Skilled nursing facility · CMS certification number 245545
FAIR MEADOW NURSING HOME
FERTILE, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 42
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2025.
None of these figures is carried on this report.
CMS report record 1422004, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 27, 2024.
None of these figures is carried on this report.
CMS report record 1386999, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 9, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,157,821 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $112,253 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,045,568 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,428,586 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$383,018 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $269,701 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$113,317 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$148,685 (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 | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,926 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 31 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 741.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 449.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344111, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,705,209 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $196,055 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,509,154 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,703,991 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$194,837 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $719,860 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $525,023 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $521,559 (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 | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,848 | 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 | 59.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 896.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 419.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313531, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 12, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,581,797 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $103,368 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,478,429 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,822,413 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$343,984 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $96,096 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$247,888 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$247,888 (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 | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,444 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 30 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 822.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 481.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283731, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 24, 2020.
None of these figures is carried on this report.
CMS report record 1253101, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,364,905 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $279,822 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,085,083 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,063,252 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $21,831 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $35,622 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $57,453 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $57,453 (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 | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,653 | 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 | 48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 842.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 340.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222322, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
None of these figures is carried on this report.
CMS report record 1188346, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2017.
None of these figures is carried on this report.
CMS report record 1155810, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 20, 2016.
None of these figures is carried on this report.
CMS report record 1124313, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 16, 2015.
None of these figures is carried on this report.
CMS report record 1088204, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 23, 2014.
None of these figures is carried on this report.
CMS report record 1058816, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 19, 2013.
None of these figures is carried on this report.
CMS report record 1027136, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 6, 2013.
None of these figures is carried on this report.
CMS report record 434796, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 30, 2012.
None of these figures is carried on this report.
CMS report record 424239, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 17, 2010.
None of these figures is carried on this report.
CMS report record 389754, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on December 21, 2009.
None of these figures is carried on this report.
CMS report record 361417, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 3, 2009.
None of these figures is carried on this report.
CMS report record 334518, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 31, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,115,534 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,412,351 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$296,817 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $170,251 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$126,566 (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 | 20,790 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 39 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 689.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 533.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305992, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on February 22, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,042,460 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,189,227 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$146,767 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $184,131 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $61 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $37,303 (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 | 20,834 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 810.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 400.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243395, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 18, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,004,709 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,365,803 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$361,094 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $128,034 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $559 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$233,619 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,527 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 956.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 358.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 237117, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 24, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,231,743 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,623,065 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$391,322 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $64,880 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$326,442 (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 | 76 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,641 | 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 | 60.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 768.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 513.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 200570, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — 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 | $3,260,165 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,438,631 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$178,466 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $123,765 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $18,590 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$73,291 (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 | 76 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,354 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 78.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 771 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 563.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 194005, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 4, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,400,830 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,127,024 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $273,806 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $103,277 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,748 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $372,335 (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 | 76 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,706 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 33 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 112.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,484.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 809.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 168359, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 27, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,831,189 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,881,020 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$49,831 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $56,215 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $16,104 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$9,720 (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 | 78 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,657 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 91.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,063 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 641.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42789, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on April 21, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,750,878 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,713,765 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $37,113 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $67,235 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $12,190 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $92,158 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,203 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 43 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,196.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 609.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42788, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on May 2, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,631,575 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,570,183 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $61,392 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54,535 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $115,927 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,967 | 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 | 59.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,131.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 642.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42786, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 3, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,474,405 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,403,254 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $71,151 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $45,799 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $116,950 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,914 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 41 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,317.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 656.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 29168, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended September 30, 1996
Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on April 21, 1997.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,304,377 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,298,958 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $5,419 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,755 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $46,174 (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 | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,492 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 54 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 77.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 690.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 472.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 29167, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| VILLAGE OF FERTILE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/1991 |
| LARSON, SANDRA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/06/2025 |
| VILLAGE OF FERTILE | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/06/2025 |
| WHITE, CHERYL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/06/2025 |
| LARSON, SANDRA | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 04/29/2024 |
| WHITE, CHERYL | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 07/01/2023 |
| BOSMAN, AMANDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/12/2022 |
| KIEFERT, MARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/11/2021 |
| MASSMANN, MATTHEW | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/08/2020 |
| TODAHL, EILEEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/10/2024 |
| WILKENS, DANIEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2017 |
| LIDEN, LISA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/21/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of VILLAGE OF FERTILE (enrollment ID O20100205000148).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| VILLAGE OF FERTILE | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/1991 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHERYL L WHITE | Individual | ADP OF THE SNF | Not stated in the filing | 1/6/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SANDRA LARSON | Individual | ADP OF THE SNF | Not stated in the filing | 1/6/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VILLAGE OF FERTILE | Organization | ADP OF THE SNF | Not stated in the filing | 1/6/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHERYL L WHITE | Individual | CONTRACTED MANAGING EMPLOYEE | Not stated in the filing | 7/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SANDRA LARSON | Individual | CONTRACTED MANAGING EMPLOYEE | Not stated in the filing | 4/29/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMANDA MAUREE BOSMAN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/12/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL WILKENS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EILEEN TODAHL | Individual | CORPORATE DIRECTOR | Not stated in the filing | 12/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY KIEFERT | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/11/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MATTHEW S MASSMANN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 6/8/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LISA JOY LIDEN | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 6/21/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- February 1, 2025: SANDRA LARSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: SANDRA LARSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: EILEEN TODAHL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MARY KIEFERT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 11, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: LISA JOY LIDEN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since June 21, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: AMANDA MAUREE BOSMAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 12, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: VILLAGE OF FERTILE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: VILLAGE OF FERTILE (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 1991. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DANIEL WILKENS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MATTHEW S MASSMANN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since June 8, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: CHERYL L WHITE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: CHERYL L WHITE (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- November 1, 2024: VILLAGE OF FERTILE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: KALIE ANNA CRAYTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: KALIE ANNA CRAYTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: KALIE ANNA CRAYTON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: SANDRA LARSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since April 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: SANDRA LARSON (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since April 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- March 1, 2024: ANGELA MAE LEITING no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: ANGELA MAE LEITING no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: KALIE ANNA CRAYTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since November 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: KALIE ANNA CRAYTON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since November 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: KALIE ANNA CRAYTON (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since November 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- May 15, 2023: BRIAN GENE NEPHEW no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: DANIELLE PETERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: TANNER JOHN LEHMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: LINDA SUSAN WIDRIG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: KATHLEEN MARIE LINDBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: LISA JOY LIDEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: DOROTHY EVELYN HARSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: CAROLYN LOUISE CHRISTIAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: ELISSA MICHELE RAAEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: TODD ARTHUR WISE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: DENNIS HOWARD HASLER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: KEITH OWEN BOLSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: JOHN EMIL SWANSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: ANGELA MAE LEITING (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since January 2, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
Recent changes on this record
- July 15, 2026: A deficiency was cited under tag F 0656, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 15, 2026: A deficiency was cited under tag F 0610, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 15, 2026: A deficiency was cited under tag F 0609, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- May 2, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- February 1, 2025: SANDRA LARSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: SANDRA LARSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: EILEEN TODAHL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MARY KIEFERT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 11, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: LISA JOY LIDEN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since June 21, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: AMANDA MAUREE BOSMAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since September 12, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: VILLAGE OF FERTILE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: VILLAGE OF FERTILE (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 1991. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DANIEL WILKENS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MATTHEW S MASSMANN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since June 8, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: CHERYL L WHITE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: CHERYL L WHITE (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- November 1, 2024: VILLAGE OF FERTILE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: KALIE ANNA CRAYTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: KALIE ANNA CRAYTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: KALIE ANNA CRAYTON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: SANDRA LARSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since April 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: SANDRA LARSON (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2024; associated with this enrollment since April 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- June 27, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- March 1, 2024: ANGELA MAE LEITING no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: ANGELA MAE LEITING no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: KALIE ANNA CRAYTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since November 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: KALIE ANNA CRAYTON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since November 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: KALIE ANNA CRAYTON (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since November 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- May 15, 2023: BRIAN GENE NEPHEW no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: DANIELLE PETERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: TANNER JOHN LEHMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: LINDA SUSAN WIDRIG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: KATHLEEN MARIE LINDBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: LISA JOY LIDEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: DOROTHY EVELYN HARSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: CAROLYN LOUISE CHRISTIAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: ELISSA MICHELE RAAEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: TODD ARTHUR WISE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: DENNIS HOWARD HASLER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: KEITH OWEN BOLSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 10, 2025 | September 10, 2025 | 11 | 2 |
| 2 | August 27, 2024 | August 27, 2024 | 5 | 8 |
| 3 | June 14, 2023 | June 14, 2023 | 1 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
17 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 15, 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has plan of correction | September 23, 2026 |
| July 15, 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has plan of correction | September 23, 2026 |
| July 15, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has plan of correction | September 23, 2026 |
| September 10, 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | October 31, 2025 |
| September 10, 2025 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | October 31, 2025 |
| September 10, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | October 31, 2025 |
| September 10, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | October 31, 2025 |
| September 10, 2025 | Health | F 0711 | Nursing and Physician Services Deficiencies | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | B | No | Deficient, Provider has date of correction | November 18, 2025 |
| September 10, 2025 | Health | F 0712 | Nursing and Physician Services Deficiencies | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | No | Deficient, Provider has date of correction | November 18, 2025 |
| September 10, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | October 31, 2025 |
| September 10, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | October 31, 2025 |
| October 21, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | October 30, 2024 |
| August 27, 2024 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | October 3, 2024 |
| August 27, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | October 3, 2024 |
| August 27, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | October 3, 2024 |
| August 27, 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | October 3, 2024 |
| June 14, 2023 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | July 5, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Other |
| Legal Business Name | VILLAGE OF FERTILE |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-02-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Polk |
| Telephone Number | 2189456194 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 42 |
| Average Number of Residents per Day | 39.2 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on FAIR MEADOW NURSING HOME: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On July 15, 2026: A deficiency was cited under tag F 0656, scope and severity D. That is one line of the alert.
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The citable document for FAIR MEADOW NURSING HOME
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 245545.