Skilled nursing facility · CMS certification number 245523
GOOD SAMARITAN SOCIETY CLEARBROOK
CLEARBROOK, 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 May 1, 2017 to December 8, 2017 — a reporting period of 221 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 9, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,564,584 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $101,852 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,462,732 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,571,451 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$108,719 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,564 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$93,155 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$90,234 (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 | 43 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 9,546 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 105 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 4,437 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,274 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 5,816 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 1 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 47 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 43 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 105 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 94.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189551, read from the public cost report file SNF10FY2017.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 November 3, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,574,174 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $206,243 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,367,931 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,658,560 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$290,629 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,901 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$270,728 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$278,087 (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 | 43 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,550 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 67 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 269.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1177907, 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 January 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,757,644 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $213,043 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,544,601 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,764,118 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$219,517 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,726 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$186,791 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$267,371 (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 | 43 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,752 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 499.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 221.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117691, 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 September 10, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,985,786 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $257,062 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,728,724 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,750,432 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$21,708 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,144 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,436 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$71,967 (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 | 43 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,085 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 33 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 812.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 457.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077941, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended April 30, 2013
Cost report for May 1, 2012 to April 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,043,712 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $313,389 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,730,323 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,720,556 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $9,767 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,184 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $22,951 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$49,300 (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 | 43 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,705 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 43 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 661.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 341.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1071101, 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 September 15, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,716,950 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $41,948 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,675,002 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,613,456 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $61,546 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $43,991 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $105,537 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $185,763 (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 | 43 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,212 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 27 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,095.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 526.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1048094, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,654,784 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,762,006 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$107,222 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,361 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $15,548 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$103,409 (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 | 45 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,851 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 124 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 219.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 119.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433098, 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 September 30, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,583,103 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,656,631 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$73,528 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $121,676 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $26,337 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $21,811 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,839 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 89 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 255.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 166.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418717, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,675,396 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,834,670 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$159,274 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$34,417 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $17,042 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$210,733 (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 | 48 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,538 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 109 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 298.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 151.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385137, 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 19, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,872,697 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,943,425 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$70,728 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $72,890 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $25,498 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$23,336 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,057 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 328.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 160.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 357963, 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 September 22, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,857,973 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,926,199 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$68,226 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $131,035 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,870 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $54,939 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,295 | 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 | 42.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 640.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 312.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 326034, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,840,466 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,042,553 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$202,087 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $125,173 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,148 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$81,062 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,391 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 567.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 291.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 271215, 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 May 30, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,915,778 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,914,494 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,284 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $92,822 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $21,431 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $72,675 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,742 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,251.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 432.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 250530, 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 April 28, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,895,055 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,890,196 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $4,859 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $180,073 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,500 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $179,432 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,344 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 994.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 508.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 215380, 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 21, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,955,561 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,054,335 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$98,774 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $75,321 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $42,639 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$66,092 (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 | 73 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,737 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 55 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,083.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 413.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 194913, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,213,727 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,080,717 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $133,010 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,083 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,963 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $146,130 (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 | 73 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,356 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 112 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 75.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 519.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 235.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 159125, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended April 30, 2001
Cost report for May 1, 2000 to April 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 18, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,920,141 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,911,524 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $8,617 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $70,113 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $78,730 (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 | 73 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,745 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 4,895 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 514.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133028, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended April 30, 2000
Cost report for May 1, 1999 to April 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,670,613 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,758,578 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$87,965 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $72,426 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$15,542 (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 | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,620 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 811.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 275.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 121101, 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 21, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,870,609 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,953,879 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$83,270 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $159,109 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,579 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $68,260 (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 | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,630 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 46 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,154.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 600.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195436, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended April 30, 1998
Cost report for May 1, 1997 to April 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on May 13, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,257,171 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,282,482 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$25,311 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $167,532 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $142,221 (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 | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,285 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 134 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 84.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 545.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 240.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 216758, 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 30, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,109,551 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,246,298 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$136,747 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $154,448 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $17,701 (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 | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,841 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 121 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 631.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 263.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 1452, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
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
- May 9, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- November 3, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- October 31, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- January 20, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- September 10, 2014: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- July 23, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- September 15, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- October 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- September 30, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- August 11, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- October 19, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- September 22, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- January 29, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- May 30, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- May 13, 2005: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- April 28, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- September 21, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- September 21, 2004: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- September 10, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- March 18, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- February 12, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- November 30, 2000: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.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 GOOD SAMARITAN SOCIETY CLEARBROOK
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 245523.