Skilled nursing facility · CMS certification number 245479
RESIDENCE ON HUMBOLDT
ST. PAUL, Minnesota
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.
This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026.
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 July 1, 2018 to June 14, 2019 — a reporting period of 348 days, on form CMS-2540-10, settled, processed by CMS on February 4, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,545,124 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,769,767 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,775,357 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,950,098 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,174,741 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,907,630 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$267,111 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$357,924 (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 | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 10,470 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,924 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 2,738 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 4,662 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 120 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 152 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 272 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 17.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1250418, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,203,831 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,903,390 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,300,441 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,298,114 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,997,673 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,833,680 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$163,993 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$331,652 (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 | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,293 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 467 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 15.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218289, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 13, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,377,886 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,087,319 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,290,567 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,130,922 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,840,355 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,721,656 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$118,699 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$268,224 (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 | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,605 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 505 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 15.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 15.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1183730, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 26, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,530,788 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,772,392 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,758,396 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,385,618 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,627,222 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,769,523 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $142,301 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $7,238 (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 | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,751 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 383 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 17.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1152005, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 19, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,033,191 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,039,714 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,993,477 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,360,234 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,366,757 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,244,985 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$121,772 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$271,285 (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 | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,390 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 404 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 18.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144941, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 21, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,050,092 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,884,268 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,165,824 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,275,829 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,110,005 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,185,027 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $75,022 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$98,601 (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 | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,524 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 411 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 18.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084763, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 3, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,919,282 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,286,534 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,632,748 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,420,149 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $212,599 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $133,291 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $345,890 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $180,746 (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 | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,221 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 503 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 16.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055084, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 21, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,342,999 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,483,805 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,859,194 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,365,527 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $493,667 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,118 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $510,785 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $276,380 (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 | 30 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,661 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 566 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 15.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 15.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1025098, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 18, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,521,559 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,394,671 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $126,888 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $49,972 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $176,860 (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 | 30 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 8,172 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 583 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 14.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 14.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423166, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 12, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,514,282 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,629,310 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$115,028 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,754 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,204 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$97,478 (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 | 30 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 8,494 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 664 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 13.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 12.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392212, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 13, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,545,061 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,498,872 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,953,811 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,857,419 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,874 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$106,266 (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 | 30 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,095 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 636 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 14.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 14.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362289, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,352,871 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,497,716 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,144,845 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,977,805 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $127,223 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$294,263 (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 | 30 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,345 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 747 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 11.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 12.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333457, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 5, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,889,321 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,280,550 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,391,229 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,747,897 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $51,978 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$695,310 (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 | 30 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 8,735 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 773 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 11.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 11.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 301780, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 29, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,258,582 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,240,058 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,981,476 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,529,290 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $39,053 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $508,761 (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 | 30 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,310 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 823 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 11.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 11.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 292954, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for September 1, 2004 to June 30, 2005 — a reporting period of 302 days, on form CMS-2540-96, settled, processed by CMS on October 16, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,017,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,020,198 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,198 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,999 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $367,802 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$356,001 (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 | 151 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,627 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 731 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 11.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 50.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264418, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended August 31, 2004
Cost report for September 1, 2003 to August 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,715,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,289,399 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$574,399 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $250,601 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$798,000 (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 | 151 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,265 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 853 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 12.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 51.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241248, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended August 31, 2003
Cost report for September 1, 2002 to August 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 11, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,786,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,727,920 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$941,920 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $188,080 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$1,114,000 (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 | 151 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,243 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 390 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 12.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 113.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 216526, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended August 31, 2002
Cost report for September 1, 2001 to August 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 7, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,505,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,086,025 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$581,025 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $203,975 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$767,000 (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 | 229 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,630 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 282.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 620.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 175587, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended August 31, 2001
Cost report for September 1, 2000 to August 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 28, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,390,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,621,370 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$231,370 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $64,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $181,630 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$349,000 (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 | 229 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,300 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 77 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 871.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 757.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 155379, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended August 31, 2000
Cost report for September 1, 1999 to August 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 26, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,393,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,406,897 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,013,897 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,781,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $173,000 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$405,897 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 55,851 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 65 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 704.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 859.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42577, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended August 31, 1999
Cost report for January 1, 1999 to August 31, 1999 — a reporting period of 242 days, not a full year, on form CMS-2540-96, settled, processed by CMS on November 19, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,480,594 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,724,921 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$244,327 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $135,087 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$109,240 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,995 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 65 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicaid, in days | 611.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 569.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42575, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for July 1, 1998 to December 31, 1998 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on November 21, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,815,266 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,363,125 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$547,859 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,629 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$525,230 (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 | 179 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,576 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 20 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 1,478.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42574, read from the public cost report file SNFFY1998.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
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
No change in ownership appears in CMS’s ownership data for this facility.
Recent changes on this record
- February 4, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- January 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- February 13, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- January 26, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- October 19, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- January 21, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- February 3, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- February 21, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- January 18, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- January 12, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- January 13, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- February 12, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- February 5, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- August 29, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- October 16, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- January 24, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- May 11, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- May 7, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- July 28, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- March 26, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- November 19, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- November 21, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
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The citable document for RESIDENCE ON HUMBOLDT
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Minnesota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 245479.