Skilled nursing facility · CMS certification number 245581
FAIR OAKS LODGE
WADENA, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 65
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: 2 · Fines: 2 · Fines, total amount: $27,047.00 · Payment denials: 0. The most recent penalty on file: June 20, 2025, Fine, $16,985. 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 January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,743,955 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $664,577 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,079,378 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,232,288 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$152,910 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $482,030 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $329,120 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $329,120 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 27,450 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 521 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,478 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,109 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 16,108 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 18 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 119 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 84 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 221 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 104.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1434454, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 8, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,616,455 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $667,811 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,948,644 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,612,216 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $336,428 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $967,823 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,304,251 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,304,251 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,893 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 288 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 88.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398802, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 15, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,783,814 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $474,013 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,309,801 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,291,363 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $18,438 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $175,802 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $194,240 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $194,240 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,262 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 332 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 83.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 48.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373420, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 9, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,537,102 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $568,532 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,968,570 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,064,215 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$95,645 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,110,805 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,015,160 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,015,160 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,209 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 240.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1329269, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,409,991 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $607,317 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,802,674 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,140,955 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$338,281 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,029,031 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $690,750 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $690,750 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,228 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 181.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1330725, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 10, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,460,201 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $976,549 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,483,652 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,404,024 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $79,628 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $147,975 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $227,603 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $227,603 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,869 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 309.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 139.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275659, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for March 1, 2018 to December 31, 2018 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,459,994 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $973,679 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,486,315 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,553,843 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$67,528 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $102,815 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $35,287 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $35,287 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,715 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 357.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241578, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 19, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,104,822 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $391,580 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,713,242 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,978,546 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$265,304 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $165,709 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$99,595 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$99,595 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,991 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 159 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 238.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221406, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,553,423 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $494,360 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,059,063 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,215,580 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$156,517 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $163,141 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $6,624 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$37,549 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,366 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 641.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1210806, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 25, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,256,899 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $155,098 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,101,801 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,333,225 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$231,424 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $223,341 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$8,083 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$9,644 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,867 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 172 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 551.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1177499, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — 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 | $5,535,316 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $152,883 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,382,433 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,494,127 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$111,694 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $266,048 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $154,354 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $154,354 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,547 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 862.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 196.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1124327, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,274,265 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $84,414 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,189,851 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,258,214 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$68,363 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $245,658 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $177,295 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $177,295 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,491 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 606.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 187.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1105049, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for May 1, 2012 to December 31, 2012 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on April 16, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,860,056 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $17,937 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,842,119 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,255,861 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$413,742 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $142,056 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$271,686 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$271,686 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,262 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 394.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 180.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088456, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 27, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,759,085 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $126,994 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,632,091 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,747,657 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,115,566 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $638,464 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$477,102 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$477,102 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,921 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,318.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 234.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1053690, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 27, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,880,947 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,994,153 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,113,206 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $596,078 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$517,128 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,075 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 110 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 926.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 227.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 425094, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 22, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,004,962 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,801,565 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$796,603 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $602,226 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$194,377 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,579 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 62 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,417.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 428.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 391636, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 24, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,745,058 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,225,540 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$480,482 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $578,759 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $98,277 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,874 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 118 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 378.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 210.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 377954, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 21, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,489,858 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,473,663 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$983,805 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $610,529 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$373,276 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,488 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 890.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 327.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 337526, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 14, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,480,147 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,223,723 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$743,576 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $339,330 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$404,246 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,059 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 737.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 255.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 308966, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on June 15, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,303,727 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,984,048 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$680,321 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $151,256 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$529,065 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,394 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 795.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 347.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 253988, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 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 | $4,208,432 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,899,296 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$690,864 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $153,232 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$537,632 (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 | 82 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,769 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 80 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,419.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 347.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241775, 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, reopened, processed by CMS on June 15, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,254,861 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,888,431 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$633,570 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $642,074 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $8,504 (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 | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,145 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,799.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 334.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 254027, 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 | $4,396,180 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,277,201 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$881,021 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $746,855 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$134,166 (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 | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,497 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 85 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 405.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 196889, 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 | $5,065,070 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,387,336 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$322,266 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $445,589 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $123,318 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,658 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 982.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 431.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 168362, 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 12, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,390,853 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,180,322 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$789,469 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $369,797 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$419,672 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,489 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 777.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 378.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42875, 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 November 19, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,352,313 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,976,168 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$623,855 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $279,276 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$344,579 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,051 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 771.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 406.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42873, read from the public cost report file SNFFY1999.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 3, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,164,808 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,238,922 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$74,114 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $154,512 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $80,398 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,391 | 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 | 92.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 3,477.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 762.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 29216, read from the public cost report file SNFFY1997.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 |
|---|---|---|---|---|
| FEINSTEIN, DAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 15% | since 02/28/2018 |
| POLSTEIN, MORDECHAI | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 19% | since 02/28/2018 |
| STESEL, MAXIM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 56% | since 02/28/2018 |
| POLSTEIN, MORDECHAI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2018 |
| QUAM, SAMUEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/28/2017 |
| RICE, PAMELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/28/2018 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of FAIR OAKS NURSING AND REHAB LLC (enrollment ID O20180605000716).
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 |
|---|---|---|---|---|---|
| DAN FEINSTEIN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15 | 2/28/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MAXIM STESEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 56 | 2/28/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MORDECHAI POLSTEIN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 19 | 2/28/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROSTISLAV PUKSHANSKY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10 | 2/28/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MORDECHAI POLSTEIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | 90 | 3/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAMELA D RICE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0.5 | 2/28/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SAMUEL W QUAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | 5 | 2/28/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- November 8, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- February 15, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- August 26, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- August 9, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- December 10, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 21, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- March 28, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- March 19, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 28, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- October 25, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- May 20, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- July 25, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- April 16, 2015: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- January 27, 2014: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- January 24, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- February 27, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- December 22, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- June 24, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- April 21, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- May 14, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- June 15, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- June 15, 2006: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- January 30, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- November 18, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2004.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
- February 12, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- November 19, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- May 3, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 11, 2026 | March 11, 2026 | 4 | 3 |
| 2 | February 12, 2025 | February 12, 2025 | 24 | 8 |
| 3 | June 27, 2024 | June 27, 2024 | 20 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
48 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 11, 2026 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 11, 2026 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 11, 2026 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | April 10, 2026 |
| March 11, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | April 10, 2026 |
| June 20, 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 | Past Non-Compliance | June 12, 2025 |
| March 7, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | March 21, 2025 |
| February 27, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | March 18, 2025 |
| February 12, 2025 | 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 | March 13, 2025 |
| February 12, 2025 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has date of correction | March 13, 2025 |
| February 12, 2025 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | No | Deficient, Provider has date of correction | March 13, 2025 |
| February 12, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | March 13, 2025 |
| February 12, 2025 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | March 13, 2025 |
| February 12, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | March 13, 2025 |
| February 12, 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 | March 13, 2025 |
| February 12, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | No | Deficient, Provider has date of correction | March 13, 2025 |
| February 12, 2025 | Health | F 0660 | Resident Assessment and Care Planning Deficiencies | Plan the resident's discharge to meet the resident's goals and needs. | E | No | Deficient, Provider has date of correction | March 13, 2025 |
| February 12, 2025 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Yes | Deficient, Provider has date of correction | March 13, 2025 |
| February 12, 2025 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | Yes | Deficient, Provider has date of correction | March 13, 2025 |
| February 12, 2025 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | No | Deficient, Provider has date of correction | March 13, 2025 |
| February 12, 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Yes | Deficient, Provider has date of correction | March 13, 2025 |
| February 12, 2025 | 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 13, 2025 |
| February 12, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | March 13, 2025 |
| February 12, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | March 13, 2025 |
| February 12, 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 | March 13, 2025 |
| January 14, 2025 | 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 | January 29, 2025 |
| January 14, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | January 29, 2025 |
| January 14, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | January 29, 2025 |
| January 14, 2025 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Yes | Deficient, Provider has date of correction | January 29, 2025 |
| August 15, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | August 15, 2024 |
| August 15, 2024 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Yes | Deficient, Provider has date of correction | August 15, 2024 |
| August 15, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | August 15, 2024 |
| July 10, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | August 9, 2024 |
| July 10, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | August 9, 2024 |
| July 10, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | August 9, 2024 |
| June 27, 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 | August 1, 2024 |
| June 27, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | August 1, 2024 |
| June 27, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | August 1, 2024 |
| June 27, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | August 1, 2024 |
| June 27, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | August 1, 2024 |
| June 27, 2024 | 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 | August 1, 2024 |
| June 27, 2024 | Health | F 0844 | Administration Deficiencies | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | C | Yes | Deficient, Provider has date of correction | August 1, 2024 |
| June 27, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | August 1, 2024 |
| June 27, 2024 | Health | F 0944 | Administration Deficiencies | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Yes | Deficient, Provider has date of correction | August 1, 2024 |
| April 26, 2024 | Health | F 0808 | Nutrition and Dietary Deficiencies | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Yes | Deficient, Provider has date of correction | May 14, 2024 |
| April 17, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | May 5, 2024 |
| September 27, 2023 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | October 20, 2023 |
| September 27, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | October 20, 2023 |
| September 27, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Yes | Deficient, Provider has date of correction | October 20, 2023 |
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 |
|---|---|---|---|---|---|
| June 20, 2025 | Fine | $16,985 | 135343 | ||
| September 27, 2023 | Fine | $10,062 | 53702 |
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 | For profit - Limited Liability company |
| Legal Business Name | FAIR OAKS NURSING AND REHAB LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-11-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Wadena |
| Telephone Number | 2186311391 |
| Chain Name | EDEN SENIOR CARE |
| Chain ID | 192 |
| 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 | 65 |
| Average Number of Residents per Day | 42.7 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on FAIR OAKS LODGE: 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 August 28, 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 FAIR OAKS LODGE
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 245581.