Skilled nursing facility · CMS certification number 355050
Maple Manor Care Center
LANGDON, North Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 45
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: $31,694.00 · Payment denials: 0. The most recent penalty on file: September 9, 2025, Fine, $31,694. 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 March 6, 2026.
None of these figures is carried on this report.
CMS report record 1448364, 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 January 23, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,744,171 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,857 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,737,314 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,002,284 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,264,970 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $307,815 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$957,155 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$957,155 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,636 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 23 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 79.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 522.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 592.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1402590, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 18, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,523,352 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$18,338 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,541,690 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,618,855 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,077,165 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,493,078 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $415,913 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $415,913 (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 | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,333 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 39 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 77.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 531.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 418.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372210, 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 December 20, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,903,507 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$21,658 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,925,165 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,709,911 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$784,746 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $828,418 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $43,672 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $43,672 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,968 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 27 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,087.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 554.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1338650, 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 February 4, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,287,968 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$86,650 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,374,618 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,042,184 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$667,566 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,117,649 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $450,083 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $450,083 (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 | 49 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,075 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 26 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 86.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,548.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 579.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309949, 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 March 3, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,360,698 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$805,675 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,166,373 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,053,483 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$887,110 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $203,949 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$683,161 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$683,161 (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 | 58 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,144 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 359 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,267 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 474.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280821, 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 27, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,929,120 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$879,484 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,808,604 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,145,412 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$336,808 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $524,958 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $188,150 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $188,150 (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 | 63 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,094 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 77.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 753.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 379.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249926, 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 October 26, 2018.
None of these figures is carried on this report.
CMS report record 1213338, 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 November 23, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,709,551 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$817,756 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,527,307 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,778,157 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$250,850 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $139,488 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$111,362 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$111,362 (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 | 63 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,552 | 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 | 65.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,082.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 630.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1178830, 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 December 14, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,120,078 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$404,018 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,524,096 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,468,765 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $55,331 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $119,018 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $174,349 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$81,416 (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 | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,332 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 96.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 798.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 460.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148649, 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 | $3,486,999 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$703,614 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,190,613 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,407,235 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$216,622 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $387,125 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $170,503 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$66,149 (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 | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,478 | 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 | 456.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 737.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 596.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117190, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 14, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,728,364 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$707,231 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,435,595 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,232,357 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $203,238 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $414,901 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $618,139 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $397,373 (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 | 63 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,909 | 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 | 84.91 | 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 | 609.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084002, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 3, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,814,062 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$680,396 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,494,458 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,435,095 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $59,363 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $367,043 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $426,406 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $426,406 (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 | 63 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,460 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 33 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 813.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 589.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056262, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,029,708 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $285,608 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,744,100 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,754,306 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,010,206 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $395,947 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$614,259 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$716,817 (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 | 63 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,446 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,855.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 463 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024069, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 18, 2012.
None of these figures is carried on this report.
CMS report record 423235, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 23, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,592,107 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,518,840 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $73,267 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $348,825 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $422,092 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,567 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 33 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 90.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 870.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 653.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 393000, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 8, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,140,015 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,912,511 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $227,504 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $88,487 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $211,383 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $104,608 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,746 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 889.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 648.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 363646, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 26, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,078,442 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,028,718 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $49,724 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $98,264 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $147,988 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,746 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 740.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 461.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 332616, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,274,239 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,026,971 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $247,268 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $200,916 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $448,184 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,844 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 77 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 81.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,658 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 283.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 300713, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 18, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,061,327 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,069,595 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$8,268 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $102,646 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $94,378 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,233 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 31 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 717.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 293952, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 21, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,087,059 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,061,833 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $25,226 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $96,902 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $122,128 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,531 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 33 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 101.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,093.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 682.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266799, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for July 1, 2003 to June 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 19, 2005.
None of these figures is carried on this report.
CMS report record 235061, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 24, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,707,342 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,805,646 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$98,304 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $202,876 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $104,572 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,957 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 21 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,257.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,093.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 200583, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended June 30, 2002
Cost report for July 1, 2001 to June 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,739 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 886 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 614.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 191362, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended June 30, 2001
Cost report for July 1, 2000 to June 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
None of these figures is carried on this report.
CMS report record 139271, read from the public cost report file SNFFY2000.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 |
|---|---|---|---|---|
| BUNN, DAWN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/01/2021 |
| JORDAN, CHARLES | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2014 |
| BUNN, DAWN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2022 |
| CLOSE, TAMMY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/29/2025 |
| JORDAN, CHARLES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2014 |
| JORDAN, CHARLES | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2014 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of MAPLE MANOR CARE CENTER (enrollment ID O20080818000024).
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 |
|---|---|---|---|---|---|
| CHARLES JORDAN | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAWN BUNN | Individual | CORPORATE OFFICER | 100 | 7/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILLIAM BROOKS | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAWN BUNN | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN BRAATEN | Individual | W-2 MANAGING EMPLOYEE | 0 | 7/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MEGAN HAKANSON | Individual | W-2 MANAGING EMPLOYEE | 0 | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2026: HAKANSON, MEGAN no longer appears as W-2 MANAGING EMPLOYEE in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: BRAATEN, JOHN no longer appears as W-2 MANAGING EMPLOYEE in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: JORDAN, CHARLES no longer appears as CORPORATE OFFICER in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: BROOKS, WILLIAM no longer appears as CORPORATE OFFICER in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: JORDAN, CHARLES appears as TRUSTEE OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: JORDAN, CHARLES appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: CLOSE, TAMMY appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: JORDAN, CHARLES appears as MANAGING CONTROL - GOVERNING BODY in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- June 1, 2025: ADRIAN OLSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- February 15, 2023: JASON CARLSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: JASON CARLSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MEGAN HAKANSON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: DAWN BUNN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: DAWN BUNN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Recent changes on this record
- September 1, 2026: HAKANSON, MEGAN no longer appears as W-2 MANAGING EMPLOYEE in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: BRAATEN, JOHN no longer appears as W-2 MANAGING EMPLOYEE in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: JORDAN, CHARLES no longer appears as CORPORATE OFFICER in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: BROOKS, WILLIAM no longer appears as CORPORATE OFFICER in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: JORDAN, CHARLES appears as TRUSTEE OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: JORDAN, CHARLES appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: CLOSE, TAMMY appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: JORDAN, CHARLES appears as MANAGING CONTROL - GOVERNING BODY in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- March 6, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- June 1, 2025: ADRIAN OLSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- January 23, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- January 18, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- February 15, 2023: JASON CARLSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: JASON CARLSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MEGAN HAKANSON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: DAWN BUNN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: DAWN BUNN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- December 20, 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- February 4, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- March 3, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- January 27, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- October 26, 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- November 23, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- December 14, 2016: 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 14, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- March 3, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- January 24, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- January 18, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- January 23, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- February 8, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- January 26, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- January 24, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- September 18, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- November 21, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- October 19, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- November 24, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- September 1, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- April 7, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 10, 2025 | September 10, 2025 | 9 | 0 |
| 2 | July 10, 2024 | July 10, 2024 | 6 | 0 |
| 3 | August 9, 2023 | August 9, 2023 | 9 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
24 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| September 10, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | October 24, 2025 |
| September 10, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | October 24, 2025 |
| September 10, 2025 | 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 | October 24, 2025 |
| September 10, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | October 24, 2025 |
| September 10, 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | G | Yes | Deficient, Provider has date of correction | October 24, 2025 |
| September 10, 2025 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | October 24, 2025 |
| September 10, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Yes | Deficient, Provider has date of correction | October 24, 2025 |
| September 10, 2025 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | No | Deficient, Provider has date of correction | October 24, 2025 |
| September 10, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | October 24, 2025 |
| July 10, 2024 | 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 | August 20, 2024 |
| July 10, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | August 20, 2024 |
| July 10, 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 | August 20, 2024 |
| July 10, 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 | August 20, 2024 |
| July 10, 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | August 20, 2024 |
| July 10, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | August 20, 2024 |
| August 9, 2023 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | September 22, 2023 |
| August 9, 2023 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | September 22, 2023 |
| August 9, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | September 22, 2023 |
| August 9, 2023 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | September 22, 2023 |
| August 9, 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | September 22, 2023 |
| August 9, 2023 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | September 22, 2023 |
| August 9, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | September 22, 2023 |
| August 9, 2023 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | No | Deficient, Provider has date of correction | September 22, 2023 |
| August 9, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | September 22, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| September 9, 2025 | Fine | $31,694 | 136249 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | MAPLE MANOR CARE CENTER |
| Date First Approved to Provide Medicare and Medicaid Services | 1978-06-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Cavalier |
| Telephone Number | 7012562987 |
| 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 | 45 |
| Average Number of Residents per Day | 36.2 |
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on Maple Manor 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 March 6, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for Maple Manor 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 North Dakota 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.
Other public records in North Dakota
- PARSHALL WATER TREATMENT PLANT, PARSHALL Water discharge permit
- MANDAREE WATER TREATMENT PLANT, MANDAREE Water discharge permit
- TWIN BUTTES WATER SYSTEM, HALLIDAY Water discharge permit
- WHITE SHIELD WATER TREATMENT PLANT, GARRISON Water discharge permit
- NEW TOWN WATER TREATMENT PLANT, NEW TOWN Water discharge permit
- NORTH DAKOTA ARMY NATIONAL GUARD, (UNKNOWN CITY) Water discharge permit
- MAGELLAN PIPELINE COMPANY LP, (UNKNOWN CITY) Water discharge permit
- PEMBINA COCHIN LLC, UNKNOWN Water discharge permit
- KNIFE RIVER CORPORATION - PLANT 4, PORTABLE Air emission source
- KELLER PAVING AND LANDSCAPING, INC., MINOT Air emission source
- TRI STATE PAVING, INC., DEVILS LAKE Air emission source
- AGGREGATE INDUSTRIES-NORTH CENTRAL REGIO, GRAND FORKS Air emission source
- CENTRAL SPECIALTIES, INC. - PLANT 4, PORTABLE Air emission source
- CENTRAL SPECIALTIES, INC. - PLANT 3, PORTABLE Air emission source
- GABRIEL CONSTRUCTION, INC, NORTHWOOD Air emission source
- SUNDRE SAND AND GRAVEL, INC., MINOT 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 355050.