Skilled nursing facility · CMS certification number 355112
WOODSIDE VILLAGE
GRAND FORKS, North Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 138
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $17,625.00 · Payment denials: 0. The most recent penalty on file: July 1, 2026, Fine, $9,347. 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 13, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,142,972 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $26,142,972 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,761,796 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $5,381,176 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $715,228 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $6,096,404 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,947,830 (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 | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 50,370 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 402 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 48,812 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 49,214 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 7 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 43 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 984.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446474, 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 February 25, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,472,679 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $25,472,679 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,448,617 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $6,024,062 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $937,078 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $6,961,140 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,329,044 (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 | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,794 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 1,106.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1404151, 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 March 14, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,204,561 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $24,204,561 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,040,834 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $5,163,727 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,365,956 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $9,529,683 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,769,166 (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 | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,962 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 100.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 829.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1374981, 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 | $21,402,885 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $21,402,885 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,335,694 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $4,067,191 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $325,578 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,392,769 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $11,870 (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 | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,177 | 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 | 165.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 609.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343936, 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 | $19,199,436 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $19,199,436 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,878,081 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,678,645 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,959,033 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,280,388 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,280,388 (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 | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,940 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 241.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 504.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1311608, 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 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,110,787 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $19,110,787 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,811,156 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $299,631 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $165,593 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $465,224 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $465,224 (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 | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,871 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 84.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 660.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281298, 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 May 13, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,195,377 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $18,195,377 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,129,733 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,065,644 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $336,544 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,402,188 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,402,188 (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 | 138 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,416 | 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 | 80.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 592.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283847, 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 May 29, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,872,640 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $15,872,640 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,261,356 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $611,284 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $108,321 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $719,605 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $719,605 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,430 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 52 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 115.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 815.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1256432, 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 December 20, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,977,408 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $14,977,408 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,522,398 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $455,010 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$8,668 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $446,342 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $446,342 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,806 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 82.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 440.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1180973, 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 January 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,866,442 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $14,866,442 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,441,302 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $425,140 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $123,092 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $548,232 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $548,232 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,627 | 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 | 77.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 906.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1150700, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,362,765 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $14,362,765 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,735,837 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $626,928 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $114,522 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $741,450 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $741,450 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,753 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 52 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 822.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1116884, 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 February 3, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,910,238 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $13,910,238 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,439,693 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $470,545 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $137,885 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $608,430 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $608,430 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,567 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 226.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 709.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085358, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 3, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,111,785 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $13,111,785 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,087,253 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $24,532 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $123,754 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $148,286 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $148,286 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,697 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 711.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056264, 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 March 8, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,504,136 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $12,504,136 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,471,641 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $32,495 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $131,433 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $163,928 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $163,928 (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 | 118 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,176 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 502.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1025596, 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 March 1, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,418,054 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,198,988 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $3,219,066 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $104,710 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $3,323,776 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,532 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 89 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 466.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 425267, 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 | $12,526,194 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,119,709 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $406,485 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $138,027 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $544,512 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,558 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 67 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 635.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392744, 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 March 1, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,274,000 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,599,020 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$325,020 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $160,855 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$164,165 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,612 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 83 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 513.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364650, 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 February 9, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,781,269 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,241,790 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$460,521 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $223,748 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$236,773 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,589 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 560.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333312, 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 August 21, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,303,498 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,837,725 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$534,227 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$107,173 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$641,400 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,045 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 127 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 331.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324705, 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 December 4, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,480,468 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,864,675 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$384,207 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $198,383 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$185,824 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,649 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 109 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 391.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 297506, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 21, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,018,065 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,326,132 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$308,067 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $343,504 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $35,437 (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 patient days, all components | 42,470 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 433.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266819, 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 November 18, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,839,604 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,269,323 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$429,719 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $220,888 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$208,831 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,547 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 644.65 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 237128, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for March 1, 2003 to June 30, 2003 — a reporting period of 121 days, not a full year, on form CMS-2540-96, settled, processed by CMS on December 13, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,135,897 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,365,575 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$229,678 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $105,246 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$124,432 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,995 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 41 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 341.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 201909, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended February 28, 2002
Cost report for March 1, 2001 to February 28, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 3, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,150,926 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,307,680 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,156,754 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $485,277 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$671,477 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,338 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 103 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 411.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 170033, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended February 28, 2001
Cost report for March 1, 2000 to February 28, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $20,474,199 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $33,868,892 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$13,394,693 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $707,033 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$12,687,660 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,439 | 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 | 42.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 398.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 139297, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended February 29, 2000
Cost report for March 1, 1999 to February 29, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 24, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,746,097 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,310,629 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,564,532 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,723,519 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $43,575 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$884,588 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,161 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 297.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 43162, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended February 28, 1999
Cost report for March 1, 1998 to February 28, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 12, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,101,791 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,608,520 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$506,729 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $183,938 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$322,791 (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 | 36 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,886 | 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 | 59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 368.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 43160, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended February 28, 1998
Cost report for March 1, 1997 to February 28, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 12, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,038,387 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,217,470 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$4,179,083 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,206,930 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $500,000 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$2,472,153 (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 | 36 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,321 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 135 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 98.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 43158, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended February 28, 1997
Cost report for March 1, 1996 to February 28, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 19, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,765,483 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,102,531 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$337,048 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $356,096 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $19,048 (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 | 118 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,543 | 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 | 76.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 384.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 43157, read from the public cost report file SNFFY1996.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 |
|---|---|---|---|---|
| ALTRU HEALTH SYSTEM | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/21/2025 |
| ANDERSON, MEGAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/31/2014 |
| BERGE, SCOTT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/25/2023 |
| BOTT, LORILEE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/29/2004 |
| BROWN, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/28/2020 |
| COLENSO, THOMAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/30/2024 |
| EDWARDS, ADAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/05/2021 |
| HENDERSON, CHRISTOPHER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/25/2018 |
| HERBERG, RACHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2018 |
| HOLTE, SHANNON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/26/2005 |
| LITSEY, JOE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/02/2023 |
| MOLMEN, DAVID | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/23/2019 |
| MOORE, PATRICK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/25/2017 |
| REED, MARGARET | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/25/2017 |
| ROLLER, GINA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/06/2021 |
| RYDLAND, GARTH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/11/2014 |
| SAFRANSKI, TINA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2022 |
| SAND, BRIAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/31/1999 |
| SCHULTZ, JENNIFER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/19/2014 |
| STETHEM, RENITA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/13/2013 |
| SVENDSON, CAROL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/25/2023 |
| THOMPSON, DWIGHT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/26/2022 |
| VALLEY SENIOR LIVING | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/08/2025 |
| WARNER, LISA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/19/2023 |
| BERGE, SCOTT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/25/2023 |
| BROWN, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/28/2020 |
| COLENSO, THOMAS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/30/2024 |
| MOLMEN, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/23/2019 |
| MOORE, PATRICK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/27/2015 |
| REED, MARGARET | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/25/2017 |
| RYDLAND, GARTH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/11/2014 |
| SVENDSON, CAROL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/25/2023 |
| THOMPSON, DWIGHT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/26/2022 |
| MOLMEN, DAVID | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/26/2022 |
| REED, MARGARET | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/23/2019 |
| RYDLAND, GARTH | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/11/2014 |
| SVENDSON, CAROL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/25/2023 |
| THOMPSON, DWIGHT | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/25/2023 |
| BERGE, SCOTT | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/25/2023 |
| BROWN, MICHAEL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/28/2020 |
| COLENSO, THOMAS | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/30/2024 |
| MOLMEN, DAVID | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/23/2019 |
| MOORE, PATRICK | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/25/2017 |
| REED, MARGARET | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/25/2017 |
| SVENDSON, CAROL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/25/2023 |
| THOMPSON, DWIGHT | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/26/2022 |
| ALTRU HEALTH SYSTEM | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/01/1994 |
| ANDERSON, MEGAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/31/2014 |
| BERGE, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/25/2023 |
| BOTT, LORILEE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/29/2004 |
| BROWN, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/28/2020 |
| COLENSO, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/30/2024 |
| EDWARDS, ADAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/05/2021 |
| HENDERSON, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/25/2018 |
| HERBERG, RACHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2018 |
| HOLTE, SHANNON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/26/2005 |
| LITSEY, JOE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/02/2023 |
| MOLMEN, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/23/2019 |
| MOORE, PATRICK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/25/2017 |
| REED, MARGARET | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/25/2017 |
| ROLLER, GINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/06/2021 |
| RYDLAND, GARTH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/11/2014 |
| SAFRANSKI, TINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2022 |
| SAND, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/31/1999 |
| SCHULTZ, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/19/2014 |
| STETHEM, RENITA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/13/2013 |
| SVENDSON, CAROL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/25/2023 |
| THOMPSON, DWIGHT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/26/2022 |
| VALLEY SENIOR LIVING | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/22/1997 |
| WARNER, LISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/19/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of 4000 VALLEY SQUARE INC (enrollment ID O20030822000023).
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 |
|---|---|---|---|---|---|
| VALLEY SENIOR LIVING | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 8/22/1997 | Private equity company: No Real estate investment trust: No Holding company: No |
| ADAM J EDWARDS | Individual | ADP OF THE SNF | Not stated in the filing | 9/5/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALTRU HEALTH SYSTEM | Organization | ADP OF THE SNF | Not stated in the filing | 5/21/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRIAN J SAND | Individual | ADP OF THE SNF | Not stated in the filing | 3/31/1999 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROL SVENDSON | Individual | ADP OF THE SNF | Not stated in the filing | 9/25/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTOPHER PJ HENDERSON | Individual | ADP OF THE SNF | Not stated in the filing | 6/25/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID MOLMEN | Individual | ADP OF THE SNF | Not stated in the filing | 9/23/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DWIGHT W THOMPSON | Individual | ADP OF THE SNF | Not stated in the filing | 9/26/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARTH RYDLAND | Individual | ADP OF THE SNF | Not stated in the filing | 2/11/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GINA ROLLER | Individual | ADP OF THE SNF | Not stated in the filing | 1/6/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENNIFER M SCHULTZ | Individual | ADP OF THE SNF | Not stated in the filing | 4/19/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOE C LITSEY | Individual | ADP OF THE SNF | Not stated in the filing | 6/2/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LISA A WARNER | Individual | ADP OF THE SNF | Not stated in the filing | 2/19/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LORILEE BOTT | Individual | ADP OF THE SNF | Not stated in the filing | 9/29/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGARET REED | Individual | ADP OF THE SNF | Not stated in the filing | 9/25/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MEGAN M ANDERSON | Individual | ADP OF THE SNF | Not stated in the filing | 3/31/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL R BROWN | Individual | ADP OF THE SNF | Not stated in the filing | 9/28/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICK F MOORE | Individual | ADP OF THE SNF | Not stated in the filing | 9/25/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RACHAEL A HERBERG | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RENITA J STETHEM | Individual | ADP OF THE SNF | Not stated in the filing | 10/13/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT JERRY BERGE | Individual | ADP OF THE SNF | Not stated in the filing | 9/25/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHANNON D HOLTE | Individual | ADP OF THE SNF | Not stated in the filing | 9/26/2005 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS COLENSO | Individual | ADP OF THE SNF | Not stated in the filing | 9/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TINA LYN SAFRANSKI | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VALLEY SENIOR LIVING | Organization | ADP OF THE SNF | Not stated in the filing | 4/8/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAROL SVENDSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/25/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID MOLMEN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/23/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DWIGHT W THOMPSON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/26/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARTH RYDLAND | Individual | CORPORATE DIRECTOR | Not stated in the filing | 2/11/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGARET REED | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/25/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL R BROWN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/28/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICK F MOORE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/27/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT JERRY BERGE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/25/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS COLENSO | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROL SVENDSON | Individual | CORPORATE OFFICER | Not stated in the filing | 9/25/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID MOLMEN | Individual | CORPORATE OFFICER | Not stated in the filing | 9/26/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DWIGHT W THOMPSON | Individual | CORPORATE OFFICER | Not stated in the filing | 9/25/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARTH RYDLAND | Individual | CORPORATE OFFICER | Not stated in the filing | 2/11/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGARET REED | Individual | CORPORATE OFFICER | Not stated in the filing | 9/23/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROL SVENDSON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/25/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID MOLMEN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/23/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DWIGHT W THOMPSON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/26/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGARET REED | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/25/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL R BROWN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/28/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICK F MOORE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/25/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT JERRY BERGE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/25/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS COLENSO | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ADAM J EDWARDS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/5/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALTRU HEALTH SYSTEM | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/1994 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRIAN J SAND | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/31/1999 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROL SVENDSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/25/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTOPHER PJ HENDERSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/25/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID MOLMEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/23/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DWIGHT W THOMPSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/26/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GARTH RYDLAND | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0 | 2/11/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GINA ROLLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/6/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENNIFER M SCHULTZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/19/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOE C LITSEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/2/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LISA A WARNER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/19/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LORILEE BOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/29/2004 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGARET REED | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/25/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MEGAN M ANDERSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/31/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL R BROWN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/28/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICK F MOORE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/25/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RACHAEL A HERBERG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RENITA J STETHEM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/13/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT JERRY BERGE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/25/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHANNON D HOLTE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/26/2005 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS COLENSO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/30/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TINA LYN SAFRANSKI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VALLEY SENIOR LIVING | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/22/1997 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- July 1, 2025: GINA ROLLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LORILEE BOTT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SARAH RAYMOND no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GARTH RYDLAND no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGARET REED (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGARET REED (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGARET REED (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGARET REED (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 23, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LISA A WARNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 19, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LISA A WARNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 19, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GINA ROLLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 6, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LORILEE BOTT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 29, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LORILEE BOTT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 29, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BRIAN J SAND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 31, 1999. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BRIAN J SAND (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 31, 1999. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DWIGHT W THOMPSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DWIGHT W THOMPSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DWIGHT W THOMPSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SCOTT JERRY BERGE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SCOTT JERRY BERGE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SCOTT JERRY BERGE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DAVID MOLMEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 23, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DAVID MOLMEN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 23, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DAVID MOLMEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 23, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DAVID MOLMEN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: THOMAS COLENSO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: THOMAS COLENSO (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: THOMAS COLENSO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: THOMAS COLENSO (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PATRICK F MOORE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PATRICK F MOORE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PATRICK F MOORE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CHRISTOPHER PJ HENDERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 25, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CHRISTOPHER PJ HENDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 25, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RACHAEL A HERBERG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RACHAEL A HERBERG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RENITA J STETHEM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 13, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RENITA J STETHEM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 13, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CAROL SVENDSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CAROL SVENDSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CAROL SVENDSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GARTH RYDLAND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 11, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHANNON D HOLTE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 26, 2005. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHANNON D HOLTE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 26, 2005. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MEGAN M ANDERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 31, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MEGAN M ANDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 31, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JENNIFER M SCHULTZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 19, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JENNIFER M SCHULTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 19, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ADAM J EDWARDS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ADAM J EDWARDS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: VALLEY SENIOR LIVING (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 8, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: VALLEY SENIOR LIVING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 22, 1997. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: VALLEY SENIOR LIVING (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 22, 1997. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ALTRU HEALTH SYSTEM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ALTRU HEALTH SYSTEM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 1, 1994. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOE C LITSEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 2, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JOE C LITSEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 2, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MICHAEL R BROWN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 28, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MICHAEL R BROWN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 28, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MICHAEL R BROWN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 28, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TINA SAFRANSKI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TINA SAFRANSKI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- February 1, 2024: CHARLES JOHNSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: PETER HOISTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: PETER HOISTAD no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: KAREN BREKKE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: MINDY B. MARCUS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: MINDY B. MARCUS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: JOHN SNUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: JOHN SNUSTAD no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: CLARK PIEPKORN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: GINA ROLLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since January 6, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: GINA ROLLER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since April 26, 2010. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: DWIGHT W THOMPSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since September 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: DWIGHT W THOMPSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since September 25, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: SCOTT JERRY BERGE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since September 25, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: SARAH RAYMOND (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since September 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: CAROL SVENDSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since September 25, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: CAROL SVENDSON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since September 25, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- February 1, 2024: MICHAEL R BROWN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2024; associated with this enrollment since September 28, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
Recent changes on this record
- July 1, 2026: A penalty was recorded: Fine. NH_Penalties_Sep2026_2.csv
- January 13, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- July 1, 2025: GINA ROLLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LORILEE BOTT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SARAH RAYMOND no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GARTH RYDLAND no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGARET REED (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGARET REED (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGARET REED (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MARGARET REED (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 23, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LISA A WARNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 19, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LISA A WARNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 19, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GINA ROLLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 6, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LORILEE BOTT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 29, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LORILEE BOTT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 29, 2004. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BRIAN J SAND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 31, 1999. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BRIAN J SAND (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 31, 1999. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DWIGHT W THOMPSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DWIGHT W THOMPSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DWIGHT W THOMPSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SCOTT JERRY BERGE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SCOTT JERRY BERGE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SCOTT JERRY BERGE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DAVID MOLMEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 23, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DAVID MOLMEN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 23, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DAVID MOLMEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 23, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DAVID MOLMEN (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: THOMAS COLENSO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: THOMAS COLENSO (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: THOMAS COLENSO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: THOMAS COLENSO (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PATRICK F MOORE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PATRICK F MOORE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PATRICK F MOORE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 25, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CHRISTOPHER PJ HENDERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 25, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CHRISTOPHER PJ HENDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 25, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RACHAEL A HERBERG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RACHAEL A HERBERG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RENITA J STETHEM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 13, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RENITA J STETHEM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 13, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 26, 2026 | March 26, 2026 | 4 | 1 |
| 2 | January 8, 2025 | January 8, 2025 | 2 | 0 |
| 3 | November 30, 2023 | November 30, 2023 | 5 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
11 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 1, 2026 | 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. | G | Yes | Past Non-Compliance | |
| March 26, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 30, 2026 |
| December 22, 2025 | 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 | September 25, 2025 |
| December 22, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Past Non-Compliance | November 5, 2025 |
| January 8, 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. | G | Yes | Past Non-Compliance | September 13, 2024 |
| January 8, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | January 23, 2025 |
| January 23, 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 | Yes | Deficient, Provider has date of correction | February 27, 2024 |
| November 30, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | January 4, 2024 |
| November 30, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | January 4, 2024 |
| November 30, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | January 4, 2024 |
| November 30, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | January 4, 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 |
|---|---|---|---|---|---|
| July 1, 2026 | Fine | $9,347 | 142919 | ||
| January 8, 2025 | Fine | $8,278 | 99658 |
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 - Church related |
| Legal Business Name | 4000 VALLEY SQUARE INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-12-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Grand Forks |
| Telephone Number | 7017877500 |
| 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 | 138 |
| Average Number of Residents per Day | 129.0 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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The citable document for WOODSIDE VILLAGE
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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 355112.