Velarion Records

Skilled nursing facility · CMS certification number 285307

Eventide Prairie Commons Care Center

Grand Island, Nebraska · Medicare and Medicaid

Certified beds, as filed in Care Compare: 36

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $10,296.00 · Payment denials: 0. The most recent penalty on file: June 3, 2026, Fine, $14,380. 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.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$6,884,155CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$491,203CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,392,952CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,925,320CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$5,532,368CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$502,886CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$5,029,482CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$5,029,482 (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%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components36CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components13,176CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,660CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days61CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days3,793CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components6,514CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges59CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges1CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges19CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components79CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days61CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days82.46CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438846, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for April 12, 2023 to December 31, 2023 — a reporting period of 263 days, not a full year, on form CMS-2540-10, settled, processed by CMS on October 16, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$3,136,073CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$217,427CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,918,646CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,770,166CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$4,851,520CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,894,245CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,957,275CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,957,275 (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%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components36CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components2,589CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components46CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.45CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days56.28CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396622, read from the public cost report file SNF10FY2023.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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
TABITHA, INC.5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 12/22/2022
EVENTIDE NEBRASKA SENIOR LIVING LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization100%since 10/10/2024
HERVERT, MITCHELLADP OF THE SNFIndividualNOT APPLICABLEsince 04/10/2026
VAN PELT, TONYAADP OF THE SNFIndividualNOT APPLICABLEsince 04/13/2026
BOCK, JODEECORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/10/2024
BRANDT, TERRYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/10/2024
BYE, ROBERTCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/10/2024
FISCHBACH, TYLERCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/10/2024
GULBRANSON, PATRICKCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/10/2024
JOHNSON, VIKKICORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/10/2024
LARSON-CASSELTON, CINDYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/10/2024
LEE, JUDITHCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/10/2024
LUNAK, BRANDONCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/10/2024
SCHAFER, ERICCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/10/2024
SELJEVOLD, PETERCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/10/2024
SWENSON, KARLACORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/10/2024
BYE, ROBERTCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/10/2024
JOHNSON, VIKKICORPORATE OFFICERIndividualNOT APPLICABLEsince 10/10/2024
LUNAK, BRANDONCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/01/2026
RIEWER, JONCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/10/2024
ACTON, SHERRILLOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/22/2024
EVENTIDEOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 12/19/2024
OHE, DARINOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/22/2024
VAN PELT, TONYAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2026

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of TABITHA GRAND ISLAND, INC (enrollment ID O20230109001044).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
TABITHA, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST10012/22/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
EVENTIDE NEBRASKA SENIOR LIVING LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST10010/10/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
MITCHELL D HERVERTIndividualADP OF THE SNFNot stated in the filing4/10/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TONYA VAN PELTIndividualADP OF THE SNFNot stated in the filing4/13/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BRANDON LUNAKIndividualCORPORATE DIRECTORNot stated in the filing10/10/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CINDY LARSON-CASSELTONIndividualCORPORATE DIRECTORNot stated in the filing10/10/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ERIC SCHAFERIndividualCORPORATE DIRECTORNot stated in the filing10/10/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JODEE BOCKIndividualCORPORATE DIRECTORNot stated in the filing10/10/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JUDITH LEEIndividualCORPORATE DIRECTORNot stated in the filing10/10/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KARLA SWENSONIndividualCORPORATE DIRECTORNot stated in the filing10/10/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PATRICK GULBRANSONIndividualCORPORATE DIRECTORNot stated in the filing10/10/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PETER J SELJEVOLDIndividualCORPORATE DIRECTORNot stated in the filing10/10/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT J BYEIndividualCORPORATE DIRECTORNot stated in the filing10/10/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TERRY BRANDTIndividualCORPORATE DIRECTORNot stated in the filing10/10/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TYLER FISCHBACHIndividualCORPORATE DIRECTORNot stated in the filing10/10/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
VIKKI JOHNSONIndividualCORPORATE DIRECTORNot stated in the filing10/10/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BRANDON LUNAKIndividualCORPORATE OFFICERNot stated in the filing4/1/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JON M RIEWERIndividualCORPORATE OFFICERNot stated in the filing10/10/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT J BYEIndividualCORPORATE OFFICERNot stated in the filing10/10/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
VIKKI JOHNSONIndividualCORPORATE OFFICERNot stated in the filing10/10/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DARIN G OHEIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing11/22/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
EVENTIDEOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/19/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
SHERRILL L ACTONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing11/22/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TONYA VAN PELTIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/1/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1May 1, 2025May 1, 202565
2May 1, 2024May 1, 2024102
3April 12, 2023April 12, 202300

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

16 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
June 3, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correctionJune 25, 2026
May 1, 2025HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correctionMay 27, 2025
May 1, 2025HealthF 0678Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JNoDeficient, Provider has date of correctionMay 27, 2025
May 1, 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionMay 27, 2025
May 1, 2025HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correctionMay 27, 2025
May 1, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionMay 27, 2025
December 23, 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correctionFebruary 6, 2025
December 23, 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correctionFebruary 6, 2025
May 1, 2024HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DNoDeficient, Provider has date of correctionMay 1, 2024
May 1, 2024HealthF 0578Resident Rights DeficienciesHonor 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.EYesDeficient, Provider has date of correctionMay 1, 2024
May 1, 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correctionMay 1, 2024
May 1, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionMay 1, 2024
May 1, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionMay 1, 2024
May 1, 2024HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correctionMay 1, 2024
May 1, 2024HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FNoDeficient, Provider has date of correctionMay 1, 2024
May 1, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionMay 1, 2024

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
June 3, 2026Fine$14,380143587
May 1, 2025Fine$10,296134626

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameTABITHA GRAND ISLAND, INC
Date First Approved to Provide Medicare and Medicaid Services2023-04-12
Provider Resides in HospitalN
Continuing Care Retirement CommunityY
UrbanY
County/ParishHall
Telephone Number3083211122
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds36
Average Number of Residents per Day31.1
Overall Rating1
Health Inspection Rating1
QM Rating4
Long-Stay QM Rating3
Short-Stay QM Rating4
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.

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One email a day naming what moved on Eventide Prairie Commons Care Center: 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 June 3, 2026: A penalty was recorded: Fine. That is one line of the alert.

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The citable document for Eventide Prairie Commons Care Center

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.

The citable document with full history — $295

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