Skilled nursing facility · CMS certification number 245559
VIKING MANOR NURSING HOME
ULEN, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 45
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 February 13, 2025.
None of these figures is carried on this report.
CMS report record 1403606, 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 April 11, 2024.
None of these figures is carried on this report.
CMS report record 1376261, 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 April 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,358,155 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,358,155 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,967,755 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$609,600 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $658,625 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $49,025 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $49,025 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,735 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 38 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 361.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345570, 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 May 17, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,975,149 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,975,149 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,574,459 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$599,310 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $897,555 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $298,245 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $298,245 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,664 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 38 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 359.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1316153, 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 July 15, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,387,051 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,387,051 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,602,784 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$215,733 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $881,005 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $665,272 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $665,272 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,431 | 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 | 89.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 514.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1288678, 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 May 7, 2020.
None of these figures is carried on this report.
CMS report record 1255087, 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 18, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,267,801 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,267,801 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,751,168 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$483,367 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $526,657 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $43,290 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $43,290 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,715 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 276.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222984, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,393,070 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,393,070 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,813,999 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$420,929 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $520,395 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $99,466 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $99,466 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,045 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 54 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 260.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188414, 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 1155911, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,860,019 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,860,019 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,337,108 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$477,089 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $449,621 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$27,468 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$27,533 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,326 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 41 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 373.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1124291, 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 1088206, 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 18, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,740,978 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,740,978 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,939,959 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$198,981 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $391,658 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $192,677 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $192,677 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,476 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 19 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 814.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058528, 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 March 26, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,780,435 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,780,435 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,921,486 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$141,051 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $427,237 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $286,186 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $286,186 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,824 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 41 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 385.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1026492, 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 March 13, 2012.
None of these figures is carried on this report.
CMS report record 425950, 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 May 4, 2011.
None of these figures is carried on this report.
CMS report record 398697, 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 January 20, 2011.
None of these figures is carried on this report.
CMS report record 392895, 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 May 19, 2009.
None of these figures is carried on this report.
CMS report record 339551, 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 April 24, 2008.
None of these figures is carried on this report.
CMS report record 307501, 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 with audit, processed by CMS on April 27, 2009.
None of these figures is carried on this report.
CMS report record 337808, 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 March 20, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,931,819 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,070,066 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$138,247 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $500,728 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $362,481 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,960 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 34 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 120.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 587.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 245410, 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 February 22, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,961,708 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,964,932 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,224 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $476,577 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $473,353 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,137 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 36 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 531.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243397, 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 January 28, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,635,182 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,793,349 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$158,167 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $477,549 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $319,382 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,338 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 91.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 280.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205631, 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.
None of these figures is carried on this report.
CMS report record 194010, 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 September 1, 2004.
None of these figures is carried on this report.
CMS report record 191360, 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 February 11, 2003.
Net income: $59,856 (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.
CMS report record 115094, read from the public cost report file SNFFY2000.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 |
|---|---|---|---|---|
| LUITHLE, TIMOTHY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/17/2025 |
| LUNDE-BURNSIDE, JESSIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/05/2021 |
| ASHMORE, JAMES | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/11/2010 |
| BEGG, JEREMY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/30/2020 |
| HOLM, LUTHER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/14/2025 |
| LUNDE-BURNSIDE, JESSIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/05/2021 |
| SYVERSON, KIM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/07/2013 |
| ZIMMERMAN, RANDY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/14/2025 |
| ZIMMERMAN, RANDY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/14/2025 |
| CITY OF ULEN & MUNICIPAL LIQUOR STORE & VIKING MANOR | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/04/2020 |
| LUITHLE, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/17/2025 |
| LUNDE-BURNSIDE, JESSIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/05/2021 |
| ZIMMERMAN, RANDY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/17/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CITY OF ULEN & MUNICIPAL LIQUOR STORE & VIKING MANOR (enrollment ID O20090929000300).
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 |
|---|---|---|---|---|---|
| JESSIE LUNDE-BURNSIDE | Individual | ADP OF THE SNF | Not stated in the filing | 1/17/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIMOTHY J LUITHLE | Individual | ADP OF THE SNF | Not stated in the filing | 1/17/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JESSIE LUNDE-BURNSIDE | Individual | CONTRACTED MANAGING EMPLOYEE | 0 | 4/5/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES L ASHMORE | Individual | CORPORATE DIRECTOR | 0 | 1/11/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEREMY BEGG | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/30/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JESSIE LUNDE-BURNSIDE | Individual | CORPORATE DIRECTOR | 0 | 4/5/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KIM D SYVERSON | Individual | CORPORATE DIRECTOR | 0 | 1/7/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LUTHER HOLM | Individual | CORPORATE DIRECTOR | 0 | 1/14/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDY P ZIMMERMAN | Individual | CORPORATE DIRECTOR | 0 | 1/14/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDY P ZIMMERMAN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/14/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CITY OF ULEN & MUNICIPAL LIQUOR STORE & VIKING MANOR | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 3/4/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| JESSIE LUNDE-BURNSIDE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 4/5/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDY P ZIMMERMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/17/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIMOTHY J LUITHLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/17/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- March 1, 2025: MARY A KNOPFLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: RANDY P ZIMMERMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: RANDY P ZIMMERMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LUTHER HOLM (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JESSIE LUNDE-BURNSIDE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JESSIE LUNDE-BURNSIDE (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since April 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: TIMOTHY J LUITHLE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: TIMOTHY J LUITHLE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
Recent changes on this record
- March 1, 2025: MARY A KNOPFLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: RANDY P ZIMMERMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: RANDY P ZIMMERMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LUTHER HOLM (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JESSIE LUNDE-BURNSIDE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JESSIE LUNDE-BURNSIDE (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since April 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: TIMOTHY J LUITHLE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: TIMOTHY J LUITHLE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- February 13, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- April 11, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- April 18, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- May 17, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- July 15, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- May 7, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- April 18, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- May 2, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- April 18, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- May 20, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- April 16, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- April 18, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- March 26, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- March 13, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- May 4, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- January 20, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- May 19, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- April 27, 2009: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- April 24, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- March 20, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- February 22, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- January 28, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- September 21, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- September 1, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 11, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 11, 2025 | June 11, 2025 | 2 | 0 |
| 2 | March 20, 2024 | March 20, 2024 | 3 | 4 |
| 3 | January 25, 2023 | January 25, 2023 | 0 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
5 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 11, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 25, 2025 |
| June 11, 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | June 25, 2025 |
| March 20, 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | March 25, 2024 |
| March 20, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | March 25, 2024 |
| March 20, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | March 20, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - City |
| Legal Business Name | CITY OF ULEN & MUNICIPAL LIQUOR STORE & VIKING MANOR |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-06-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Clay |
| Telephone Number | 2185968847 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 45 |
| Average Number of Residents per Day | 41.5 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| 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 VIKING MANOR 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 February 13, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for VIKING MANOR 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 245559.