Skilled nursing facility · CMS certification number 245590
THE LUTHERAN HOME: BELLE PLAINE
BELLE PLAINE, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 60
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,568,659 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $236,852 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,331,807 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,488,616 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,156,809 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,860,047 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$296,762 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$296,762 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 25,999 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,122 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 7,714 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,102 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 18,938 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 47 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 9 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 54 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 857.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405977, 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 28, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,246,696 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $303,099 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,943,597 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,229,619 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,286,022 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,164,001 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,122,021 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,122,021 (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 | 18,407 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 130 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 275.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 141.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375706, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 28, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,821,897 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $302,495 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,519,402 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,259,520 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,740,118 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,691,000 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,049,118 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,049,118 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,233 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 758.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 226.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345029, 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 31, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,195,879 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $222,803 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,973,076 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,441,680 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,468,604 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,607,725 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $139,121 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $139,121 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,678 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 222 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 184.99 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 133.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313322, 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 June 29, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,815,880 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $177,709 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,638,171 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,841,894 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,203,723 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,210,061 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $6,338 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $6,338 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,837 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 182 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 374.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 141.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1287805, 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 April 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,595,440 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $447,781 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,147,659 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,777,104 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$629,445 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $897,730 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $268,285 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $264,685 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,806 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 278 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 171.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254132, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,199,976 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $58,580 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,141,396 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,395,031 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$253,635 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $903,733 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $650,098 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $639,080 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,519 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 319 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 152.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222323, 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 4, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,488,832 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$46,849 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,535,681 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,843,461 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$307,780 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $891,941 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $584,161 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $584,161 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,689 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 203 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 254.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189389, 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 15, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,199,817 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $128,722 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,071,095 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,535,134 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$464,039 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $705,867 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $241,828 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $240,053 (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 | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,789 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 207 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 240.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1157201, 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 2, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,309,807 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $563,694 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,746,113 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,076,199 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$330,086 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $831,326 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $501,240 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $501,240 (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 | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,546 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 207.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1123075, 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 | $13,203,513 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,019,420 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,184,093 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,754,016 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$569,923 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $699,539 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $129,616 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $129,616 (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 | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,257 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 180 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 284.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089899, 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 21, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,483,676 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $409,213 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,074,463 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,137,569 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$63,106 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $614,332 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $551,226 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $551,226 (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 | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,600 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 194 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 265.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088939, 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 October 14, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,750,429 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $359,408 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,391,021 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,363,212 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $27,809 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $552,112 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $579,921 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $579,921 (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 | 149 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,929 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 173 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 305.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1078727, 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 July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,463,779 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,991,852 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $471,927 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $597,605 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,069,532 (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 | 149 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,137 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 202 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,625.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 263.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 435127, 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 November 16, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,653,667 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,615,978 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $37,689 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $488,972 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $14 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $526,647 (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 | 149 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,387 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 336 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 415.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 155.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 420305, 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 March 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,453,799 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,078,646 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $375,153 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $466,849 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $31,114 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $810,888 (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 | 149 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 55,081 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,467.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 355.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 395828, 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 March 4, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,941,355 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,890,117 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $51,238 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $323,009 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $374,247 (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 | 159 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,202 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,227.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 468.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364901, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 6, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,941,937 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,951,746 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$9,809 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $505,361 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $336 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $495,216 (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 | 170 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,366 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 286 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 714.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 207.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 334669, 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 February 12, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,272,817 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,537,672 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$264,855 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $324,877 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $60,022 (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 | 170 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,164 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 254 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 753.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 228.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302110, 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 March 9, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,266,249 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,854,163 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $412,086 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $220,129 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $632,215 (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 | 170 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,908 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 210 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 275.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 273443, 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 March 7, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,215,779 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,507,031 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$291,252 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $275,611 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$15,641 (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 | 178 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,956 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 158 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,255.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 373.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 244405, 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 April 20, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,964,768 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,651,466 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,686,698 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,215,267 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$471,431 (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 | 178 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,525 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 152 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,543.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 404.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 214693, 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 May 12, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,973,241 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,849,924 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$876,683 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,206,524 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $329,831 (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 | 183 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,694 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 138 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 998.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 454.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 176070, 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 May 29, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,170,541 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,578,032 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,407,491 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,828,314 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $420,823 (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 | 183 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,899 | 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 | 62.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,553.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 853.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 146326, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 18, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,552,778 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,506,716 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$953,938 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,480,211 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,526,273 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,484 | 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 | 46.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,035.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 783.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133003, 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 | $7,702,369 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,460,706 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$758,337 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $829,691 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $22,808 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $48,546 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,781 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 713.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42911, 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 November 8, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,760,380 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,746,568 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$986,188 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,175,616 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $189,422 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,686 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 109 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 565.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42910, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 3, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,720,575 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,292,987 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$572,412 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,170,000 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $124,341 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,473,247 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,649 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 115 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 536.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42909, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended September 30, 1996
Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 7, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,344,416 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,916,629 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$572,213 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $121,187 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$451,026 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,189 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 150 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 421.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 29227, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| LUTHERAN HOME | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/25/1996 |
| KRANT, RICK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/07/2025 |
| HAYES, MARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2022 |
| BOEDER, JOHN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/17/2020 |
| MAERTZ, JON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/29/2019 |
| MUEHLENHARDT, MICHAEL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/16/2018 |
| NIEMANN, RANDY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/04/2020 |
| RAUH, MATTHEW | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/20/1999 |
| SCHUTH, TIM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/20/2015 |
| SCHWARTZ, LANCE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/29/2019 |
| KRANT, RICK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/22/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LUTHERAN HOME BELLE PLAINE LLC (enrollment ID O20130919000446).
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 |
|---|---|---|---|---|---|
| LUTHERAN HOME | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/25/1996 | Private equity company: No Real estate investment trust: No Holding company: No |
| RICK J KRANT | Individual | ADP OF THE SNF | Not stated in the filing | 2/7/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK HAYES | Individual | CORPORATE OFFICER | Not stated in the filing | 5/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN C. BOEDER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/17/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JON MAERTZ | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/29/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LANCE SCHWARTZ | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/29/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MATTHEW C RAUH | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/20/1999 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL MUEHLENHARDT | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/16/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDY NIEMANN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/4/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIM SCHUTH | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/20/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICK J KRANT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/22/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- March 1, 2025: ARVID W SCHWARTZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: WILLIAM L. MEIER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MICHAEL P. BERG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ELROY V CONRADT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MATTHEW C RAUH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: TERRY A NEUBARTH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MATTHEW M BUROW no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: HENRY T KOCH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MARK D. SCHWAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LOWELL R HOFFMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MICHAEL R KLATT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JOEL F. MEYER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JACQUELINE ELSIE MARTINEZ GRIMM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JACQUELINE ELSIE MARTINEZ GRIMM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JOHN C. BOEDER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since November 17, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LANCE SCHWARTZ (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 29, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MICHAEL MUEHLENHARDT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 16, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: RICK J KRANT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: RICK J KRANT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since August 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JON MAERTZ (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 29, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MATTHEW C RAUH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 20, 1999. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: TIM SCHUTH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 20, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: RANDY NIEMANN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 4, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MARK HAYES (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- December 1, 2024: PAUL H. YANCY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
Recent changes on this record
- March 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 1, 2025: ARVID W SCHWARTZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: WILLIAM L. MEIER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MICHAEL P. BERG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ELROY V CONRADT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MATTHEW C RAUH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: TERRY A NEUBARTH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MATTHEW M BUROW no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: HENRY T KOCH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MARK D. SCHWAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LOWELL R HOFFMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MICHAEL R KLATT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JOEL F. MEYER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JACQUELINE ELSIE MARTINEZ GRIMM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JACQUELINE ELSIE MARTINEZ GRIMM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JOHN C. BOEDER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since November 17, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LANCE SCHWARTZ (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 29, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MICHAEL MUEHLENHARDT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 16, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: RICK J KRANT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: RICK J KRANT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since August 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: JON MAERTZ (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 29, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MATTHEW C RAUH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 20, 1999. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: TIM SCHUTH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 20, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: RANDY NIEMANN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since February 4, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: MARK HAYES (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- December 1, 2024: PAUL H. YANCY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- March 28, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- March 28, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- March 31, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- June 29, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 16, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- April 17, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- May 4, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- May 15, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- May 2, 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 21, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- October 14, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- July 23, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- November 16, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 7, 2026 | July 7, 2026 | 5 | 4 |
| 2 | April 30, 2025 | April 30, 2025 | 7 | 3 |
| 3 | August 6, 2024 | August 6, 2024 | 7 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
19 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 7, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has no plan of correction | |
| July 7, 2026 | 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 no plan of correction | |
| July 7, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has no plan of correction | |
| December 30, 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 | Past Non-Compliance | December 29, 2025 |
| November 4, 2025 | 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 | December 3, 2025 |
| July 9, 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 | August 15, 2025 |
| April 30, 2025 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | June 8, 2025 |
| April 30, 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 | June 8, 2025 |
| April 30, 2025 | 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 | No | Deficient, Provider has date of correction | June 8, 2025 |
| April 30, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | June 8, 2025 |
| April 30, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | June 8, 2025 |
| April 30, 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has date of correction | June 8, 2025 |
| August 6, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | September 26, 2024 |
| August 6, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | September 26, 2024 |
| August 6, 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | September 26, 2024 |
| August 6, 2024 | 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. | D | No | Deficient, Provider has date of correction | September 26, 2024 |
| August 6, 2024 | Health | F 0847 | Administration Deficiencies | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | No | Deficient, Provider has date of correction | September 26, 2024 |
| August 6, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | September 26, 2024 |
| May 29, 2024 | 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 | June 29, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Church related |
| Legal Business Name | LUTHERAN HOME BELLE PLAINE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1992-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Scott |
| Telephone Number | 9528732131 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 60 |
| Average Number of Residents per Day | 53.8 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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The citable document for THE LUTHERAN HOME: BELLE PLAINE
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 245590.