Skilled nursing facility · CMS certification number 245612
CORNERSTONE VILLA
BUHL, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 43
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: 1 · Fines: 1 · Fines, total amount: $8,420.00 · Payment denials: 0. The most recent penalty on file: January 7, 2025, Fine, $8,420. 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 July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 2, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,575,891 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $303,955 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,271,936 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,658,599 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$386,663 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $734,053 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $347,390 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $347,390 (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 | 43 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 15,695 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 963 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 8,424 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,855 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 14,242 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 23 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 64 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 648 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 222.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1447237, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 30, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,307,087 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $163,439 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,143,648 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,228,502 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$84,854 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $627,108 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $542,254 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $542,254 (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 | 43 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,126 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 875.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 201.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401665, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,865,522 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $87,507 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,778,015 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,856,157 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$78,142 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $391,176 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $313,034 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $313,034 (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 | 43 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,935 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,861 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 331.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372283, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 26, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,568,479 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $183,759 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,384,720 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,622,228 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,237,508 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,123,661 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$113,847 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$113,847 (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 | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,144 | 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 | 57.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 320.59 | 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 1341015, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 8, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,664,346 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $164,607 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,499,739 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,055,941 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,556,202 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,411,824 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$144,378 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$144,378 (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 | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,730 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 767.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 219.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1311565, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,137,335 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $243,908 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,893,427 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,673,883 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$780,456 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $824,580 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $44,124 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $44,124 (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 | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,388 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 408.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279175, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,989,038 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $355,939 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,633,099 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,152,086 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$518,987 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $330,684 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$188,303 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$188,303 (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 | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,113 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 482.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 141.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249467, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,866,117 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $175,011 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,691,106 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,689,390 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,716 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,832 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $27,548 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $27,548 (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 | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,825 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,090.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 205.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218365, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 13, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,006,707 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $318,712 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,687,995 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,615,556 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $72,439 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,357 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $93,796 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $93,796 (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 | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,579 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 104 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 850.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 140.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1183734, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 26, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,789,173 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $247,669 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,541,504 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,420,477 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $121,027 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $123,262 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $244,289 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $244,289 (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 | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,693 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 129 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 347.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151900, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,606,591 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $105,346 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,501,245 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,510,877 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,632 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $296,082 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $286,450 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $286,450 (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 | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,805 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 569.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1124328, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 17, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,645,820 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $119,033 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,526,787 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,527,424 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$637 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,262 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $19,625 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $19,625 (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 | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,897 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 949.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1109887, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 1, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,500,032 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $112,786 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,387,246 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,577,947 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$190,701 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,524 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$172,177 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$172,177 (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 | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,887 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 336.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089664, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 6, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,488,388 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $106,962 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,381,426 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,556,365 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$174,939 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,335 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$143,604 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$143,604 (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 | 44 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,982 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 510.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1051759, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 6, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,470,899 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,497,321 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$26,422 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,230 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $5,658 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$4,850 (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 | 44 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,295 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 123 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 402.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 124.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433889, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,359,725 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,479,293 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$119,568 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $55,890 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$63,678 (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 | 44 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,898 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 283.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 107.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 393822, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 26, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,132,436 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,457,306 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$324,870 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $161,799 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$163,071 (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 | 44 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,638 | 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 | 30.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,331.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 159.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362863, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,937,989 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,240,384 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$302,395 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $39,420 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$262,975 (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 | 44 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,489 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 557.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 152.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333458, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 5, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,056,990 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,367,622 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$310,632 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $65,529 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$245,103 (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 | 44 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,021 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,201.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 214.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 301776, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 29, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,921,543 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,340,266 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$418,723 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,172 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$392,551 (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 | 44 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,124 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 719.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 154.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 292957, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 31, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,715,320 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,019,579 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$304,259 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,563 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$291,696 (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 | 44 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,326 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 960.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 193.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 265383, read from the public cost report file SNFFY2004.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 |
|---|---|---|---|---|
| CARLSON, DONALD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2010 |
| CHAMBERLIN, KETTI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2022 |
| DOBSON, JEFF | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2004 |
| EDSTROM, RINA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2023 |
| FOX, DEAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2022 |
| KUNKEL, CASSIDIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/25/2022 |
| SAUTER, LEA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| CARLSON, DONALD | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2010 |
| CHAMBERLIN, KETTI | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2022 |
| EDSTROM, RINA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2023 |
| KUNKEL, CASSIDIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/25/2022 |
| CHAMBERLIN, KETTI | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/14/2022 |
| KUNKEL, CASSIDIE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/25/2022 |
| EDSTROM, RINA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/2023 |
| CARLSON, DONALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2010 |
| CHAMBERLIN, KETTI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2022 |
| DOBSON, JEFF | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2004 |
| EDSTROM, RINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2023 |
| FOX, DEAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2022 |
| KUNKEL, CASSIDIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/25/2022 |
| SAUTER, LEA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of FOREST HEALTH SERVICES INC (enrollment ID O20040322001030).
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 |
|---|---|---|---|---|---|
| CASSIDIE R KUNKEL | Individual | ADP OF THE SNF | Not stated in the filing | 7/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEAN M FOX | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DONALD CARLSON | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFF DOBSON | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KETTI CHAMBERLIN | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LEA SAUTER | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RINA EDSTROM | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CASSIDIE R KUNKEL | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DONALD CARLSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KETTI CHAMBERLIN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RINA EDSTROM | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CASSIDIE R KUNKEL | Individual | CORPORATE OFFICER | Not stated in the filing | 7/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KETTI CHAMBERLIN | Individual | CORPORATE OFFICER | Not stated in the filing | 2/14/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RINA EDSTROM | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 7/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CASSIDIE R KUNKEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/25/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEAN M FOX | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DONALD CARLSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFF DOBSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KETTI CHAMBERLIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LEA SAUTER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RINA EDSTROM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- June 1, 2025: DON CARLSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RINA EDSTROM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LEA SAUTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LEA SAUTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DONALD CARLSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DONALD CARLSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DONALD CARLSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RINA EDSTROM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RINA EDSTROM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RINA EDSTROM (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DEAN M FOX (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DEAN M FOX (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: CASSIDIE R KUNKEL (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KETTI CHAMBERLIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KETTI CHAMBERLIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KETTI CHAMBERLIN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JEFF DOBSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JEFF DOBSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- May 1, 2025: RINA EDSTROM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ANNE ERICKSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ANNE ERICKSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ANNE ERICKSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: RINA EDSTROM (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CASSIDIE R KUNKEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since July 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CASSIDIE R KUNKEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since July 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CASSIDIE R KUNKEL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since July 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
Recent changes on this record
- February 2, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- June 1, 2025: DON CARLSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RINA EDSTROM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LEA SAUTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LEA SAUTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DONALD CARLSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DONALD CARLSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DONALD CARLSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since January 1, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RINA EDSTROM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RINA EDSTROM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: RINA EDSTROM (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DEAN M FOX (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: DEAN M FOX (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: CASSIDIE R KUNKEL (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 25, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KETTI CHAMBERLIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KETTI CHAMBERLIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KETTI CHAMBERLIN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JEFF DOBSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: JEFF DOBSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since July 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- May 1, 2025: RINA EDSTROM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ANNE ERICKSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ANNE ERICKSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: ANNE ERICKSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: RINA EDSTROM (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CASSIDIE R KUNKEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since July 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CASSIDIE R KUNKEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since July 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- May 1, 2025: CASSIDIE R KUNKEL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2025; associated with this enrollment since July 22, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- December 30, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- January 19, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- January 26, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- March 8, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- January 28, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- January 16, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- January 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- February 13, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- January 26, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- May 20, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- September 17, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- May 1, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- December 6, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 4, 2025 | December 4, 2025 | 4 | 0 |
| 2 | October 31, 2024 | October 31, 2024 | 7 | 0 |
| 3 | November 17, 2023 | November 17, 2023 | 9 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
20 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| December 4, 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | January 12, 2026 |
| December 4, 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | January 12, 2026 |
| December 4, 2025 | 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 | January 12, 2026 |
| December 4, 2025 | 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 | January 12, 2026 |
| January 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. | J | Yes | Past Non-Compliance | December 20, 2024 |
| October 31, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| October 31, 2024 | 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 | December 20, 2024 |
| October 31, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | December 20, 2024 |
| October 31, 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. | E | No | Deficient, Provider has date of correction | December 20, 2024 |
| October 31, 2024 | Health | F 0851 | Administration Deficiencies | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | No | Deficient, Provider has date of correction | December 20, 2024 |
| October 31, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | December 20, 2024 |
| November 17, 2023 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Yes | Deficient, Provider has date of correction | January 6, 2024 |
| November 17, 2023 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | January 6, 2024 |
| November 17, 2023 | 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. | D | No | Deficient, Provider has date of correction | January 6, 2024 |
| November 17, 2023 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | January 6, 2024 |
| November 17, 2023 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | No | Deficient, Provider has date of correction | January 6, 2024 |
| November 17, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | January 6, 2024 |
| November 17, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | January 6, 2024 |
| November 17, 2023 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | January 6, 2024 |
| November 17, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | January 6, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| January 7, 2025 | Fine | $8,420 | 53882 | ||
| August 28, 2023 | Fine | $2,823 | 53388 |
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 | Non profit - Corporation |
| Legal Business Name | FOREST HEALTH SERVICES INC |
| Date First Approved to Provide Medicare and Medicaid Services | 2004-07-16 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | St. Louis |
| Telephone Number | 2182583253 |
| 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 | 43 |
| Average Number of Residents per Day | 37.5 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on CORNERSTONE VILLA: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On February 2, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for CORNERSTONE VILLA
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 245612.