Skilled nursing facility · CMS certification number 245619
SAINT THERESE AT OXBOW LAKE
BROOKLYN PARK, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 64
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 July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 9, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,532,279 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $846,662 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,685,617 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,652,387 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$966,770 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,715,548 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $748,778 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $748,778 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 23,360 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,952 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,791 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Total patient days, all components | 9,743 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 115 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 7 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Total discharges, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 970.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446291, 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 20, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,164,018 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $537,791 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,626,227 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,713,018 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,086,791 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,200,641 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,113,850 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,113,850 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,819 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,440.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 82.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1401371, 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 December 20, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,263,564 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $785,889 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,477,675 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,225,054 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,747,379 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,977,433 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,230,054 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,230,054 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,500 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 286 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,420.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1370966, 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 17, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,007,052 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $989,546 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,017,506 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,105,498 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,087,992 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,525,045 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,437,053 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,437,053 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,575 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 245 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 857.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340094, 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 January 13, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,544,382 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $791,679 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,752,703 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,661,394 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$908,691 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,949,987 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,041,296 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,041,296 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,778 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 223 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 424.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1308670, 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 20, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,853,381 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $859,064 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,994,317 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,386,743 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,392,426 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,024,132 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $631,706 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $631,706 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,381 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 223 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,127.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278675, 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 | $9,303,100 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $681,858 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,621,242 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,747,620 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$126,378 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,696,291 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,569,913 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,550,471 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,686 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 340 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 157.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249355, 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 | $9,471,592 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,124,344 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,347,248 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,507,921 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$160,673 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,417,566 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,256,893 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,256,893 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,544 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 395 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 147.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 57.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217741, 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 January 25, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,710,823 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $732,785 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,978,038 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,661,504 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$683,466 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,098,682 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $415,216 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $415,216 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,144 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 358 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 303.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182720, 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 September 26, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,200,288 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $710,844 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,489,444 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,018,978 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$529,534 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,490,029 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $960,495 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $960,495 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,062 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 329 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 176.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1176365, 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 January 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,558,696 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,038,503 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,520,193 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,874,449 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$354,256 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $111,720 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$242,536 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$739,419 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,683 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 307 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,265 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117634, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 16, 2013 to June 30, 2014 — a reporting period of 349 days, on form CMS-2540-10, settled, processed by CMS on January 30, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,393,807 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $679,848 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,713,959 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,152,702 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$438,743 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $56,646 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$382,097 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$389,853 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,178 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 161 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 117 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085254, read from the public cost report file SNF10FY2013.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 |
|---|---|---|---|---|
| SAINT THERESE COMMUNITIES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 06/28/2019 |
| BREMER BANK NATIONAL ASSOCIATION | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 07/12/2011 |
| DELANDER, CHRISTINE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2024 |
| MITTAL, VIKAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2025 |
| PETERSON, TESSA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/10/2024 |
| SAINT THERESE MANAGEMENT SERVICES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/28/2025 |
| SHELANGOSKI, CAL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/05/2018 |
| ABBOTT, CRAIG | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/23/2022 |
| GILLESPIE, JOSEPH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/15/2012 |
| HERB, MARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2023 |
| HOFFMANN, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/09/2017 |
| HORSTMANN, STEVEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2020 |
| KRENN, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2011 |
| MCCLUSKEY, PATRICIA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2023 |
| MCCROSSAN, JANE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/15/2012 |
| MEADS, STEVEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/12/2015 |
| PARMAR, MONA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/01/2018 |
| TAFFE, PATRICK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2013 |
| WORNSON, KATHRYN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/13/2013 |
| ABBOTT, CRAIG | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/23/2022 |
| HOFFMANN, DAVID | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/01/2022 |
| SHELANGOSKI, CAL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/05/2018 |
| WORNSON, KATHRYN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/01/2022 |
| DELANDER, CHRISTINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/04/2024 |
| MITTAL, VIKAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2020 |
| PETERSON, TESSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/10/2024 |
| SAINT THERESE | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/28/2019 |
| SAINT THERESE COMMUNITIES | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/28/2019 |
| SAINT THERESE MANAGEMENT SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/28/2019 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SAINT THERESE OF OXBOW LAKE, LLC (enrollment ID O20120907000473).
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 |
|---|---|---|---|---|---|
| SAINT THERESE COMMUNITIES | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/28/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| SAINT THERESE | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 7/15/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
| BREMER BANK NATIONAL ASSOCIATION | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 7/12/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAL M SHELANGOSKI | Individual | ADP OF THE SNF | Not stated in the filing | 3/5/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTINE DELANDER | Individual | ADP OF THE SNF | Not stated in the filing | 11/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SAINT THERESE MANAGEMENT SERVICES, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/28/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TESSA PETERSON | Individual | ADP OF THE SNF | Not stated in the filing | 6/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VIKAS SIMON MITTAL | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CRAIG WILLIAM ABBOTT | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/23/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID M HOFFMANN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/9/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID M KRENN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 12/1/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANE MCCROSSAN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/15/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH PATRICK GILLESPIE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/15/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHRYN JEAN WORNSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 6/13/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY JANE HERB | 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 |
| MONA PARMAR | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICIA A MCCLUSKEY | 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 |
| PATRICK LOUIS TAFFE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 12/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN JON HORSTMANN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 4/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN WILLIAM MEADS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/12/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAL M SHELANGOSKI | Individual | CORPORATE OFFICER | Not stated in the filing | 3/5/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CRAIG WILLIAM ABBOTT | Individual | CORPORATE OFFICER | Not stated in the filing | 5/23/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID M HOFFMANN | Individual | CORPORATE OFFICER | 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 |
| KATHRYN JEAN WORNSON | Individual | CORPORATE OFFICER | 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 |
| CHRISTINE DELANDER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/4/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SAINT THERESE | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/28/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| SAINT THERESE COMMUNITIES | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/28/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| SAINT THERESE MANAGEMENT SERVICES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/28/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| TESSA PETERSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VIKAS SIMON MITTAL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2025: KATHI JO PAYNE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: THOMAS ANTHONY SCHMITT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CAL M SHELANGOSKI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CAL M SHELANGOSKI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BARBARA ANNE RODE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEBRA MARIE REITMEIER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTINE DELANDER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTINE DELANDER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAVID M HOFFMANN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KATHRYN JEAN WORNSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CRAIG WILLIAM ABBOTT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CRAIG WILLIAM ABBOTT (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TESSA PETERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TESSA PETERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CAL M SHELANGOSKI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 5, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CAL M SHELANGOSKI (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 5, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SAINT THERESE MANAGEMENT SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAVID M KRENN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SAINT THERESE COMMUNITIES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 28, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SAINT THERESE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 28, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PATRICIA A MCCLUSKEY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: VIKAS SIMON MITTAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: VIKAS SIMON MITTAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARY JANE HERB (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Recent changes on this record
- January 9, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- September 1, 2025: KATHI JO PAYNE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: THOMAS ANTHONY SCHMITT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CAL M SHELANGOSKI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CAL M SHELANGOSKI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: BARBARA ANNE RODE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEBRA MARIE REITMEIER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTINE DELANDER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CHRISTINE DELANDER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAVID M HOFFMANN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KATHRYN JEAN WORNSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CRAIG WILLIAM ABBOTT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CRAIG WILLIAM ABBOTT (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TESSA PETERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TESSA PETERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CAL M SHELANGOSKI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 5, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: CAL M SHELANGOSKI (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since March 5, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SAINT THERESE MANAGEMENT SERVICES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAVID M KRENN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SAINT THERESE COMMUNITIES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 28, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SAINT THERESE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 28, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: PATRICIA A MCCLUSKEY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: VIKAS SIMON MITTAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: VIKAS SIMON MITTAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARY JANE HERB (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- December 20, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- December 20, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- January 17, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- January 13, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- January 20, 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
- January 25, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- September 26, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- January 20, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- January 30, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 26, 2026 | February 26, 2026 | 16 | 0 |
| 2 | December 6, 2024 | December 6, 2024 | 7 | 4 |
| 3 | March 7, 2024 | March 7, 2024 | 7 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
30 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 26, 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | April 20, 2026 |
| February 26, 2026 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | No | Deficient, Provider has date of correction | April 20, 2026 |
| February 26, 2026 | Health | F 0572 | Resident Rights Deficiencies | Give residents a notice of rights, rules, services and charges. | C | No | Deficient, Provider has date of correction | April 20, 2026 |
| February 26, 2026 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | No | Deficient, Provider has date of correction | April 20, 2026 |
| February 26, 2026 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | No | Deficient, Provider has date of correction | April 20, 2026 |
| February 26, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | April 20, 2026 |
| February 26, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | April 20, 2026 |
| February 26, 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | No | Deficient, Provider has date of correction | April 20, 2026 |
| February 26, 2026 | 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 | April 20, 2026 |
| February 26, 2026 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | No | Deficient, Provider has date of correction | April 20, 2026 |
| February 26, 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 date of correction | April 20, 2026 |
| February 26, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | April 20, 2026 |
| February 26, 2026 | 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 | April 20, 2026 |
| February 26, 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 date of correction | April 20, 2026 |
| February 26, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 20, 2026 |
| February 26, 2026 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | April 20, 2026 |
| December 6, 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | January 27, 2025 |
| December 6, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | Yes | Deficient, Provider has date of correction | January 27, 2025 |
| December 6, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | F | No | Deficient, Provider has date of correction | January 27, 2025 |
| December 6, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | January 27, 2025 |
| December 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 | January 27, 2025 |
| December 6, 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | January 27, 2025 |
| October 11, 2024 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Yes | Deficient, Provider has date of correction | November 1, 2024 |
| August 7, 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Yes | Deficient, Provider has date of correction | September 11, 2024 |
| August 7, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | September 11, 2024 |
| March 7, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | May 3, 2024 |
| March 7, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | May 3, 2024 |
| March 7, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | May 3, 2024 |
| March 7, 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | May 3, 2024 |
| March 7, 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 | May 3, 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 - Corporation |
| Legal Business Name | SAINT THERESE OF OXBOW LAKE, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2013-07-16 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Hennepin |
| Telephone Number | 7634937007 |
| Chain Name | SAINT THERESE SENIOR COMMUNITIES |
| Chain ID | 624 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 64 |
| Average Number of Residents per Day | 59.7 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 5 |
| 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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On January 9, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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The citable document for SAINT THERESE AT OXBOW LAKE
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 245619.