Skilled nursing facility · CMS certification number 435060
AVANTARA SAINT CLOUD
RAPID CITY, South Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 78
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: 3 · Fines: 3 · Fines, total amount: $39,131.00 · Payment denials: 0. The most recent penalty on file: March 18, 2026, Fine, $14,380. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,350,425 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,734,932 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,615,493 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,988,451 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $627,042 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,653 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $646,695 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $646,695 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 28,548 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,507 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 18,394 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,969 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 26,870 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 7 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 35 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 37 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 215.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 525.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 340.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439153, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 17, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,129,142 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,209,328 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,919,814 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,588,767 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $331,047 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,686 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $333,733 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $333,733 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,330 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 259.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 343 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 333.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395032, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 28, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,928,478 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,707,416 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,221,062 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,844,931 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $376,131 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $616 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $376,747 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $376,747 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,165 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 206 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 448.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 350.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365786, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 23, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,989,832 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,937,866 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,051,966 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,783,213 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $268,753 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $960,718 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,229,471 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,229,070 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,145 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 63 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 172.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 418.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 383.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333877, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 24, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,735,956 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,570,607 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,165,349 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,890,494 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $274,855 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,271,358 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,546,213 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,544,298 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,568 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 208.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 625.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 521.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305414, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for July 1, 2019 to December 31, 2019 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 26, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,410,905 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,374,669 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,036,236 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,852,754 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $183,482 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $183,497 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $183,497 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,787 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 23 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 143.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 620.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 599.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279042, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 2, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,239,537 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,252,491 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,987,046 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,664,165 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $322,881 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $524,001 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $846,882 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $846,882 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,838 | 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 | 93.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 335.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239352, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,271,480 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,571,979 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,699,501 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,007,648 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$308,147 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,061 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$304,086 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$304,086 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,311 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 162.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 661.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 398.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208788, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 31, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,935,237 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,550,016 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,385,221 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,382,021 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,200 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,373 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $28,573 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $28,573 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,362 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 32 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 294.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 823.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171336, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,328,418 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,497,096 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,831,322 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,908,836 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $922,486 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,224 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $936,710 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $936,710 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,350 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 43 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 255.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 636.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142082, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 19, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,330,307 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,713,472 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,616,835 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,810,392 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $806,443 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,982 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $845,425 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $845,425 (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 | 78 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,145 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 149.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 512.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1145049, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 29, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,837,733 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,722,127 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,115,606 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,487,180 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $628,426 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $44,959 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $673,385 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $673,385 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,104 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 19 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 252.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 1,321.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1116616, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,858,024 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,722,567 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,135,457 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,477,520 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $657,937 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $53,897 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $711,834 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $711,834 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,146 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 35 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 153.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 718.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044872, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 16, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,256,012 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,831,070 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,424,942 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,627,280 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $797,662 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,813 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $834,475 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $834,475 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,686 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 189.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 561.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1029428, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 18, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,339,069 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,548,668 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $790,401 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $50,149 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $840,550 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,973 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 37 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 618 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 674.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422910, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 13, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,828,254 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,270,690 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $557,564 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30,195 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $587,759 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,158 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 34 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 335.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 710.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 399427, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 26, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,324,839 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,070,152 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $254,687 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $129 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $254,816 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,302 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 33 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 706.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 368062, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 24, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,967,104 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,556,603 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $410,501 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,545 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $415,046 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,396 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 33 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 448.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 708.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 337798, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for April 1, 2006 to December 31, 2006 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on December 5, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,976,833 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,724,627 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $252,206 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,369 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $254,575 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,792 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 22 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 140.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 808.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 297747, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,785,677 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,252,170 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $533,507 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,079 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $553,586 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,254 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 67.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 484.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 265231, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 21, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,666,844 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,402,122 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $264,722 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,513 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $272,235 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,101 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 53 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 155.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 435.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 247724, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 19, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,076,772 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,038,505 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $38,267 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,031 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $55,298 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,283 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 332.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 214561, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 21, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,907,009 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,930,067 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$23,058 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,066 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$4,992 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,893 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 77 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 89.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 297.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 203090, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on March 18, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,552,846 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,759,737 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$206,891 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,661 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$201,230 (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 | 65 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,604 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 234.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 211677, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on July 30, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,233,208 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,572,069 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$338,861 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,483 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$321,378 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,578 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 89.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 266.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 74645, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on August 3, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,288,991 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,383,941 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$94,950 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,505 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$84,445 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,336 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 208.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 6943, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on February 15, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,378,296 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,227,403 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $150,893 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,135 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $153,028 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,112 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 292.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 6942, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on December 16, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,141,817 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,303,612 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$161,795 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $276,488 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $114,693 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,501 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 255.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 6941, read from the public cost report file SNFFY1997.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 43% | since 07/01/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 43% | since 07/01/2019 |
| OAKWAY OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 15% | since 07/01/2019 |
| SAINT CLOUD SD PROPERTY HOLDINGS, LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 07/01/2019 |
| TRUIST BANK | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 04/01/2022 |
| ALTENA, ASHALEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/08/2023 |
| DOROS GENERATION TRUST U/A/D 1/3/12 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2019 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2019 |
| PTACEK, TRAVIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| RAJCHENBACH, CHAIM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2019 |
| RSM US LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2024 |
| SAINT CLOUD SD PROPERTY HOLDINGS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2019 |
| SHABAT, MENACHEM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2019 |
| RAJCHENBACH, CHAIM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/2019 |
| SHABAT, MENACHEM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/2019 |
| ALTENA, ASHALEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/08/2023 |
| PTACEK, TRAVIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| RAJCHENBACH, CHAIM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2019 |
| SHABAT, MENACHEM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2019 |
| TRUIST BANK | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SAINT CLOUD SD SKILLED NURSING FACILITY, LLC (enrollment ID O20190827000849).
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 |
|---|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 42.5 | 7/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 42.5 | 7/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| OAKWAY OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15 | 7/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| SAINT CLOUD SD PROPERTY HOLDINGS, LLC | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 7/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRUIST BANK | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 4/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| ASHALEY ALTENA | Individual | ADP OF THE SNF | Not stated in the filing | 10/8/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHAIM RAJCHENBACH | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | ADP OF THE SNF | Not stated in the filing | 7/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | ADP OF THE SNF | Not stated in the filing | 7/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| MENACHEM SHABAT | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RSM US LLP | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| SAINT CLOUD SD PROPERTY HOLDINGS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRAVIS PTACEK | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | INDIRECT OWNERSHIP INTEREST | 2.6 | 7/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | INDIRECT OWNERSHIP INTEREST | 4.9 | 7/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | INDIRECT OWNERSHIP INTEREST | 2.6 | 7/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | INDIRECT OWNERSHIP INTEREST | 4.9 | 7/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHAIM RAJCHENBACH | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 7/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MENACHEM SHABAT | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 7/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ASHALEY ALTENA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/8/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHAIM RAJCHENBACH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MENACHEM SHABAT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRAVIS PTACEK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRUIST BANK | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- February 1, 2026: CIBC BANK USA no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CHAIM Z RAJCHENBACH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MENACHEM SHABAT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LAURA HENNEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: TRUIST BANK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: TRUIST BANK (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DOROS GENERATION TRUST U/A/D 1/3/12 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SAINT CLOUD SD PROPERTY HOLDINGS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SAINT CLOUD SD PROPERTY HOLDINGS, LLC (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ASHALEY ALTENA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since October 8, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ASHALEY ALTENA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since October 8, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RSM US LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: OAKWAY OPERATIONS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: GPN FAM TR UA 04282008 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: TRAVIS PTACEK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: TRAVIS PTACEK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CHAIM Z RAJCHENBACH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CHAIM Z RAJCHENBACH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CHAIM Z RAJCHENBACH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MENACHEM SHABAT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MENACHEM SHABAT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MENACHEM SHABAT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
Recent changes on this record
- March 18, 2026: A penalty was recorded: Fine. NH_Penalties_Sep2026_2.csv
- February 1, 2026: CIBC BANK USA no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CHAIM Z RAJCHENBACH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MENACHEM SHABAT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LAURA HENNEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: TRUIST BANK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: TRUIST BANK (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DOROS GENERATION TRUST U/A/D 1/3/12 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SAINT CLOUD SD PROPERTY HOLDINGS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SAINT CLOUD SD PROPERTY HOLDINGS, LLC (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ASHALEY ALTENA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since October 8, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ASHALEY ALTENA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since October 8, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RSM US LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: OAKWAY OPERATIONS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: GPN FAM TR UA 04282008 (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: TRAVIS PTACEK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: TRAVIS PTACEK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CHAIM Z RAJCHENBACH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CHAIM Z RAJCHENBACH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CHAIM Z RAJCHENBACH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MENACHEM SHABAT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MENACHEM SHABAT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MENACHEM SHABAT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 17, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 28, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 23, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 24, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- January 26, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- February 13, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 2, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 31, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- October 19, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 22, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- December 29, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 1, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 27, 2026 | January 27, 2026 | 5 | 1 |
| 2 | November 7, 2024 | November 7, 2024 | 9 | 2 |
| 3 | October 26, 2023 | October 26, 2023 | 3 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
17 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 18, 2026 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Yes | Deficient, Provider has date of correction | April 14, 2026 |
| March 18, 2026 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Yes | Past Non-Compliance | March 6, 2026 |
| January 27, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | March 10, 2026 |
| January 27, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | March 10, 2026 |
| January 27, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | March 10, 2026 |
| August 13, 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. | G | Yes | Past Non-Compliance | August 5, 2025 |
| July 2, 2025 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | E | Yes | Deficient, Provider has date of correction | August 12, 2025 |
| March 27, 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 | March 26, 2025 |
| November 7, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | December 22, 2024 |
| November 7, 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | E | No | Deficient, Provider has date of correction | December 22, 2024 |
| November 7, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | December 22, 2024 |
| November 7, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | December 22, 2024 |
| November 7, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | December 22, 2024 |
| November 7, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | Yes | Deficient, Provider has date of correction | December 22, 2024 |
| October 26, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | November 22, 2023 |
| October 26, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | November 22, 2023 |
| October 26, 2023 | Health | F 0742 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | No | Deficient, Provider has date of correction | November 22, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| March 18, 2026 | Fine | $14,380 | 142909 | ||
| August 13, 2025 | Fine | $13,343 | 138084 | ||
| October 26, 2023 | Fine | $11,408 | 100159 |
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 | For profit - Limited Liability company |
| Legal Business Name | SAINT CLOUD SD SKILLED NURSING FACILITY, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1991-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Pennington |
| Telephone Number | 6053434738 |
| Chain Name | LEGACY HEALTHCARE |
| Chain ID | 306 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 78 |
| Average Number of Residents per Day | 72.2 |
| Overall Rating | 2 |
| Health Inspection Rating | 3 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on AVANTARA SAINT CLOUD: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On March 18, 2026: A penalty was recorded: Fine. That is one line of the alert.
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The citable document for AVANTARA SAINT CLOUD
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in South Dakota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 435060.