Skilled nursing facility · CMS certification number 285295
TABITHA AT WILLIAMSBURG-SEGREN
LINCOLN, Nebraska
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.
This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026.
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, 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 | $1,195,488 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $339,916 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $855,572 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,374,176 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$518,604 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$518,604 | 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 | 16 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 5,840 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 47 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 2,182 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 925 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 3,154 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 3 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 35 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 38 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 15.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 62.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 41.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200871, 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 | $2,088,200 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $777,628 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,310,572 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,602,273 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$291,701 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$291,701 | 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 | 16 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 4,787 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 31 | 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, Medicaid, in days | 622.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 154.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171189, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for October 22, 2015 to December 31, 2015 — a reporting period of 70 days, not a full year, on form CMS-2540-10, settled, processed by CMS on June 27, 2016.
None of these figures is carried on this report.
CMS report record 1132719, read from the public cost report file SNF10FY2016.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
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
No change in ownership appears in CMS’s ownership data for this facility.
Recent changes on this record
- July 19, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 28, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- June 27, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2016.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
Get an email when this record changes
One email a day naming what moved on TABITHA AT WILLIAMSBURG-SEGREN: 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 July 19, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for TABITHA AT WILLIAMSBURG-SEGREN
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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- OPPD NORTH OMAHA POWER STATION, OMAHA Air emission source
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- 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 285295.