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 460 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 746.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 61.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1196890, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,319,483 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,519,553 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,799,930 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,113,724 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$313,794 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,352,221 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,038,427 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,036,347 (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 | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,609 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 486 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 514.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 56.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1173570, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 24, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,259,636 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,146,540 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,113,096 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,695,954 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,582,858 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,220,609 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$362,249 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$368,660 (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 | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,770 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 527 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 328.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 52.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142470, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,909,477 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,045,079 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,864,398 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,018,908 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,154,510 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,155,721 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,211 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $181 (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 | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,334 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 383 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 712.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 71.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1124342, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 20, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,810,503 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,866,884 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,943,619 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,844,369 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$900,750 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $966,160 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $65,410 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $63,910 (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 | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,096 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 524 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 219.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111722, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 14, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,229,961 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,744,375 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,485,586 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,175,213 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$689,627 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $957,372 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $267,745 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $260,071 (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 | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,978 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 459 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 326.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084377, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 28, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,063,767 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $421,059 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,642,708 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,066,989 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$424,281 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $441,919 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $17,638 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $16,702 (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 | 83 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,643 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 412 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 380.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1053411, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 17, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,978,522 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,043,317 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$64,795 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $569,719 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,221 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $495,703 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,950 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 490 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 190.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 61.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 427427, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 20, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,916,945 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,678,598 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $238,347 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $238,347 (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 | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,814 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 335 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 613.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 103.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 405679, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 24, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,853,831 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,677,443 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $176,388 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $131,993 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $308,381 (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 | 113 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,250 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 322 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 894.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 118.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 377949, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 29, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,262,752 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,398,704 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$135,952 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $395,714 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $259,762 (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 | 113 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,107 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 528 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 266.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 72.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 337977, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 19, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,970,323 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,025,855 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$55,532 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $285,676 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $230,144 (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 | 113 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,722 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 518 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 292.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 74.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 315741, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 29, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,464,255 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,952,432 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$488,177 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $143,185 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$344,992 (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 | 122 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,254 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 476 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 426.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 84.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 279701, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 16, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,122,697 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,614,740 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$492,043 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $281,745 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$210,298 (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 | 122 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,554 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 442 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 564.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 89.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 249357, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 24, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,557,509 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,119,367 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$561,858 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $711,155 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $149,297 (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 | 122 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,224 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 306 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 452.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 217811, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,442,886 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,833,045 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$390,159 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $120,471 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$269,688 (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 | 123 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,356 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 295 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 424.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 136.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 191830, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 30, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,148,699 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,028,357 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $120,342 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $212,117 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $332,459 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,902 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 393 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 390.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 124.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 168072, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 25, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,909,735 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,189,144 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$279,409 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $240,439 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$38,970 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,115 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 318 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 439.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 160.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42437, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 14, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,420,392 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,644,730 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$224,338 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $347,566 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $123,228 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,266 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 241 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 526.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 216.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42436, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 8, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,627,602 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,741,829 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$114,227 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $718,555 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $604,328 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,121 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 258 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 570.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 209.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42435, 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 | $5,322,450 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,532,627 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$210,177 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $641,988 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $431,811 (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 | 160 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,647 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 360 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 258.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 157.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42434, 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 November 30, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,477,379 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,697,958 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$220,579 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $534,036 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $313,457 (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 | 181 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,703 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 375 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 415.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 167.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28972, 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 |
|---|---|---|---|---|
| JCA HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 15% | since 12/29/2017 |
| NIJ LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 10% | since 12/29/2017 |
| SPARTAN HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 28% | since 12/29/2017 |
| WBS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 19% | since 12/29/2017 |
| YAZOMA HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 28% | since 12/29/2017 |
| HALPERT, MARC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 28% | since 12/29/2017 |
| JAFFA, NOAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 10% | since 12/29/2017 |
| LEGUM, JOSHUA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 28% | since 12/29/2017 |
| STERN, WILLIAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 19% | since 12/29/2017 |
| LEGUM, JOSHUA | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 12/29/2017 |
| JAFFA, NOAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/29/2017 |
| HALPERT, MARC | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/29/2017 |
| STERN, WILLIAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/29/2017 |
| MONARCH HEALTHCARE OPERATING V LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/29/2017 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BETHANY ON THE LAKE LLC (enrollment ID O20171208000247).
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 |
|---|---|---|---|---|---|
| JCA HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15 | 12/29/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| NIJ LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10 | 12/29/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| SPARTAN HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 28 | 12/29/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| WBS HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 19 | 12/29/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| YAZOMA HOLDINGS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 28 | 12/29/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| JEFFREY AREM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15 | 12/29/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA LEGUM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 28 | 12/29/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARC HALPERT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 28 | 12/29/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NOAM JAFFA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10 | 12/29/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM STERN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 19 | 12/29/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSHUA LEGUM | Individual | CONTRACTED MANAGING EMPLOYEE | 28 | 12/29/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NOAM JAFFA | Individual | CORPORATE DIRECTOR | 10 | 12/29/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARC HALPERT | Individual | CORPORATE OFFICER | 28 | 12/29/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM STERN | Individual | CORPORATE OFFICER | 19 | 12/29/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MONARCH HEALTHCARE OPERATING V LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 12/29/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 27, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 25, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 16, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 10, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- May 25, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- June 28, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 17, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 24, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- May 20, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- October 20, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- January 14, 2015: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- December 28, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- April 17, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- June 20, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- June 24, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- April 29, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- June 19, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- May 29, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- May 16, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- May 24, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- September 1, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- January 30, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 25, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- August 14, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- November 8, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- November 3, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- August 5, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1998.zip
- November 30, 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 13, 2025 | August 13, 2025 | 4 | 5 |
| 2 | June 5, 2024 | June 5, 2024 | 5 | 2 |
| 3 | April 27, 2023 | April 27, 2023 | 1 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
10 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 26, 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | I | Yes | Past Non-Compliance | March 13, 2026 |
| March 26, 2026 | 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 | April 15, 2026 |
| August 13, 2025 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | No | Deficient, Provider has date of correction | September 3, 2025 |
| August 13, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | September 3, 2025 |
| January 10, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Past Non-Compliance | January 7, 2025 |
| December 12, 2024 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Yes | Deficient, Provider has date of correction | December 26, 2024 |
| June 5, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | June 26, 2024 |
| June 5, 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | June 26, 2024 |
| June 5, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | June 26, 2024 |
| April 27, 2023 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | No | Deficient, Provider has date of correction | May 10, 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 |
|---|---|---|---|---|---|
| March 26, 2026 | Fine | $19,330 | 138537 |
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 - Corporation |
| Legal Business Name | BETHANY ON THE LAKE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1987-02-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Douglas |
| Telephone Number | 3207621567 |
| Chain Name | MONARCH HEALTHCARE MANAGEMENT |
| Chain ID | 361 |
| 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 | 83 |
| Average Number of Residents per Day | 80.0 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for BETHANY ON THE LAKE LLC
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Minnesota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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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 245434.