Skilled nursing facility · CMS certification number 245573
CLARA CITY CARE CENTER
CLARA CITY, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 48
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: 3 · Fines: 1 · Fines, total amount: $13,260.00 · Payment denials: 2. The most recent penalty on file: December 4, 2025, Payment Denial. 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 March 21, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,295,356 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $322,220 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,973,136 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,570,527 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$597,391 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $600,131 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,740 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,740 (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 | 48 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 17,568 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 733 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 8,271 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 319 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 9,323 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 18 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 1 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 32 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 8,271 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 291.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405645, 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 March 21, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,072,301 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $248,706 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,823,595 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,035,252 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$211,657 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $381,162 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $169,505 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $169,505 (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 | 48 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,354 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 39 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,737.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 291.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375367, 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 February 28, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,609,479 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $261,322 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,348,157 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,987,192 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$639,035 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $444,963 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$194,072 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$194,072 (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 | 48 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,663 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 36 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,752.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 351.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343486, 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 March 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,066,250 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $79,454 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,986,796 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,587,645 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$600,849 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $909,366 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $308,517 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $308,517 (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 | 48 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,009 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 16 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,673 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 750.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1312692, 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 April 14, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,049,585 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $34,599 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,014,986 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,272,621 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$257,635 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $234,691 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$22,944 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$22,944 (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 | 48 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,605 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 15 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 6,207 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 907 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282150, 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 26, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,068,072 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $23,113 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,044,959 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,735,887 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$690,928 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $152,779 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$538,149 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$538,149 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,835 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 36 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 852.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 412.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253290, 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 March 28, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,615,291 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,615,291 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,537,314 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $77,977 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $77,977 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $77,977 (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 | 63 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,699 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,075.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 292.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222089, 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 | $4,598,425 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $50,029 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,548,396 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,432,050 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $116,346 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $43,699 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $160,045 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $160,045 (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 | 63 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,132 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,352.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 292.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1187678, 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 May 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,587,202 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,587,202 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,471,935 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $115,267 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $243,050 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $358,317 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $219,883 (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 | 63 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,926 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 326.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 175.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1157406, 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 | $4,194,045 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,194,045 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,436,299 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$242,254 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $192,597 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$49,657 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$396,789 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,626 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,165.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 312.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1124293, 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 May 6, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,926,057 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,926,057 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,507,550 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$581,493 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $171,798 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$409,695 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$455,726 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,908 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,446.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 447.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089898, 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 | $4,138,275 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,138,275 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,310,643 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$172,368 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $173,906 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,538 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$32,807 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,604 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 554.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 270.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058127, 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 May 7, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,945,855 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,945,855 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,144,113 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$198,258 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $143,663 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$54,595 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$94,663 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,342 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 21 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 160 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 1,063.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1028683, 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 May 22, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,103,454 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,239,892 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$136,438 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $124,888 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $36,804 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$48,354 (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 | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,253 | 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 | 50.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 540.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429354, 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 April 30, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,190,806 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,119,373 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $71,433 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $139,660 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $17,212 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $193,881 (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 | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,063 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 59 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 390.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428322, 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 May 12, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,104,781 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,025,844 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $78,937 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $151,342 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,707 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $222,572 (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 | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,961 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 24 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 956.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 369420, 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 February 17, 2010.
None of these figures is carried on this report.
CMS report record 364121, 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 February 17, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,759,592 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,930,156 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$170,564 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $157,168 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $17,669 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$31,065 (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 | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,198 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 57 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,242.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 424.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333630, 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 17, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,768,904 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,915,123 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$146,219 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $154,848 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $15,042 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$6,413 (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 | 71 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,424 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 53 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,232.27 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 460.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 304751, 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, settled, processed by CMS on February 2, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,782,559 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,845,147 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$62,588 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $139,750 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $26,740 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $50,422 (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 | 85 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,424 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 800.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 348.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 271600, 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 January 30, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,867,440 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,877,039 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$9,599 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $137,123 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $16,649 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $110,875 (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 | 85 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,625 | 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 | 71.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,180.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 492.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241774, 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 December 30, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,629,082 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,599,377 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $29,705 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $92,337 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $21,836 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $100,206 (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 | 85 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,941 | 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 | 52.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,105.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 518.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 203725, 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 October 15, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,336,594 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,425,425 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$88,831 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $107,968 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $27,771 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$8,634 (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 | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,723 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 837.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 388.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 196887, 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 | $2,934,805 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,143,826 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$209,021 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $90,088 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $22,234 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$141,167 (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 | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,664 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 905.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 393.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 168361, 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 January 22, 2002.
Net income: −$7,331 (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 42863, 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, settled, processed by CMS on October 11, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,831,096 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,934,232 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$103,136 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $85,415 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$17,721 (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 | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,502 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 675.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 420.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42861, 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, settled, processed by CMS on October 16, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,939,437 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,860,953 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $78,484 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $69,020 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $147,504 (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 | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,018 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 71 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 809.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 479.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42860, read from the public cost report file SNFFY1998.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BLUM, MATTHEW | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/15/2019 |
| JURGENSON, CINDY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 12/18/2019 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CITY OF CLARA CITY (enrollment ID O20111230000616).
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 |
|---|---|---|---|---|---|
| MATTHEW BLUM | Individual | CORPORATE DIRECTOR | 100 | 5/15/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CITY OF CLARA CITY | Organization | OTHER | 100 | 1/1/1966 | Private equity company: No Real estate investment trust: No Holding company: No |
| CINDY JURGENSON | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 12/18/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- January 1, 2023: ANGELA DEVORAK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: CINDY JURGENSON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since December 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Recent changes on this record
- March 21, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 21, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- February 28, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- January 1, 2023: ANGELA DEVORAK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: CINDY JURGENSON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since December 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- March 22, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- April 14, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- March 26, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- March 28, 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
- May 17, 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
- May 6, 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
- May 7, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- May 22, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- April 30, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- May 12, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- February 17, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- February 17, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- March 17, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- February 2, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- January 30, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- December 30, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- October 15, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- February 4, 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- January 22, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- October 11, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- October 16, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 1, 2026 | April 1, 2026 | 4 | 5 |
| 2 | February 26, 2025 | February 26, 2025 | 3 | 4 |
| 3 | March 6, 2024 | March 6, 2024 | 5 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
12 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 1, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | April 17, 2026 |
| December 4, 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. | G | Yes | Deficient, Provider has date of correction | January 14, 2026 |
| October 23, 2025 | 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 date of correction | November 12, 2025 |
| October 23, 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. | J | Yes | Deficient, Provider has date of correction | November 12, 2025 |
| July 16, 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. | J | Yes | Deficient, Provider has date of correction | August 13, 2025 |
| February 26, 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. | E | No | Deficient, Provider has date of correction | March 21, 2025 |
| February 26, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 21, 2025 |
| May 15, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | June 12, 2024 |
| March 6, 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. | E | No | Deficient, Provider has date of correction | April 16, 2024 |
| March 6, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | March 29, 2024 |
| March 6, 2024 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | No | Deficient, Provider has date of correction | April 16, 2024 |
| March 6, 2024 | 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 | April 16, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| December 4, 2025 | Payment Denial | January 1, 2026 | 13 | ||
| October 23, 2025 | Fine | $13,260 | 136465 | ||
| July 16, 2025 | Payment Denial | July 16, 2025 | 28 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - City |
| Legal Business Name | CITY OF CLARA CITY |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-10-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Chippewa |
| Telephone Number | 3208472221 |
| 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 | 48 |
| Average Number of Residents per Day | 31.8 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| 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 CLARA CITY CARE CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On March 21, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for CLARA CITY CARE CENTER
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 245573.