Skilled nursing facility · CMS certification number 245455
GOOD SAMARITAN SOCIETY - JACKSON
JACKSON, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 46
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 May 1, 2024 to April 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 18, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,336,832 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $689,545 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,647,287 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,176,626 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $470,661 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $153,722 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $624,383 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $497,988 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 29,200 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 728 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 8,818 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 13,287 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 22,833 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 50 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 80 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 176.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439782, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended April 30, 2024
Cost report for May 1, 2023 to April 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,310,929 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $550,049 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,760,880 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,791,063 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $969,817 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $165,880 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,135,697 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,127,367 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,824 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 314.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 304.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1396373, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended April 30, 2023
Cost report for May 1, 2022 to April 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 20, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,583,994 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $543,217 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,040,777 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,667,038 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $373,739 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $145,053 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $518,792 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $507,043 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,873 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 131 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 317.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1370955, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended April 30, 2022
Cost report for May 1, 2021 to April 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 7, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,920,879 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $433,987 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,486,892 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,780,493 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$293,601 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $116,003 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$177,598 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$259,158 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,666 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 136 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 122.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 137.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1336110, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended April 30, 2021
Cost report for May 1, 2020 to April 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,433,737 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $599,353 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,834,384 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,258,621 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$424,237 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $93,503 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$330,734 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$302,552 (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 | 80 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,383 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 183 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 113.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303956, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended April 30, 2020
Cost report for May 1, 2019 to April 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 22, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,565,318 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $470,626 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,094,692 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,144,814 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$50,122 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $141,198 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $91,076 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $46,856 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,502 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 909.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 322.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278860, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended April 30, 2019
Cost report for May 1, 2018 to April 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,419,400 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $568,903 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,850,497 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,185,596 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$335,099 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $387,321 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $52,222 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$28,907 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,555 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 216 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 249.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1244849, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended April 30, 2018
Cost report for May 1, 2017 to April 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 30, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,439,818 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $533,235 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,906,583 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,233,278 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$326,695 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $303,253 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$23,442 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$53,781 (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 | 87 | 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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 399.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 215.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1211090, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended April 30, 2017
Cost report for May 1, 2016 to April 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 31, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,900,454 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $392,477 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,507,977 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,964,400 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$456,423 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $320,778 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$135,645 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$132,210 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,960 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 155 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 207.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 180.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1177713, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended April 30, 2016
Cost report for May 1, 2015 to April 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,918,908 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $392,790 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,526,118 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,965,099 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$438,981 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $355,227 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$83,754 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$105,091 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,724 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 327.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 235.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174647, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended April 30, 2015
Cost report for May 1, 2014 to April 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 12, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,286,582 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $474,914 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,811,668 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,767,029 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $44,639 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $307,047 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $351,686 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $326,803 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,067 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 726.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 414.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1118964, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended April 30, 2014
Cost report for May 1, 2013 to April 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, reopened, processed by CMS on December 6, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,546,205 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $211,752 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,334,453 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,723,097 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$388,644 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $282,256 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$106,388 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$141,908 (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 | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,768 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 71 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 786.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 433.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081903, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended April 30, 2013
Cost report for May 1, 2012 to April 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,456,597 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $82,110 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,374,487 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,716,993 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$342,506 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $401,852 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $59,346 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $45,096 (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 | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,115 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 63 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 605.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 509.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1071144, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended April 30, 2012
Cost report for May 1, 2011 to April 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,738,655 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $117,317 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,621,338 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,862,442 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$241,104 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $229,671 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$11,433 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$38,687 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 103 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,785 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 87.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 655.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 437.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023076, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended April 30, 2011
Cost report for May 1, 2010 to April 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,852,918 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,820,236 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $32,682 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $208,890 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $24,494 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $217,078 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,330 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 183 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 78.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 423.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434039, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended April 30, 2010
Cost report for May 1, 2009 to April 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 16, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,624,057 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,708,708 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$84,651 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $272,385 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $28,326 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $159,408 (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 | 33,041 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 184 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 313.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 179.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 389708, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended April 30, 2009
Cost report for May 1, 2008 to April 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on November 30, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,507,050 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,617,698 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$110,648 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $45,558 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $33,997 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$99,087 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,799 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 219 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 170.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 158.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 359679, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended April 30, 2008
Cost report for May 1, 2007 to April 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on December 15, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,436,486 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,584,305 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$147,819 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $189,318 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $95,337 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$53,838 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,097 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 183 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 197.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 330287, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended April 30, 2007
Cost report for May 1, 2006 to April 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 25, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,196,592 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,374,363 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$177,771 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $346,474 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $53,780 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $114,923 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,307 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 192 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 188.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 183.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324886, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended April 30, 2006
Cost report for May 1, 2005 to April 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 22, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,857,595 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,118,930 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$261,335 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $362,639 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $45,178 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $56,126 (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 | 104 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,459 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 174 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 75.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 344.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 203.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 292476, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended April 30, 2005
Cost report for May 1, 2004 to April 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 24, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,101,956 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,293,119 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$191,163 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $126,529 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $60,047 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$124,681 (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 | 110 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,399 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 212 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 239.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 247810, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended April 30, 2004
Cost report for May 1, 2003 to April 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 13, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,881,133 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,014,229 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$133,096 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $98,308 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $48,702 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$83,490 (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 | 121 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,974 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 187 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 309.02 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 203.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 227417, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended April 30, 2003
Cost report for May 1, 2002 to April 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,341,268 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,686,860 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$345,592 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $39,346 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $104,161 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$410,407 (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 | 103 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,666 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 340.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 222.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 196759, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended April 30, 2002
Cost report for May 1, 2001 to April 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,614,004 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,675,154 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$61,150 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,518 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $17,720 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$55,352 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,661 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 218 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 336.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 172.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159414, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended April 30, 2001
Cost report for May 1, 2000 to April 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 18, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,252,554 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,305,066 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$52,512 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $151,234 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $98,722 (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 | 154 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,907 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 188 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 270.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 175.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133030, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended April 30, 2000
Cost report for May 1, 1999 to April 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,028,951 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,108,189 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$79,238 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $143,131 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $63,887 (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 | 89 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,782 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 344.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 148.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 116313, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended April 30, 1999
Cost report for May 1, 1998 to April 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,916,076 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,892,481 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $23,595 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $184,418 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $394 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $207,619 (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 | 89 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,934 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 206 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 372.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 145.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 191786, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended April 30, 1998
Cost report for May 1, 1997 to April 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on May 13, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,729,046 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,801,111 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$72,065 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $271,110 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $199,045 (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 | 89 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,721 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 205 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 313.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 140.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 216756, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended April 30, 1997
Cost report for May 1, 1996 to April 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 3, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,596,221 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,675,399 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$79,178 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $168,212 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $89,034 (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 | 89 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,488 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 166 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 289.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 165.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 18392, 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 |
|---|---|---|---|---|
| SANFORD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/2019 |
| KLINE, RONALD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2024 |
| MORRISON, TONY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2019 |
| SOLHEIM, PAIGE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/20/2020 |
| BROWN, GEORGE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| DYKHOUSE, DANA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| ENGBRECHT, WESLEY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| GASSEN, WILLIAM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| GULSVIG, NEIL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| HERSETH SANDLIN, STEPHANIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| LUNDEEN, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| MCCAUSLAND, MAUREEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| MOLBERT, LAURIS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| NORTH, ANDREW | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| SCHIEFFER, KEVIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| SHULKIN, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| TEIKEN, BRENT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| VENTLING-HERRMANN, MARNIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/30/2024 |
| WENZEL, THOMAS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| FLUIT, JOEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2022 |
| GASSEN, WILLIAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/30/2024 |
| MIDDLETON, AIMEE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/27/2022 |
| OLSON, NICHOLAS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/08/2024 |
| SCHEMA, NATHAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2022 |
| KLINE, RONALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
| MORRISON, TONY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| SOLHEIM, PAIGE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/20/2020 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2019 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (enrollment ID O20070912000588).
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 |
|---|---|---|---|---|---|
| SANFORD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| PAIGE SOLHEIM | Individual | ADP OF THE SNF | Not stated in the filing | 12/20/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RONALD F KLINE | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TONY LEE MORRISON | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREW STEWART NORTH | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRENT GERARD TEIKEN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANA JAMES DYKHOUSE | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID JONATHAN SHULKIN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GEORGE JOSEPH BROWN | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN VICTOR SCHIEFFER | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURIS NELSON MOLBERT | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK ALLEN LUNDEEN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARNIE LYNN VENTLING-HERRMANN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MAUREEN PATRICIA MCCAUSLAND | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NEIL LESLIE GULSVIG | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHANIE MARIE HERSETH SANDLIN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS RICHARD WENZEL | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WESLEY OWEN ENGBRECHT | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM JOSEPH GASSEN | Individual | CORPORATE DIRECTOR | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AIMEE NICOLE MIDDLETON | Individual | CORPORATE OFFICER | 0 | 1/27/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOEL ADAM FLUIT | Individual | CORPORATE OFFICER | 0 | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATHAN THOMAS SCHEMA | Individual | CORPORATE OFFICER | 0 | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICHOLAS WAYNE OLSON | Individual | CORPORATE OFFICER | 0 | 4/8/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM JOSEPH GASSEN | Individual | CORPORATE OFFICER | 0 | 5/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAIGE SOLHEIM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/20/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RONALD F KLINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 1/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| TONY LEE MORRISON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- April 1, 2025: PAIGE BLOOM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RONALD F KLINE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: MICHAEL ROGERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: JAMES EDWARD CAIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: TONY LEE MORRISON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: TONY LEE MORRISON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: KEVIN VICTOR SCHIEFFER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: PAIGE BLOOM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 20, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: PAIGE BLOOM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 20, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: THOMAS RICHARD WENZEL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: MAUREEN PATRICIA MCCAUSLAND (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: GEORGE JOSEPH BROWN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RONALD F KLINE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RONALD F KLINE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: TONY LEE MORRISON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- October 1, 2024: SCOTT WOOTEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: THOMAS PHILLIP KOOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SANFORD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MICHAEL ROGERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: LINDA OLAYINKA NORMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SCOTT WOOTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: NICHOLAS WAYNE OLSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since April 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: LAURIS NELSON MOLBERT (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: NEIL LESLIE GULSVIG (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: PAIGE BLOOM (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since December 20, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DAVID JONATHAN SHULKIN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SANFORD (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: WESLEY OWEN ENGBRECHT (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: RONALD F KLINE (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: WILLIAM JOSEPH GASSEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: WILLIAM JOSEPH GASSEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: STEPHANIE MARIE HERSETH SANDLIN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: ANDREW STEWART NORTH (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MICHAEL ROGERS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DANA JAMES DYKHOUSE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: BRENT GERARD TEIKEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: JAMES EDWARD CAIN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MARNIE LYNN VENTLING-HERRMANN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MARK ALLEN LUNDEEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2024; associated with this enrollment since May 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- April 1, 2024: WILLIAM D MARLETTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: SCOTT WOOTEN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since January 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: SCOTT WOOTEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since January 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- March 1, 2024: DAVID A BRECHTELSBAUER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- October 2, 2023: REBECCA MARIE BOLLIG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: KELBY K KRABBENHOFT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LISA MELBY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOANN L KUNKEL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOANN L KUNKEL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: NORVAL BUCKNEBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: TIMOTHY PHILLIPPE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JAVIER ESPINOSA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOSEPH E HERDINA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOSEPH E HERDINA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: BERGEN V PETERSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JILL SCHUMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: HEATHER LYNN KRZMARZICK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: THOMAS J KAPUSTA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: ALAN GARD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: ERIC VANDEN HULL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: ERIC VANDEN HULL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHELLE MARIE MICKA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHELLE MARIE MICKA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOHN R RACEK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: STEPHANIE MARIE SWENSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: STEPHANIE MARIE SWENSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: GWEN E HALAAS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: THOMAS A SYVERSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: PATRICIA CAMERO no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOLYN JOY MUNSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOLYN JOY MUNSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: RANDY BURY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: RANDY BURY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DINA ROBINSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: KARIN LOUISE DULSKI no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: KARIN LOUISE DULSKI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: TONY LEE MORRISON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DAREN RIFE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LEE LAAVEG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DALE M THOMPSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DAVID A BRECHTELSBAUER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 25, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DEAN LOUIS BRESCIANI (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: THOMAS PHILLIP KOOP (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 16, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: NATHAN THOMAS SCHEMA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 24, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MATTHEW RYAN HOCKS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: AIMEE NICOLE MIDDLETON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since January 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: AIMEE NICOLE MIDDLETON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since January 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHAEL ROGERS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOEL FLUIT (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: WILLIAM D MARLETTE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: TONY LEE MORRISON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since February 1, 1991. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DARRELL EVAN SCHMITH (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 25, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LINDA OLAYINKA NORMAN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 22, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DAVID AUSTAD (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 25, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: HELEN ISABELLA MELLAND (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 22, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
Recent changes on this record
- July 31, 2026: A deficiency was cited under tag F 0949, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 31, 2026: A deficiency was cited under tag F 0847, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 31, 2026: A deficiency was cited under tag F 0755, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 31, 2026: A deficiency was cited under tag F 0644, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 31, 2026: A deficiency was cited under tag F 0609, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 31, 2026: A deficiency was cited under tag F 0610, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 31, 2026: A deficiency was cited under tag F 0607, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 31, 2026: A deficiency was cited under tag F 0880, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- July 31, 2026: A deficiency was cited under tag F 0812, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- July 31, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- September 18, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- June 18, 2025: An inspection was recorded in inspection cycle 2. NH_SurveySummary_Sep2026_2.csv
- April 1, 2025: PAIGE BLOOM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RONALD F KLINE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: MICHAEL ROGERS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: JAMES EDWARD CAIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: TONY LEE MORRISON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: TONY LEE MORRISON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: KEVIN VICTOR SCHIEFFER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: PAIGE BLOOM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 20, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: PAIGE BLOOM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 20, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: THOMAS RICHARD WENZEL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: MAUREEN PATRICIA MCCAUSLAND (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: GEORGE JOSEPH BROWN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RONALD F KLINE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: RONALD F KLINE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: TONY LEE MORRISON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- October 16, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- October 1, 2024: SCOTT WOOTEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: THOMAS PHILLIP KOOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SANFORD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: MICHAEL ROGERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- October 1, 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 31, 2026 | July 31, 2026 | 9 | 3 |
| 2 | June 18, 2025 | June 18, 2025 | 0 | 3 |
| 3 | September 5, 2024 | September 5, 2024 | 4 | 4 |
| 2 | July 20, 2023 | July 20, 2023 | 4 | 2 |
| 3 | April 29, 2021 | April 29, 2021 | 8 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
24 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 31, 2026 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | No | Deficient, Provider has no plan of correction | |
| July 31, 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 | No | Deficient, Provider has no plan of correction | |
| July 31, 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | No | Deficient, Provider has no plan of correction | |
| July 31, 2026 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has no plan of correction | |
| July 31, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has no plan of correction | |
| July 31, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has no plan of correction | |
| July 31, 2026 | Health | F 0847 | Administration Deficiencies | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | No | Deficient, Provider has no plan of correction | |
| July 31, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has no plan of correction | |
| July 31, 2026 | Health | F 0949 | Administration Deficiencies | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | No | Deficient, Provider has no plan of correction | |
| September 5, 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 | October 8, 2024 |
| September 5, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | October 8, 2024 |
| September 5, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | October 8, 2024 |
| January 31, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | March 1, 2024 |
| July 20, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | August 25, 2023 |
| July 20, 2023 | 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 | August 25, 2023 |
| July 20, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | August 25, 2023 |
| July 20, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | August 25, 2023 |
| April 29, 2021 | 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 | May 28, 2021 |
| April 29, 2021 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | May 28, 2021 |
| April 29, 2021 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | No | Deficient, Provider has date of correction | May 28, 2021 |
| April 29, 2021 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | May 28, 2021 |
| April 29, 2021 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | May 28, 2021 |
| April 29, 2021 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | May 28, 2021 |
| April 29, 2021 | 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. | D | No | Deficient, Provider has date of correction | May 28, 2021 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Date First Approved to Provide Medicare and Medicaid Services | 1987-04-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Jackson |
| Telephone Number | 5078473100 |
| Chain Name | GOOD SAMARITAN SOCIETY |
| Chain ID | 726 |
| 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 | 46 |
| Average Number of Residents per Day | 36.5 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on GOOD SAMARITAN SOCIETY - JACKSON: 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 July 31, 2026: A deficiency was cited under tag F 0949, scope and severity D. That is one line of the alert.
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The citable document for GOOD SAMARITAN SOCIETY - JACKSON
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Minnesota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in Minnesota
- CENTRAL SPECIALTIES INC-TEMPORARY GRAVEL LOCATIONS STATEWIDE, ALEXANDRIA Water discharge permit
- PROGRESSIVE CONTRACTORS INC-PCI1 PORTABLE, ST. MICHAEL Water discharge permit
- NORTHSTAR MATERIALS INC-PORTABLE ASHPALT PLANTS 1 & 2 & 5, BEMIDJI Water discharge permit
- MARK SAND & GRAVEL COMPANY-PORTABLE ASPHALT PLANTS, FERGUS FALLS Water discharge permit
- BITUMINOUS PAVING INC-PORTABLE ASPHALT PLANT, ODESSA Water discharge permit
- CENTRAL SPECIALTIES INC-PORTABLE ASPHALT PLANTS, ALEXANDRIA Water discharge permit
- HOLCIM-MWR, INC.-FILL PITS TEMPORARY GRAVEL SITES, EAGEN Water discharge permit
- MARK SAND & GRAVEL-TEMPORARY GRAVEL SITES, FERGUS FALLS Water discharge permit
- CENTRAL SPECIALTIES INC - PLANT 6, ALEXANDRIA Air emission source
- CENTRAL SPECIALTIES INC - PLANT 5, ALEXANDRIA Air emission source
- CENTRAL SPECIALTIES INC - PLANT 4, ALEXANDRIA Air emission source
- CENTRAL SPECIALTIES INC - PLANT 3, ALEXANDRIA Air emission source
- INTEX CORP, ALBERTVILLE Air emission source
- HAWKINSON CONSTRUCTION CO INC - PLANT 2, GRAND RAPIDS Air emission source
- TRI CITY PAVING INC, LITTLE FALLS Air emission source
- KNIFE RIVER CORP N CENTRAL - PLANT 7, LITTLE FALLS Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 245455.