Velarion Records

Skilled nursing facility · CMS certification number 245476

GOOD SAMARITAN SOCIETY - PINE RIVER

PINE RIVER, Minnesota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 33

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 26, 2025.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$5,826,064CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$705,990CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,120,074CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,331,485CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$211,411CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$554,964CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$343,553CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $235,011 (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%).

Beds, days and discharges, fiscal year 2025
FigureAs filedWhere it comes from
Total facility beds, all components49CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components17,885CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days531CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days4,511CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days9,802CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components14,844CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges15CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges47CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges59CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components121CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days95.98CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days122.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440226, 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 17, 2024.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$6,064,434CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,130,848CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,933,586CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,236,405CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$302,819CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$631,691CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$328,872CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $251,277 (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%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components49CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,615CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components140CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days20.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days56.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days104.39CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1397446, 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 November 22, 2023.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$5,291,297CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,165,130CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,126,167CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,118,141CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$991,974CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$568,820CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$423,154CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$467,393 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components49CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,348CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components193CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days79.88CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days69.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1368441, 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.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$5,488,219CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,333,500CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,154,719CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,111,363CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$956,644CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$651,690CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$304,954CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$374,788 (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%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components49CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,190CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components217CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.42CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days55.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days65.39CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1336111, 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.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$5,834,992CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,070,056CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,764,936CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,058,628CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$293,692CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$718,093CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$424,401CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $432,724 (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%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components49CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,465CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components202CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days92.56CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days71.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1303541, 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 15, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$4,689,564CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$520,333CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,169,231CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,910,601CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$741,370CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,009,177CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$267,807CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $274,833 (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%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components49CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,995CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components73CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days19.23CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days502.46CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days232.81CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1278267, 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 23, 2019.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$5,237,021CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$641,693CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,595,328CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,104,672CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$509,344CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$625,757CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$116,413CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$17,164 (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%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components61CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,273CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components172CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days239.52CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days100.42CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1244784, 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.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$5,877,763CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$807,745CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,070,018CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,427,984CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$357,966CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$565,511CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$207,545CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $169,091 (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%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components66CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,383CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components158CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days286.36CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days122.68CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1211091, 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.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$5,988,553CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$610,810CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,377,743CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,616,493CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$238,750CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$527,754CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$289,004CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $269,548 (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%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components66CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,112CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components156CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.26CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days313.76CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days135.33CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1177714, 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.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$6,414,189CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$976,226CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,437,963CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,832,118CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$394,155CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$489,555CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$95,400CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $21,494 (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%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components66CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,893CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components243CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days219.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days85.98CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174648, 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 December 8, 2015.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$6,399,490CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,011,020CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,388,470CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,592,120CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$203,650CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$301,414CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$97,764CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $80,291 (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%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components72CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,383CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components162CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days312CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days138.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1114084, 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, settled, processed by CMS on November 6, 2014.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$6,557,621CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$830,601CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,727,020CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,437,839CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$289,181CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$248,526CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$537,707CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $517,320 (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%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components72CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,363CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components168CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.55CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days602.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days145.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1079832, 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 June 13, 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$6,324,071CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$792,330CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,531,741CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,599,013CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$67,272CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$73,098CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$5,826CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$36,648 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components78CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,225CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components160CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.71CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days526.92CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days170.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1064775, 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 May 28, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$5,640,676CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$424,891CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,215,785CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,416,624CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$200,839CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$94,747CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$106,092CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$108,199 (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%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components78CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,385CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components144CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.91CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days538.13CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days183.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1030359, 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 October 26, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$5,077,562CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,049,743CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$27,819CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$105,308CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$1,337CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $134,464 (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.

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components78CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components27,789CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components156CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.18CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days440.23CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days178.13CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 433096, 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 October 21, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$4,984,986CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,856,931CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$128,055CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$167,770CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$60,882CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $234,943 (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.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components78CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,979CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components120CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days28.67CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days698.63CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days216.49CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 419103, 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, processed by CMS on August 11, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$4,952,057CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,175,991CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$223,934CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$167,225CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$34,993CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$91,702 (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.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components78CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,799CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components145CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.2CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days343.55CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days184.82CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 385135, 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 October 13, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$4,998,868CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,355,662CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$356,794CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$348,592CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$196,642CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$204,844 (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.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components100CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,847CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components185CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days21.9CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days410.31CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days155.93CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 357645, 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.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$4,886,082CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,931,512CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$45,430CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$124,076CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$20,420CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $58,226 (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.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components84CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,037CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components123CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days29.97CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days708.11CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days236.07CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 324887, 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, as submitted, processed by CMS on January 29, 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$4,730,993CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,835,163CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$104,170CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$99,165CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$36,554CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$41,559 (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.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components84CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,958CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components108CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days27.04CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days834.65CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days277.39CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 271212, 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 July 24, 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$5,094,323CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,172,274CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$77,951CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$45,164CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$21,656CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$54,443 (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.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components94CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,326CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components154CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.2CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days500.93CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days209.91CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 259571, 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 19, 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$5,183,575CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,296,067CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$112,492CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$41,224CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$49,579CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$120,847 (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.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components94CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,757CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components121CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days50.61CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days528.38CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days278.98CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 228110, 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 September 24, 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$5,188,298CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,465,684CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$277,386CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$124,039CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$123,608CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$276,955 (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.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components94CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,649CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components93CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days75.21CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days536.83CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days361.82CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 195770, 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 10, 2003.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$5,226,929CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,477,536CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$250,607CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$332,601CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $81,994 (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.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components94CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,611CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components117CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days48.15CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days882.92CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days287.27CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 159124, 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.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$4,951,738CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,371,506CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$419,768CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$132,579CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$287,189 (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.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components46,623CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components117CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.82CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days803.52CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days398.49CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 133043, 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, as submitted, processed by CMS on November 8, 2000.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$4,526,283CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,194,252CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$667,969CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$191,308CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$476,661 (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.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components156CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components48,312CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components111CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days68.35CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,035.32CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days435.24CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 1444, 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.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$4,490,681CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,641,548CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,150,867CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$121,329CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$144,984CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$1,174,522 (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.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components38,149CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components131CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days28.92CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days740.97CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days291.21CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 191648, 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 July 20, 2005.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$4,536,235CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,426,845CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$109,390CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$90,573CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $199,963 (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.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,505CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components310CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.52CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days339.76CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days137.11CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 228397, 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.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$4,142,016CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,461,074CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$319,058CMS-2540-96 worksheet G300000 line 500 column 100
Total other income−$71,302CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$390,360 (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.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,282CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components204CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days77.47CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days451.42CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days207.26CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 18395, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
SANFORD5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 01/01/2019
AHLF, CIERRAADP OF THE SNFIndividualNOT APPLICABLEsince 01/15/2024
BROWN, GEORGEADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
DTN STAFFING INCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/02/2024
DYKHOUSE, DANAADP OF THE SNFIndividualNOT APPLICABLEsince 05/30/2024
ENGBRECHT, WESLEYADP OF THE SNFIndividualNOT APPLICABLEsince 05/30/2024
FLUIT, JOELADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2022
FOCUSONE SOLUTIONSADP OF THE SNFOrganizationNOT APPLICABLEsince 03/04/2024
GASSEN, WILLIAMADP OF THE SNFIndividualNOT APPLICABLEsince 05/30/2024
GRAPE TREE MEDICAL STAFFING LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/13/2018
GUARDIAN PHARMACY OF MINNESOTA LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 09/26/2024
GULSVIG, NEILADP OF THE SNFIndividualNOT APPLICABLEsince 05/30/2024
HERSETH SANDLIN, STEPHANIEADP OF THE SNFIndividualNOT APPLICABLEsince 05/30/2024
LUNDEEN, MARKADP OF THE SNFIndividualNOT APPLICABLEsince 05/30/2024
MCCAUSLAND, MAUREENADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
MIDDLETON, AIMEEADP OF THE SNFIndividualNOT APPLICABLEsince 01/27/2022
MOLBERT, LAURISADP OF THE SNFIndividualNOT APPLICABLEsince 05/30/2024
MORRISON, TONYADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2019
NORTH, ANDREWADP OF THE SNFIndividualNOT APPLICABLEsince 05/30/2024
OLSON, JULIEADP OF THE SNFIndividualNOT APPLICABLEsince 10/16/2018
OLSON, NICHOLASADP OF THE SNFIndividualNOT APPLICABLEsince 04/08/2024
SANDGREN, DEEANDRAADP OF THE SNFIndividualNOT APPLICABLEsince 07/16/2023
SCHEMA, NATHANADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2022
SCHIEFFER, KEVINADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
SHULKIN, DAVIDADP OF THE SNFIndividualNOT APPLICABLEsince 05/30/2024
TEIKEN, BRENTADP OF THE SNFIndividualNOT APPLICABLEsince 05/30/2024
VENTLING-HERRMANN, MARNIEADP OF THE SNFIndividualNOT APPLICABLEsince 05/30/2024
WENZEL, THOMASADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
BROWN, GEORGECORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
DYKHOUSE, DANACORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
ENGBRECHT, WESLEYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
GASSEN, WILLIAMCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
GULSVIG, NEILCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
HERSETH SANDLIN, STEPHANIECORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
LUNDEEN, MARKCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
MCCAUSLAND, MAUREENCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
MOLBERT, LAURISCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
NORTH, ANDREWCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
SCHIEFFER, KEVINCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
SHULKIN, DAVIDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
TEIKEN, BRENTCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
VENTLING-HERRMANN, MARNIECORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
WENZEL, THOMASCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
FLUIT, JOELCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/01/2022
GASSEN, WILLIAMCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/30/2024
MIDDLETON, AIMEECORPORATE OFFICERIndividualNOT APPLICABLEsince 01/27/2022
OLSON, NICHOLASCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/08/2024
SCHEMA, NATHANCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2022
AHLF, CIERRAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/15/2024
MORRISON, TONYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2019
OLSON, JULIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/16/2018
SANDGREN, DEEANDRAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/16/2023
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 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 O20070912000811).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
SANFORDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1001/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
AIMEE NICOLE MIDDLETONIndividualADP OF THE SNFNot stated in the filing1/27/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANDREW STEWART NORTHIndividualADP OF THE SNFNot stated in the filing5/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BRENT GERARD TEIKENIndividualADP OF THE SNFNot stated in the filing5/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CIERRA AHLFIndividualADP OF THE SNFNot stated in the filing1/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DANA JAMES DYKHOUSEIndividualADP OF THE SNFNot stated in the filing5/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DAVID JONATHAN SHULKINIndividualADP OF THE SNFNot stated in the filing5/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DEEANDRA DAWN SANDGRENIndividualADP OF THE SNFNot stated in the filing7/16/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DTN STAFFING INCOrganizationADP OF THE SNFNot stated in the filing8/2/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
FOCUSONE SOLUTIONSOrganizationADP OF THE SNFNot stated in the filing3/4/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
GEORGE JOSEPH BROWNIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GRAPE TREE MEDICAL STAFFING LLCOrganizationADP OF THE SNFNot stated in the filing4/13/2018
Private equity company: No
Real estate investment trust: No
Holding company: No
GUARDIAN PHARMACY OF MINNESOTA LLCOrganizationADP OF THE SNFNot stated in the filing9/26/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
JOEL ADAM FLUITIndividualADP OF THE SNFNot stated in the filing10/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JULIE KAY OLSONIndividualADP OF THE SNFNot stated in the filing10/16/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KEVIN VICTOR SCHIEFFERIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAURIS NELSON MOLBERTIndividualADP OF THE SNFNot stated in the filing5/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARK ALLEN LUNDEENIndividualADP OF THE SNFNot stated in the filing5/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARNIE LYNN VENTLING-HERRMANNIndividualADP OF THE SNFNot stated in the filing5/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MAUREEN PATRICIA MCCAUSLANDIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NATHAN THOMAS SCHEMAIndividualADP OF THE SNFNot stated in the filing1/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NEIL LESLIE GULSVIGIndividualADP OF THE SNFNot stated in the filing5/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NICHOLAS WAYNE OLSONIndividualADP OF THE SNFNot stated in the filing4/8/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEPHANIE MARIE HERSETH SANDLINIndividualADP OF THE SNFNot stated in the filing5/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THOMAS RICHARD WENZELIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TONY LEE MORRISONIndividualADP OF THE SNFNot stated in the filing1/1/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WESLEY OWEN ENGBRECHTIndividualADP OF THE SNFNot stated in the filing5/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WILLIAM JOSEPH GASSENIndividualADP OF THE SNFNot stated in the filing5/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing10/1/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing3/25/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing10/1/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing10/1/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing4/14/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing9/26/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing10/1/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing3/12/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing9/26/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing2/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANDREW STEWART NORTHIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BRENT GERARD TEIKENIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DANA JAMES DYKHOUSEIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DAVID JONATHAN SHULKINIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GEORGE JOSEPH BROWNIndividualCORPORATE DIRECTOR01/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KEVIN VICTOR SCHIEFFERIndividualCORPORATE DIRECTOR01/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAURIS NELSON MOLBERTIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARK ALLEN LUNDEENIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARNIE LYNN VENTLING-HERRMANNIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MAUREEN PATRICIA MCCAUSLANDIndividualCORPORATE DIRECTOR01/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NEIL LESLIE GULSVIGIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEPHANIE MARIE HERSETH SANDLINIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THOMAS RICHARD WENZELIndividualCORPORATE DIRECTOR01/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WESLEY OWEN ENGBRECHTIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WILLIAM JOSEPH GASSENIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
AIMEE NICOLE MIDDLETONIndividualCORPORATE OFFICER01/27/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOEL ADAM FLUITIndividualCORPORATE OFFICER010/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NATHAN THOMAS SCHEMAIndividualCORPORATE OFFICER01/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NICHOLAS WAYNE OLSONIndividualCORPORATE OFFICER04/8/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WILLIAM JOSEPH GASSENIndividualCORPORATE OFFICER05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CIERRA AHLFIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DEEANDRA DAWN SANDGRENIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing7/16/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JULIE KAY OLSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing10/16/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOrganizationOPERATIONAL/MANAGERIAL CONTROL1001/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
TONY LEE MORRISONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1March 25, 2026March 25, 202611
2February 5, 2025February 5, 202539
3January 9, 2024January 9, 202447

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

8 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
March 25, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionApril 10, 2026
February 5, 2025HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correctionMarch 12, 2025
February 5, 2025HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FNoDeficient, Provider has date of correctionMarch 11, 2025
February 5, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionMarch 11, 2025
April 5, 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionMay 5, 2024
January 9, 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.ENoDeficient, Provider has date of correctionJanuary 29, 2024
January 9, 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correctionJanuary 29, 2024
January 9, 2024HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.ENoDeficient, Provider has date of correctionJanuary 29, 2024

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Date First Approved to Provide Medicare and Medicaid Services1987-05-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishCass
Telephone Number2185874423
Chain NameGOOD SAMARITAN SOCIETY
Chain ID726
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds33
Average Number of Residents per Day29.1
Overall Rating4
Health Inspection Rating4
QM Rating2
Long-Stay QM Rating2
Short-Stay QM Rating2
Processing Date2026-09-01

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 - PINE RIVER: 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 March 1, 2026: JULIE KAY OLSON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for GOOD SAMARITAN SOCIETY - PINE RIVER

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Minnesota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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