Skilled nursing facility · CMS certification number 355094
GOOD SAMARITAN SOCIETY-MOHALL
MOHALL, North Dakota
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. Its Medicare enrollment, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (enrollment ID O20070904000290), is not listed in the CMS enrollment file dated 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 July 1, 2023 to November 24, 2023 — a reporting period of 146 days, not a full year, on form CMS-2540-10, settled, processed by CMS on June 6, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,287,760 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $75,684 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,212,076 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,914,679 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$702,603 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $35,072 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$667,531 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$645,871 (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 | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 6,762 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 94 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 2,320 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,207 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 3,621 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 47 | 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 | 82.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1381559, read from the public cost report file SNF10FY2023.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 March 7, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,188,906 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $324,537 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,864,369 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,224,089 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$359,720 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,410 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$307,310 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$309,705 (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 | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,473 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 108.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 196.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 155.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343930, 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 March 2, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,898,374 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,931 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,894,443 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,835,478 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $58,965 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $140,064 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $199,029 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $192,162 (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 | 51 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,560 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 243.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 288.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1311150, 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 11, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,227,574 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $78,420 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,149,154 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,625,086 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$475,932 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $65,136 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$410,796 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$405,157 (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 | 16,716 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 18 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 136 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 547.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 928.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281162, 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 November 25, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,336,036 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $52,610 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,283,426 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,390,201 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$106,775 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $99,265 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$7,510 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$86,768 (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 | 18,783 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 450.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 237.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1246170, 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 December 17, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,306,314 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $142,039 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,164,275 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,346,657 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$182,382 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $249,987 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $67,605 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $20,183 (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 | 18,713 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 495.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 236.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1216049, 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 October 26, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,619,046 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $183,449 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,435,597 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,358,235 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $77,362 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $291,143 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $368,505 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $336,943 (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 | 19,489 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 95.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 576.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 256.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1177537, 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 | $4,937,849 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $270,801 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,667,048 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,236,120 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $430,928 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $371,533 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $802,461 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $763,689 (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 | 18,844 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 113.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 390.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 232.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148654, 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 September 28, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,528,602 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $179,845 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,348,757 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,086,805 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $261,952 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $165,479 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $427,431 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $365,799 (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 | 17,903 | 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 | 95.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 856.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 526.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1110858, 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 November 21, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,202,840 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $110,241 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,092,599 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,196,753 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$104,154 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $344,010 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $239,856 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $175,578 (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 | 59 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,051 | 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 | 49.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,336.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 488.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1080777, 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 February 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,801,597 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $167,847 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,633,750 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,772,928 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$139,178 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $69,377 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$69,801 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$109,079 (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 | 59 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,879 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 773.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 370.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1086344, 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 November 6, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,898,216 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $206,585 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,691,631 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,607,743 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $83,888 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $144,232 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $228,120 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $219,643 (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 | 59 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,387 | 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 | 84.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 689.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 484.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1018783, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,595,197 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,542,861 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $52,336 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $181,195 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,775 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $229,756 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,265 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 57 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 515.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 337.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423091, 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 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,712,849 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,581,239 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $131,610 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $175,235 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $3,059 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $303,786 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,123 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 54 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,051.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 372.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392736, 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 November 30, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,302,331 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,297,814 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $4,517 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $90,552 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $18,243 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $76,826 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,155 | 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 | 73.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,513.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 617.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 359680, 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 November 17, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,231,392 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,390,895 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$159,503 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $140,728 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $11,797 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$30,572 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,188 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 321.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 328484, 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 February 2, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,194,202 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,398,302 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$204,100 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $110,016 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $19,364 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$113,448 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,273 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 54 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 425.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 395.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 393.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 301590, 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 October 16, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,039,335 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,229,735 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$190,400 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $81,055 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,144 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$119,489 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,591 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 46 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 585.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 469.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 294784, 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 April 26, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,982,192 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,083,022 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$100,830 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $78,643 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,596 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$30,783 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,512 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 514.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 413.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 247970, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,925,820 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,901,051 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $24,769 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $66,527 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,664 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $81,632 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,176 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 75.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 618.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 423.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 234972, 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 October 29, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,722,039 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,807,009 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$84,970 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $81,967 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,311 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$7,314 (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 | 61 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,739 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 105 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 100.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 364.87 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 198414, 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 May 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,652,084 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,765,813 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$113,729 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $44,804 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$68,929 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,893 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 110 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 367.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 189.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 143565, 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 March 18, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,317,631 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,468,504 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$150,873 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $97,638 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$53,235 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,315 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 65 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 162.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 591.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 327.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133353, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended June 30, 2000
Cost report for July 1, 1999 to June 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,168,164 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,266,413 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$98,249 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $109,015 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $10,766 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,365 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 121 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 287.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 168.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 114083, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended June 30, 1999
Cost report for July 1, 1998 to June 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,054,560 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,284,657 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$230,097 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $83,520 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$146,577 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,098 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 86 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 233.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 1689, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended June 30, 1998
Cost report for July 1, 1997 to June 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on September 6, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,049,507 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,294,311 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$244,804 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $99,194 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$145,610 (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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,253 | 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 | 35.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,434 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 644.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 1687, read from the public cost report file SNFFY1997.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
- March 1, 2024: DAVID A BRECHTELSBAUER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: THOMAS PHILLIP KOOP no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: NATHAN THOMAS SCHEMA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: SANFORD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: AIMEE NICOLE MIDDLETON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: MICHAEL ROGERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JOEL ADAM FLUIT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: WILLIAM D MARLETTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: TONY LEE MORRISON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: LINDA OLAYINKA NORMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- October 2, 2023: SCOTT CHARLES PETERSEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 26, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: WILLIAM D MARLETTE (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LISA MELBY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: NORVAL BUCKNEBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHELLE ANN BRUHN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHELLE ANN BRUHN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JILL SCHUMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: CHAD JUNGMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: ERIC VANDEN HULL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: ERIC VANDEN HULL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: STEPHANIE MARIE SWENSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: STEPHANIE MARIE SWENSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOLYN JOY MUNSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOLYN JOY MUNSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: KARIN LOUISE DULSKI no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: KARIN LOUISE DULSKI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MARNIE LYNN VENTLING-HERRMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DEAN LOUIS BRESCIANI (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHAEL ROGERS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOEL FLUIT (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: WILLIAM D MARLETTE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- March 15, 2023: REBECCA MARIE BOLLIG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: KELBY K KRABBENHOFT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JAVIER ESPINOSA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: ALAN GARD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MICHELLE MARIE MICKA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MICHELLE MARIE MICKA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: PATRICIA CAMERO no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: RANDY BURY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: RANDY BURY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: SUSAN LEUPP no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: DALE M THOMPSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: THOMAS PHILLIP KOOP (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since June 16, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MICHELLE ANN BRUHN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MICHELLE ANN BRUHN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MATT RYAN HOCKS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: AIMEE NICOLE MIDDLETON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: AIMEE NICOLE MIDDLETON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: LINDA OLAYINKA NORMAN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since June 22, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: HELEN ISABELLA MELLAND (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since June 22, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- June 6, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- March 1, 2024: DAVID A BRECHTELSBAUER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: THOMAS PHILLIP KOOP no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: NATHAN THOMAS SCHEMA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: SANFORD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: AIMEE NICOLE MIDDLETON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: MICHAEL ROGERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: JOEL ADAM FLUIT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: WILLIAM D MARLETTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: TONY LEE MORRISON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: LINDA OLAYINKA NORMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- February 5, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- October 2, 2023: SCOTT CHARLES PETERSEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 26, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: WILLIAM D MARLETTE (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LISA MELBY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: NORVAL BUCKNEBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHELLE ANN BRUHN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHELLE ANN BRUHN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JILL SCHUMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: CHAD JUNGMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: ERIC VANDEN HULL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: ERIC VANDEN HULL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: STEPHANIE MARIE SWENSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: STEPHANIE MARIE SWENSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOLYN JOY MUNSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOLYN JOY MUNSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: KARIN LOUISE DULSKI no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: KARIN LOUISE DULSKI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MARNIE LYNN VENTLING-HERRMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DEAN LOUIS BRESCIANI (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
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 GOOD SAMARITAN SOCIETY-MOHALL: 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 6, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. That is one line of the alert.
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The citable document for GOOD SAMARITAN SOCIETY-MOHALL
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.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 355094.