Skilled nursing facility · CMS certification number 435106
GOOD SAMARITAN WAGNER
WAGNER, South Dakota
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026. Its Medicare enrollment, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (enrollment ID O20070620000592), is not listed in the CMS enrollment file dated August 1, 2026.
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to December 21, 2023 — a reporting period of 81 days, not a full year, on form CMS-2540-10, settled, processed by CMS on February 3, 2025.
None of these figures is carried on this report.
CMS report record 1403082, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 22, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,185,243 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,246,229 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,939,014 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,148,570 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$209,556 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,723 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$193,833 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$264,191 (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 | 43 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,104 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 104.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 219.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 160.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344759, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,577,777 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,019,240 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,558,537 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,972,807 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$414,270 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,315 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$391,955 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$472,122 (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 | 43 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,100 | 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 | 100.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 265.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 276.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313848, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 14, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,256,268 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,469,006 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,787,262 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,916,194 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$128,932 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $57,323 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$71,609 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$81,556 (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 | 43 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,305 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 77 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 164.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 224.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282442, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 15, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,003,635 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,364,786 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,638,849 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,906,787 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$267,938 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $182,618 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$85,320 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$119,553 (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 | 47 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,857 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 75.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 156.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 198.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253741, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 6, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,032,071 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,426,797 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,605,274 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,613,481 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$8,207 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $83,145 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $74,938 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $67,127 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 54 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,999 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 67 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 627.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 283.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1220647, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 9, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,229,369 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,557,566 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,671,803 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,447,836 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $223,967 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $72,141 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $296,108 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $290,350 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,050 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 434.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 202.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1183621, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 24, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,188,552 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,665,729 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,522,823 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,573,028 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$50,205 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,871 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$11,334 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$37,717 (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 | 68 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,467 | 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 | 49.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 827.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 310.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153463, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 2, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,839,311 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,428,474 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,410,837 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,450,020 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$39,183 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $83,437 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $44,254 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $33,415 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 63 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,527 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 77.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 643.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 183.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1118479, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 20, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,800,568 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,563,623 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,236,945 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,378,284 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$141,339 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $425,165 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $283,826 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $269,104 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,347 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 696.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 349.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084680, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 31, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,529,306 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,370,438 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,158,868 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,143,377 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $15,491 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $67,483 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $82,974 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $107,865 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 63 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,594 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 130 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 411.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1057750, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 15, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,351,546 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,200,241 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,151,305 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,157,494 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,189 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $69,374 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $63,185 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $55,759 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,517 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,279.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 359.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1025967, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 19, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,752,009 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,808,989 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$56,980 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $98,823 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,846 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $31,997 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,862 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 65 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 667.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 274.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 426375, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 2, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,843,520 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,860,710 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$17,190 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $68,896 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $27,297 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $24,409 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,071 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 190 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 312.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 100.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398379, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 31, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,936,356 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,934,940 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,416 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $45,480 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $20,915 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $25,981 (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 | 54 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,901 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 188 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 264.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 105.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 366827, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 30, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,731,632 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,673,463 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $58,169 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,699 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6,762 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $73,106 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 59 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,040 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 147 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 268.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 136.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 336395, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 17, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,507,371 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,574,102 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$66,731 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $90,870 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $11,162 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $12,977 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,621 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 153 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 247.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 128.24 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 304766, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 2, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,504,958 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,593,946 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$88,988 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $72,943 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,589 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$23,634 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,566 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 44 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 623.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 490.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 301628, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 29, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,704,913 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,690,786 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $14,127 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $76,408 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,518 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $83,017 (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 | 68 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,309 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 871.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 517.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 271207, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 20, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,561,777 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,549,830 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $11,947 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $72,668 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,001 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $75,614 (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 | 68 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,081 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 38 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,011.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 607.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 240279, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 10, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,449,562 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,626,637 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$177,075 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $57,379 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$119,696 (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 | 67 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,983 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 169 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 273.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 130.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 206894, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 4, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,462,431 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,440,412 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $22,019 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,725 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $48,744 (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 | 67 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,083 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 133 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 427.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 173.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 147296, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 18, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,253,936 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,382,045 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$128,109 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $75,113 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $64,835 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$117,831 (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 | 73 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,478 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 73 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 92.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,794.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 294.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133704, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 18, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,329,452 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,516,363 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$186,911 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $51,465 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$135,446 (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 | 77 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,253 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 781.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 242.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133611, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 6, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,400,587 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,365,712 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $34,875 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $137,086 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $171,961 (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 | 77 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,684 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 390.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 205.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 1930, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on September 6, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,219,867 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,324,078 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$104,211 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,060 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$57,151 (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 | 77 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,913 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,128.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 390.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 1928, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for August 1, 1997 to September 30, 1997 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on October 6, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,938,837 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,051,833 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$112,996 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $105,371 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$7,625 (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 | 77 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,894 | 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 | 32.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 602.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 507.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 18806, read from the public cost report file SNFFY1997.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
- November 1, 2024: DAVID A BRECHTELSBAUER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: THOMAS PHILLIP KOOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: NATHAN THOMAS SCHEMA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: SANFORD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: AIMEE NICOLE MIDDLETON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: MICHAEL ROGERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: JOEL ADAM FLUIT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: WILLIAM D MARLETTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: TONY LEE MORRISON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: LINDA OLAYINKA NORMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- October 2, 2023: LISA MELBY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: NORVAL BUCKNEBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: NATHAN THOMAS SCHEMA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHELLE ANN BRUHN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHELLE ANN BRUHN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: CHAD JUNGMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: ERIC VANDEN HULL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: ERIC VANDEN HULL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHELLE MARIE MICKA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHELLE MARIE MICKA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: STEPHANIE MARIE SWENSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOLYN JOY MUNSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: KARIN LOUISE DULSKI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MARNIE LYNN VENTLING-HERRMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DUSTIN ALLEN SCHOLZ no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: SCOTT CHARLES PETERSEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 26, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: WILLIAM D MARLETTE (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DEAN LOUIS BRESCIANI (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: NATHAN THOMAS SCHEMA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 24, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHAEL ROGERS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOEL FLUIT (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: WILLIAM D MARLETTE (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 31, 2022: REBECCA MARIE BOLLIG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: WHITNEY PODZIMEK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: KELBY K KRABBENHOFT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: TIMOTHY PHILLIPPE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JAVIER ESPINOSA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JOSEPH E HERDINA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JOSEPH E HERDINA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JILL SCHUMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: HEATHER LYNN KRZMARZICK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: CHAD JUNGMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ALAN GARD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ERIC VANDEN HULL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: MICHELLE MARIE MICKA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JOHN R RACEK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: STEPHANIE MARIE SWENSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: STEPHANIE MARIE SWENSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: GWEN E HALAAS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: THOMAS A SYVERSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: PATRICIA CAMERO no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JOLYN JOY MUNSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JOLYN JOY MUNSON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: RANDY BURY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: RANDY BURY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: DINA ROBINSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: KARIN LOUISE DULSKI no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: KARIN LOUISE DULSKI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: TONY LEE MORRISON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: LEE LAAVEG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: DALE M THOMPSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: DAVID A BRECHTELSBAUER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since June 25, 2019. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: THOMAS PHILLIP KOOP (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since June 16, 2020. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: NATHAN THOMAS SCHEMA (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since June 24, 2019. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: MICHELLE ANN BRUHN (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: MICHELLE ANN BRUHN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: MATT RYAN HOCKS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: CHAD JUNGMAN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since January 16, 2019. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: AIMEE NICOLE MIDDLETON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since January 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: AIMEE NICOLE MIDDLETON (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since January 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ERIC VANDEN HULL (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: MICHELLE MARIE MICKA (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since January 6, 2019. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: STEPHANIE MARIE SWENSON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since November 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: JOLYN JOY MUNSON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since February 25, 2013. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: KARIN LOUISE DULSKI (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since November 19, 2012. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: TONY LEE MORRISON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since August 5, 2019. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: DARRELL SCHMITH (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since June 25, 2019. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: MARNIE LYNN VENTLING-HERRMANN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since June 25, 2016. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: LINDA OLAYINKA NORMAN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since June 22, 2021. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: DUSTIN ALLEN SCHOLZ (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since December 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: DAVID AUSTAD (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since June 25, 2019. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: HELEN ISABELLA MELLAND (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since June 22, 2021. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- February 3, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2024.zip
- November 1, 2024: DAVID A BRECHTELSBAUER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: DEAN LOUIS BRESCIANI no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: THOMAS PHILLIP KOOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: NATHAN THOMAS SCHEMA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: MATTHEW RYAN HOCKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: SANFORD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: AIMEE NICOLE MIDDLETON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: AIMEE NICOLE MIDDLETON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: MICHAEL ROGERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: SCOTT CHARLES PETERSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: JOEL ADAM FLUIT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: WILLIAM D MARLETTE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: WILLIAM D MARLETTE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: TONY LEE MORRISON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: TONY LEE MORRISON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: DARRELL EVAN SCHMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: LINDA OLAYINKA NORMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: DAVID AUSTAD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: HELEN ISABELLA MELLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- March 28, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 2, 2023: LISA MELBY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: NORVAL BUCKNEBERG no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: NATHAN THOMAS SCHEMA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHELLE ANN BRUHN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHELLE ANN BRUHN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: CHAD JUNGMAN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: ERIC VANDEN HULL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: ERIC VANDEN HULL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHELLE MARIE MICKA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MICHELLE MARIE MICKA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: STEPHANIE MARIE SWENSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JOLYN JOY MUNSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: KARIN LOUISE DULSKI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MARNIE LYNN VENTLING-HERRMANN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DUSTIN ALLEN SCHOLZ no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: SCOTT CHARLES PETERSEN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 26, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: WILLIAM D MARLETTE (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: DEAN LOUIS BRESCIANI (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
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One email a day naming what moved on GOOD SAMARITAN WAGNER: 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 February 3, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. That is one line of the alert.
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The citable document for GOOD SAMARITAN WAGNER
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 435106.