Skilled nursing facility · CMS certification number 355109
SOURIS VALLEY CARE CENTER
VELVA, North Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 46
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.
CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)
In Care Compare’s provider information: Penalties: 4 · Fines: 4 · Fines, total amount: $132,172.00 · Payment denials: 0. The most recent penalty on file: November 20, 2025, Fine, $64,269. 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 January 21, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,756,648 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $536,128 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,220,520 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,230,652 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,132 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $154,365 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $144,233 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $16,438 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 24,090 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,181 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,763 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,873 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 19,817 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 14 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 46 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 89 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 149 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 84.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 147.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 133 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446809, 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 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,992,283 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $625,669 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,366,614 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,098,572 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $268,042 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $87,592 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $355,634 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $370,882 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,273 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 90.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 100.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1402927, 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 31, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,558,790 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $804,819 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,753,971 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,883,208 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$129,237 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $85,243 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$43,994 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$135,631 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,003 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 248 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 169.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372754, 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 March 7, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,579,736 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $434,144 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,145,592 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,512,803 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$367,211 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $270,353 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$96,858 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$205,856 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,260 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 189.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343935, 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 8, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,820,612 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $16,644 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,803,968 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,271,373 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$467,405 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $707,312 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $239,907 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $202,112 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,059 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 143.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 152.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1311607, 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 23, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,182,566 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $21,340 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,161,226 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,473,420 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$312,194 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $359,378 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $47,184 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $111,661 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,900 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 564 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 349.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281561, 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 | $4,198,755 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $126,709 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,072,046 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,329,391 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$257,345 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $206,518 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$50,827 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$89,712 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,491 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 137 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 183.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1246171, 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 13, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,014,352 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $125,390 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,888,962 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,086,233 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$197,271 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $124,666 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$72,605 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$79,848 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,408 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 73 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 607.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 279.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1215739, 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 31, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,272,247 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $56,036 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,216,211 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,174,725 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $41,486 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $82,569 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $124,055 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $113,818 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,438 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 588.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 448.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1177729, 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 | $4,195,371 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $110,002 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,085,369 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,788,204 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $297,165 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $178,349 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $475,514 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $465,771 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,517 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 77 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 524.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 279.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148660, 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 October 16, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,114,799 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $149,454 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,965,345 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,944,517 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $20,828 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $76,850 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $97,678 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $71,091 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,120 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 73 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 463.12 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 289.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111654, 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 December 9, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,906,590 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $161,961 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,744,629 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,879,249 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$134,620 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $110,435 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$24,185 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$160,787 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,038 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 636 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 324.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1082025, 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 January 31, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,888,242 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $135,068 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,753,174 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,670,101 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $83,073 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $93,989 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $177,062 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $145,524 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,306 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 422 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 337.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1054994, 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, as submitted, processed by CMS on November 8, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,812,366 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $142,830 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,669,536 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,728,184 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$58,648 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $75,750 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $17,102 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $29,601 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,756 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 64 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 294.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 355.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1019043, 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 November 28, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,371,382 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,486,626 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$115,244 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $108,980 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $60,836 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$67,100 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,151 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.1 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 495.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 306.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 420654, 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 | $3,441,562 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,244,384 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $197,178 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $98,840 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $20,622 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $275,396 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,805 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,252.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 311.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392743, 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 December 23, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,967,038 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,992,947 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$25,909 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $142,071 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,153 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $109,009 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,498 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 539.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 292.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 361596, 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 December 26, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,923,812 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,966,488 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$42,676 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $128,748 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $56,013 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $30,059 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,230 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 82 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 450.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 258.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 331007, 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 | $2,906,646 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,851,114 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $55,532 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $90,640 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $28,458 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $117,714 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,385 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 72 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 595.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 310.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 301611, 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 November 1, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,762,028 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,788,712 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$26,684 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $119,189 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $38,889 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $53,616 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,147 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 26 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 10,217 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 851.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 295573, 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 21, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,825,508 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,739,270 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $86,238 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $84,680 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $19,394 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $151,524 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,385 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 430.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 243.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 247728, 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 21, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,658,827 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,611,512 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $47,315 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,852 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $12,993 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $58,174 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,207 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 392.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 214.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 235177, 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 22, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,395,555 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,524,737 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$129,182 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,190 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,217 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$109,209 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,583 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 335.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 218.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 200165, 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 | $2,391,224 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,469,357 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$78,133 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,433 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$55,700 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,150 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 736.62 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 280.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 144431, 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 | $2,155,995 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,184,780 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$28,785 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,585 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $14,800 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,814 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 72 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 665.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 289.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133380, 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 | $1,812,709 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,934,568 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$121,859 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $78,557 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$43,302 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,278 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,857.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 435.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 114084, 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 June 5, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,653,504 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,732,980 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$79,476 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,759 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$32,717 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,146 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 47 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 364.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 1716, 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 May 13, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,568,280 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,651,553 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$83,273 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,856 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$46,417 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,991 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 35 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,103.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 514.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 216827, 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
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| DAVIS, MARY LIZ | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/28/2014 |
| FINNESETH, ALVIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/28/2014 |
| FLAHERTY, DAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/28/2014 |
| HEISLER, VALERIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/28/2014 |
| KRAMER, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/28/2014 |
| LEE, LARRY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/28/2014 |
| THOM, BONNIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/28/2014 |
| FINNESETH, ALVIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2012 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/1991 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SOURIS VALLEY CARE CENTER, INC. (enrollment ID O20050705000945).
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 |
|---|---|---|---|---|---|
| ALVIN FINNESETH | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/28/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BONNIE THOM | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/28/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAN FLAHERTY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/28/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID KRAMER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/28/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LARRY LEE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/28/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARY LIZ DAVIS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/28/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VALERIE HEISLER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/28/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALVIN FINNESETH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/1991 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- February 1, 2025: ALVIN FINNESETH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since February 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ALVIN FINNESETH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since May 28, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- January 1, 2025: ALVIN FINNESETH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: ALVIN FINNESETH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- September 1, 2024: NORMA EFFERTZ no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- January 21, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- February 1, 2025: ALVIN FINNESETH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since February 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ALVIN FINNESETH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since May 28, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- January 30, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- January 1, 2025: ALVIN FINNESETH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: ALVIN FINNESETH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- September 1, 2024: NORMA EFFERTZ no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- January 31, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- March 7, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- March 8, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- March 23, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- November 25, 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- December 13, 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- October 31, 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
- October 16, 2015: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- December 9, 2014: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- January 31, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- November 8, 2012: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- November 28, 2011: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- January 17, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- December 23, 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- December 26, 2008: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- February 2, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- November 1, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- April 21, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- October 21, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- May 13, 2005: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- November 22, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- May 7, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- March 18, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- February 11, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- June 5, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 11, 2026 | June 11, 2026 | 11 | 1 |
| 2 | April 24, 2025 | April 24, 2025 | 4 | 0 |
| 3 | April 17, 2024 | April 17, 2024 | 13 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
28 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 11, 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | June 7, 2026 |
| June 11, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | July 10, 2026 |
| June 11, 2026 | 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 | July 10, 2026 |
| June 11, 2026 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | July 10, 2026 |
| June 11, 2026 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | July 10, 2026 |
| April 8, 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | May 8, 2026 |
| January 7, 2026 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | January 13, 2026 |
| January 7, 2026 | 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 | January 13, 2026 |
| November 20, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | December 26, 2025 |
| November 20, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | December 26, 2025 |
| November 20, 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. | J | Yes | Deficient, Provider has date of correction | December 26, 2025 |
| April 24, 2025 | 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 | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 24, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 24, 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. | E | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 24, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | J | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| August 27, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | G | Yes | Past Non-Compliance | August 19, 2024 |
| April 17, 2024 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Yes | Deficient, Provider has date of correction | May 15, 2024 |
| April 17, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | May 15, 2024 |
| April 17, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | May 15, 2024 |
| April 17, 2024 | 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. | E | No | Deficient, Provider has date of correction | May 15, 2024 |
| April 17, 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 | May 15, 2024 |
| April 17, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | May 15, 2024 |
| April 17, 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. | J | Yes | Deficient, Provider has date of correction | May 15, 2024 |
| April 17, 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | May 15, 2024 |
| April 17, 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | G | No | Deficient, Provider has date of correction | May 15, 2024 |
| April 17, 2024 | 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 | May 15, 2024 |
| April 17, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 15, 2024 |
| April 17, 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | May 15, 2024 |
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 |
|---|---|---|---|---|---|
| November 20, 2025 | Fine | $64,269 | 136317 | ||
| April 24, 2025 | Fine | $26,761 | 134235 | ||
| August 27, 2024 | Fine | $8,824 | 99651 | ||
| April 17, 2024 | Fine | $32,318 | 99629 |
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 | SOURIS VALLEY CARE CENTER, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-09-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Mchenry |
| Telephone Number | 7013382072 |
| Chain Name | GOOD SAMARITAN SOCIETY |
| Chain ID | 726 |
| Special Focus Status | SFF Candidate |
| 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 | 46 |
| Average Number of Residents per Day | 40.3 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Short-Stay QM Rating | 1 |
| 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 SOURIS VALLEY 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 January 21, 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 SOURIS VALLEY 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.
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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 355109.