Skilled nursing facility · CMS certification number 285288
Eventide Williamsburg
Lincoln, Nebraska · Medicare and Medicaid
Certified beds, as filed in Care Compare: 50
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 January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,030,331 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $832,641 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,197,690 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,527,589 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $670,101 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,024 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $684,125 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $684,125 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 18,300 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 942 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 2,234 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,197 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 11,373 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 22 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 20 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 270.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439351, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,455,667 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $593,176 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,862,491 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,680,281 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $182,210 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,971 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $195,181 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $195,181 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,903 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 14 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 850.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1396621, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 27, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,894,034 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $583,371 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,310,663 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,844,010 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$533,347 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,836 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$498,511 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$498,511 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,308 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 43 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 262.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365640, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,753,053 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $639,456 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,113,597 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,890,780 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $222,817 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $45,661 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $268,478 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $268,478 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,454 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 497 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 212.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335595, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 19, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,468,578 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $830,226 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,638,352 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,798,665 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $839,687 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $51,968 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $891,655 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $44,253 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,398 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 612.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 218.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305021, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 10, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,778,021 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $703,942 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,074,079 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,240,870 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $833,209 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,062 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $852,271 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,529,003 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,312 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 521 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 268.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275670, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 29, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,874,382 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $429,468 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,444,914 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,062,510 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $382,404 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,213 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $396,617 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$216,354 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,783 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 215 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238652, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,369,793 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $113,192 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,256,601 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,954,643 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $301,958 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $301,958 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,234,930 (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 | 34 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,327 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 158.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200289, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,064,878 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $70,264 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,994,614 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,653,936 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $340,678 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $340,678 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,176,450 (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 | 17 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,161 | CMS-2540-10 worksheet S300001 line 800 column 700 |
CMS report record 1171188, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,973,824 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $110,423 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,863,401 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,400,941 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $462,460 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $462,460 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,293,564 (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 | 17 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,752 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 6 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 958.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1140862, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for March 1, 2014 to December 31, 2014 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,352,200 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $32,758 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,319,442 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,198,597 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $120,845 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $120,845 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,592,912 (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 | 17 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 3,840 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 10 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 384 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1102051, read from the public cost report file SNF10FY2014.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 |
|---|---|---|---|---|
| EVENTIDE NEBRASKA SENIOR LIVING LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 10/10/2024 |
| NOLLENDORFS, ALISA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/10/2026 |
| RYAN, KELSIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/13/2026 |
| BOCK, JODEE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/10/2024 |
| BRANDT, TERRY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/10/2024 |
| BYE, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/10/2024 |
| FISCHBACH, TYLER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/10/2024 |
| GULBRANSON, PATRICK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/10/2024 |
| JOHNSON, VIKKI | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/10/2024 |
| LARSON-CASSELTON, CINDY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/10/2024 |
| LEE, JUDITH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/10/2024 |
| LUNAK, BRANDON | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/10/2024 |
| SCHAFER, ERIC | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2013 |
| SELJEVOLD, PETER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/10/2024 |
| SWENSON, KARLA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/10/2024 |
| BYE, ROBERT | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/10/2024 |
| JOHNSON, VIKKI | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/10/2024 |
| LUNAK, BRANDON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2026 |
| RIEWER, JON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/10/2024 |
| EVENTIDE | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/18/2024 |
| OHE, DARIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/22/2024 |
| RYAN, KELSIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/18/2018 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of TABITHA, INC. (enrollment ID O20131127001388).
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 |
|---|---|---|---|---|---|
| EVENTIDE NEBRASKA SENIOR LIVING LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 10/10/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALISA J NOLLENDORFS | Individual | ADP OF THE SNF | Not stated in the filing | 4/10/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KELSIE RYAN | Individual | ADP OF THE SNF | Not stated in the filing | 4/13/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRANDON LUNAK | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CINDY LARSON-CASSELTON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIC SCHAFER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JODEE BOCK | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUDITH LEE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KARLA SWENSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICK GULBRANSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PETER J SELJEVOLD | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT J BYE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TERRY BRANDT | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TYLER FISCHBACH | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VIKKI JOHNSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRANDON LUNAK | Individual | CORPORATE OFFICER | Not stated in the filing | 4/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JON M RIEWER | Individual | CORPORATE OFFICER | Not stated in the filing | 10/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT J BYE | Individual | CORPORATE OFFICER | Not stated in the filing | 10/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VIKKI JOHNSON | Individual | CORPORATE OFFICER | Not stated in the filing | 10/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DARIN G OHE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/22/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EVENTIDE | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/18/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| KELSIE RYAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/18/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: JOSEPH HALVORSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KELSIE RYAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LUKE A HVIDSTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LUKE A HVIDSTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JODI I TRIGGS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JODI I TRIGGS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KELSIE RYAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ALISA J NOLLENDORFS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 10, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRANDON LUNAK (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- February 1, 2025: ERIC SCHAFER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MARK A HESSER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KELSIE RYAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: BRIAN P SHANKS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: BRIAN P SHANKS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: BRIAN P SHANKS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: CAROL A FRIESEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: RENEE SJULIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: CHRISTINA ROSE HINRICHS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: CHRISTINA ROSE HINRICHS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: CHRISTINA ROSE HINRICHS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JOSEPH HALVORSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: VIKKI JOHNSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: VIKKI JOHNSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: CINDY LARSON-CASSELTON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JUDITH LEE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KELSIE RYAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: EVENTIDE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: LUKE A HVIDSTON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: LUKE A HVIDSTON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: TERRY BRANDT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JODI I TRIGGS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JODI I TRIGGS (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since July 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: PATRICK GULBRANSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JODEE BOCK (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: TYLER FISCHBACH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: BRANDON LUNAK (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: PETER J SELJEVOLD (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ROBERT J BYE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ROBERT J BYE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DARIN G OHE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since November 22, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: EVENTIDE NEBRASKA SENIOR LIVING LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KARLA SWENSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JON M RIEWER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- November 30, 2022: DARCIE L BRINK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: DARCIE L BRINK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: DARCIE L BRINK no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: ERIC SCHAFER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- November 30, 2022: RENEE SJULIN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since February 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
Recent changes on this record
- July 1, 2026: JOSEPH HALVORSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KELSIE RYAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LUKE A HVIDSTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: LUKE A HVIDSTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JODI I TRIGGS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: JODI I TRIGGS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KELSIE RYAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ALISA J NOLLENDORFS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 10, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRANDON LUNAK (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- February 1, 2025: ERIC SCHAFER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MARK A HESSER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KELSIE RYAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: BRIAN P SHANKS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: BRIAN P SHANKS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: BRIAN P SHANKS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: CAROL A FRIESEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: RENEE SJULIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: CHRISTINA ROSE HINRICHS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: CHRISTINA ROSE HINRICHS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: CHRISTINA ROSE HINRICHS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JOSEPH HALVORSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: VIKKI JOHNSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: VIKKI JOHNSON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: CINDY LARSON-CASSELTON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JUDITH LEE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KELSIE RYAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: EVENTIDE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: LUKE A HVIDSTON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: LUKE A HVIDSTON (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: TERRY BRANDT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JODI I TRIGGS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JODI I TRIGGS (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since July 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: PATRICK GULBRANSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JODEE BOCK (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: TYLER FISCHBACH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: BRANDON LUNAK (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: PETER J SELJEVOLD (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ROBERT J BYE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ROBERT J BYE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since October 10, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 4, 2025 | December 4, 2025 | 2 | 8 |
| 2 | November 21, 2024 | November 21, 2024 | 5 | 7 |
| 3 | December 12, 2023 | December 12, 2023 | 1 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
8 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 2, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | May 15, 2026 |
| December 4, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | January 18, 2026 |
| June 30, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | August 14, 2025 |
| June 30, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | August 14, 2025 |
| June 30, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | August 14, 2025 |
| November 21, 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 5, 2025 |
| November 21, 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 5, 2025 |
| December 12, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | February 9, 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 | TABITHA, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 2014-05-02 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Lancaster |
| Telephone Number | 4024868919 |
| 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 | 50 |
| Average Number of Residents per Day | 26.0 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on Eventide Williamsburg: 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 September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for Eventide Williamsburg
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 Nebraska 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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- SWEETWATER CATTLE COMPANY, LLC, KEARNEY Water discharge permit
- PALMER CATTLE COMPANY, LLC, PALMER Water discharge permit
- RAIKES FARM ENTERPRISES, INC., ASHLAND Water discharge permit
- EARSOM CATTLE COMPANY INC, LOOMIS Water discharge permit
- BOB HEYING JR LIVESTOCK SOUTH, PETERSBURG Water discharge permit
- BURWELL FEEDERS LLC, BURWELL Water discharge permit
- KLABENES LAND & CATTLE, LLC, CLEARWATER (HISTORICAL) Water discharge permit
- OPPD NORTH OMAHA POWER STATION, OMAHA Air emission source
- OPPD JONES ST GENERATING STA, OMAHA Air emission source
- OMAHA BUSINESS PARK LLC, OMAHA Air emission source
- ARDENT MILLS LLC, OMAHA Air emission source
- MAGELLAN PIPELINE COMPANY LP, OMAHA Air emission source
- TULLY'S KENNELS, OMAHA Air emission source
- BEHLEN TECHNOLOGY & MFG, OMAHA Air emission source
- ARDENT MILLS LLC, OMAHA Air emission source
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 285288.