Skilled nursing facility · CMS certification number 435109
FIRESTEEL HEALTHCARE CENTER
MITCHELL, South Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 125
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: 6 · Fines: 6 · Fines, total amount: $153,308.00 · Payment denials: 0. The most recent penalty on file: December 18, 2025, Fine, $42,510. 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 August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,310,846 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,200,821 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,110,025 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,101,740 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $8,285 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,681 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $28,966 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $28,968 (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 | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 49,410 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,821 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 19,319 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 14,490 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 36,630 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 52 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 107 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 98 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 257 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 180.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 142.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1437985, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for August 31, 2023 to December 31, 2023 — a reporting period of 122 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 6, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,880,222 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,236,490 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,643,732 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,216,230 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $427,502 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $45 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $427,547 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $427,548 (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 | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,819 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 272.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 190.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394220, 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 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,361,408 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,465,198 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,896,210 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,647,994 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$751,784 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $833,625 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $81,841 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $81,844 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,030 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 647 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 176.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364905, 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 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,241,628 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,314,900 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,926,728 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,137,248 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$210,520 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,469,188 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,258,668 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,258,664 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,153 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 5,121.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 323.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331711, 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 12, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,045,262 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,633,712 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,411,550 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,190,804 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$779,254 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $878,345 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $99,091 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $99,094 (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 | 150 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,517 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 368.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 201.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304407, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for February 1, 2019 to December 31, 2019 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on July 31, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,723,901 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,698,594 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,025,307 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,455,848 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$430,541 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $760 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$429,781 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$429,779 (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 | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,331 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 221 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 551.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 177.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1262221, read from the public cost report file SNF10FY2019.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 1, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,395,776 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,873,021 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,522,755 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,524,622 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,001,867 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,761 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$980,106 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$984,492 (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 | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,871 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 201 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 444.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 208.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239177, 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 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,473,497 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,453,320 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,020,177 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,450,937 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$430,760 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,812 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$412,948 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$412,948 (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 | 135 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,285 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 191 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 565.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 237.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169719, 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 | $13,629,468 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,640,236 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,989,232 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,179,585 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$190,353 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,180 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$158,173 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$158,173 (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 | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,905 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 235 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 663.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 199.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142086, 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 July 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,755,150 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,879,239 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,875,911 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,163,117 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$287,206 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $84,296 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$202,910 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$271,960 (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 | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,604 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 227 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 86.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 587.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 218.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103805, 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, as submitted, processed by CMS on June 27, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,552,269 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,576,924 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,975,345 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,460,906 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$485,561 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $87,192 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$398,369 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$398,369 (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 | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,240 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 164 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,492.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 318.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1069177, 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 12, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,242,117 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,000,984 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,241,133 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,071,590 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$830,457 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $131,697 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$698,760 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$698,760 (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 | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,556 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 189 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 717.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 272.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046121, 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 November 12, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,511,621 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $272,273 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,239,348 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,116,014 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $123,334 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,639 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $157,973 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $157,973 (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 | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,716 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 318 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 409.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1019236, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for May 1, 2010 to December 31, 2010 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 10, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,177,886 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,118,744 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $59,142 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,328 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $76,470 (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 | 148 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,761 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 129 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 581.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 277.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 415089, 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 June 21, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,728,360 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,940,537 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,787,823 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,463 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,305 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,792,981 (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 | 143 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,998 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 295 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 337.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 172.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 377005, 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 February 16, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,042,583 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,349,041 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,693,542 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,426 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $18,693 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,695,275 (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 | 136 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,391 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 229 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 593.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 206.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 363987, 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 July 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,782,169 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,122,345 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,659,824 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $64,563 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $19,372 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,705,015 (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 | 141 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,955 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 275 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 500.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 178.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 320786, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 15, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,127,280 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,794,178 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,333,102 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,071 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $21,011 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,372,162 (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 | 145 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 49,934 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 396 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 228.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 126.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 326446, 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 January 31, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,898,822 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,702,657 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,196,165 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $77,373 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $38,619 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,234,919 (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 | 142 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,129 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 196 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 557.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 255.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 271521, 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 20, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,384,716 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,498,890 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$114,174 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,868 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$94,306 (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 | 163 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,031 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 403 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 134.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 247624, 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 21, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,355,081 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,546,384 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$191,303 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,950 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $13,787 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$192,140 (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 | 163 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,781 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 455 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 120.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 214747, 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 July 16, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,688,948 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,511,987 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $176,961 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,791 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $197,752 (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 | 163 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,245 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 383 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 149.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 187056, 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 July 30, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,598,903 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,108,354 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $490,549 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,969 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $532,518 (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 | 163 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,037 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 425 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 124.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 188979, 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, settled, processed by CMS on August 18, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,549,683 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,525,036 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $24,647 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,648 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $71,295 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,500 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 213 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 251.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 156907, 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, settled, processed by CMS on September 24, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,792,740 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,690,632 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $102,108 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,727 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $117,835 (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 | 168 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,911 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 457 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 128.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 1936, 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, settled, processed by CMS on October 2, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,158,249 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,414,520 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $743,729 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,271 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $766,000 (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 | 168 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,247 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 187 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 300.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 1935, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for November 1, 1997 to December 31, 1997 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on June 9, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $844,708 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $740,214 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $104,494 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,089 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $108,583 (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 | 168 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,071 | 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 | 25.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 265.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 18813, read from the public cost report file SNFFY1998.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 |
|---|---|---|---|---|
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 08/31/2023 |
| BOSSMAN, ANN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| CH PACIFIC NORTHWEST HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/07/2025 |
| COUVE HEALTHCARE CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/12/2025 |
| FIRESTEEL SNF OPERATIONS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/31/2025 |
| FIRESTEEL SNF REALTY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/13/2025 |
| HERZKA, YISROEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| LOWE, LEONOR | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| MIRKOVIC, PETAR | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/07/2025 |
| PETERSON, SCOTT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| SOUTH DAKOTA SNF CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/12/2025 |
| SPIELMAN, SHIMON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| WITZCORP GLOBAL LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| SPIELMAN, SHIMON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/31/2023 |
| LOWE, LEONOR | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/31/2023 |
| BOSSMAN, ANN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| FIRESTEEL SNF OPERATIONS, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| LOWE, LEONOR | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| MIRKOVIC, PETAR | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| PETERSON, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| SOUTH DAKOTA SNF CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| SPIELMAN, SHIMON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of FIRESTEEL SNF OPERATIONS, LLC (enrollment ID O20231128002397).
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 |
|---|---|---|---|---|---|
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| CH PACIFIC NORTHWEST HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 66.5 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| WITZCORP GLOBAL LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| YISROEL E HERZKA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 66.5 | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YITZCHOK YENOWITZ | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25 | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANN J BOSSMAN | Individual | ADP OF THE SNF | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CH PACIFIC NORTHWEST HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| COUVE FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/7/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| COUVE HEALTHCARE CONSULTING LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/12/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| FIRESTEEL SNF OPERATIONS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/31/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| FIRESTEEL SNF REALTY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/13/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| LEONOR LOWE | Individual | ADP OF THE SNF | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/7/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| PETAR MIRKOVIC | Individual | ADP OF THE SNF | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT N PETERSON | Individual | ADP OF THE SNF | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHIMON SPIELMAN | Individual | ADP OF THE SNF | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOUTH DAKOTA SNF CONSULTING LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/12/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| WITZCORP GLOBAL LLC | Organization | ADP OF THE SNF | Not stated in the filing | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| YISROEL E HERZKA | Individual | ADP OF THE SNF | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YITZCHOK YENOWITZ | Individual | ADP OF THE SNF | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHIMON SPIELMAN | Individual | CORPORATE OFFICER | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YITZCHOK YENOWITZ | Individual | CORPORATE OFFICER | Not stated in the filing | 8/31/2023 | 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 | 3 | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | INDIRECT OWNERSHIP INTEREST | 1 | 8/31/2023 | Private equity company: Yes Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | INDIRECT OWNERSHIP INTEREST | 3 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| No owner named in the filing | Organization | INDIRECT OWNERSHIP INTEREST | 2.25 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | INDIRECT OWNERSHIP INTEREST | 1 | 8/31/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | INDIRECT OWNERSHIP INTEREST | 2.25 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| LEONOR LOWE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANN J BOSSMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COUVE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| COUVE HEALTHCARE CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| FIRESTEEL SNF OPERATIONS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| LEONOR LOWE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| PETAR MIRKOVIC | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT N PETERSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHIMON SPIELMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SOUTH DAKOTA SNF CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| YITZCHOK YENOWITZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 8/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- April 1, 2026: HAROLD PERLMAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: HAROLD PERLMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- October 1, 2025: FIRESTEEL SNF OPERATIONS, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- August 1, 2025: LEO SATRIAWAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LEO SATRIAWAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: CH PACIFIC NORTHWEST HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SHIMON SPIELMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: YISROEL E HERZKA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: YITZCHOK YENOWITZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SOUTH DAKOTA SNF CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SOUTH DAKOTA SNF CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PACIFIC NORTHWEST OPCO MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FIRESTEEL SNF REALTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: COUVE FINANCIAL SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ANN J BOSSMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ANN J BOSSMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FIRESTEEL SNF OPERATIONS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FIRESTEEL SNF OPERATIONS, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FIRESTEEL SNF OPERATIONS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: HAROLD PERLMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: HAROLD PERLMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LEA LOWE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LEA LOWE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LEA LOWE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PETAR MIRKOVIC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PETAR MIRKOVIC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: COUVE HEALTHCARE CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: COUVE HEALTHCARE CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: WITZCORP GLOBAL LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SCOTT N PETERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SCOTT N PETERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- March 1, 2024: EMPRES HEALTHCARE GROUP, INC. EMPLOYEE STOCK OWNERSHIP TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: MICHAEL J MILLER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: MICHAEL J MILLER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: MARTY DAVIS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: BRENT WEIL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: EMPRES FINANCIAL SERVICES LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: EMPRES FINANCIAL SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: EMPRES SOUTH DAKOTA HEALTHCARE, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: MIDCAP FINANCIAL TRUST no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: GREATBANC TRUST COMPANY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: THOMAS P CARDEN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: ANN J BOSSMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: PETAR MIRKOVIC no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: EMPRES HEALTHCARE MANAGEMENT LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: EMPRES HEALTHCARE GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: CH PACIFIC NORTHWEST HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: SHIMON SPIELMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: SHIMON SPIELMAN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: YISROEL E HERZKA (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: YITZCHOK YENOWITZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: YITZCHOK YENOWITZ (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: YITZCHOK YENOWITZ (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: PACIFIC NORTHWEST OPCO MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: COUVE FINANCIAL SERVICES, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: LEO SATRIAWAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: LEO SATRIAWAN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: WITZCORP GLOBAL LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
Recent changes on this record
- July 30, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0732, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0695, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0644, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0561, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0883, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0812, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0684, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0565, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0689, scope and severity G. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- April 1, 2026: HAROLD PERLMAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: HAROLD PERLMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- October 1, 2025: FIRESTEEL SNF OPERATIONS, LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 1, 2025: LEO SATRIAWAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LEO SATRIAWAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: CH PACIFIC NORTHWEST HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SHIMON SPIELMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: YISROEL E HERZKA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: YITZCHOK YENOWITZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SOUTH DAKOTA SNF CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SOUTH DAKOTA SNF CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PACIFIC NORTHWEST OPCO MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FIRESTEEL SNF REALTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: COUVE FINANCIAL SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ANN J BOSSMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ANN J BOSSMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FIRESTEEL SNF OPERATIONS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FIRESTEEL SNF OPERATIONS, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FIRESTEEL SNF OPERATIONS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: HAROLD PERLMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: HAROLD PERLMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LEA LOWE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LEA LOWE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LEA LOWE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PETAR MIRKOVIC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PETAR MIRKOVIC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: COUVE HEALTHCARE CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: COUVE HEALTHCARE CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 30, 2026 | July 30, 2026 | 16 | 6 |
| 2 | April 25, 2025 | April 25, 2025 | 18 | 3 |
| 3 | January 4, 2024 | January 4, 2024 | 5 | 1 |
| 3 | January 31, 2023 | January 31, 2023 | 6 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
43 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 30, 2026 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has plan of correction | August 20, 2026 |
| July 30, 2026 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has plan of correction | August 20, 2026 |
| July 30, 2026 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has plan of correction | August 20, 2026 |
| July 30, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has plan of correction | August 20, 2026 |
| July 30, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has plan of correction | August 20, 2026 |
| July 30, 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 plan of correction | August 20, 2026 |
| July 30, 2026 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has plan of correction | August 20, 2026 |
| July 30, 2026 | 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. | E | No | Deficient, Provider has plan of correction | August 20, 2026 |
| July 30, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has plan of correction | August 20, 2026 |
| July 30, 2026 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | No | Deficient, Provider has plan of correction | August 20, 2026 |
| May 28, 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Yes | Deficient, Provider has date of correction | May 28, 2026 |
| May 28, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Yes | Deficient, Provider has date of correction | June 1, 2026 |
| May 28, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | May 28, 2026 |
| December 18, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | December 22, 2025 |
| December 18, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | January 9, 2026 |
| December 18, 2025 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Yes | Deficient, Provider has date of correction | December 22, 2025 |
| April 25, 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | May 20, 2025 |
| April 25, 2025 | 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 | Yes | Deficient, Provider has date of correction | May 20, 2025 |
| April 25, 2025 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Yes | Deficient, Provider has date of correction | May 20, 2025 |
| April 25, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | May 20, 2025 |
| April 25, 2025 | 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 | May 20, 2025 |
| April 25, 2025 | Health | F 0847 | Administration Deficiencies | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | No | Deficient, Provider has date of correction | May 20, 2025 |
| April 25, 2025 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Yes | Deficient, Provider has date of correction | May 20, 2025 |
| April 25, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | H | Yes | Deficient, Provider has date of correction | May 20, 2025 |
| April 25, 2025 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | G | No | Deficient, Provider has date of correction | May 20, 2025 |
| January 22, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Past Non-Compliance | January 21, 2025 |
| January 22, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | February 14, 2025 |
| January 2, 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Past Non-Compliance | December 18, 2024 |
| January 2, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | January 30, 2025 |
| January 2, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | January 30, 2025 |
| January 2, 2025 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Yes | Deficient, Provider has date of correction | January 30, 2025 |
| November 26, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | December 27, 2024 |
| October 17, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Past Non-Compliance | October 4, 2024 |
| September 17, 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | G | Yes | Deficient, Provider has date of correction | October 12, 2024 |
| May 30, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | G | Yes | Past Non-Compliance | January 25, 2024 |
| April 23, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | May 30, 2024 |
| January 4, 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. | D | No | Deficient, Provider has date of correction | February 10, 2024 |
| January 4, 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. | E | No | Deficient, Provider has date of correction | February 10, 2024 |
| January 4, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | February 10, 2024 |
| January 31, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | March 9, 2023 |
| January 31, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | March 9, 2023 |
| January 31, 2023 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | No | Deficient, Provider has date of correction | March 9, 2023 |
| January 31, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 9, 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 |
|---|---|---|---|---|---|
| December 18, 2025 | Fine | $42,510 | 138113 | ||
| April 25, 2025 | Fine | $46,137 | 100286 | ||
| November 26, 2024 | Fine | $34,320 | 100258 | ||
| October 17, 2024 | Fine | $6,788 | 100245 | ||
| September 17, 2024 | Fine | $15,041 | 100236 | ||
| May 30, 2024 | Fine | $8,512 | 100218 |
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 | FIRESTEEL SNF OPERATIONS, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1997-11-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Davison |
| Telephone Number | 6059966526 |
| Chain Name | EVERGREEN HEALTHCARE GROUP |
| Chain ID | 846 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 125 |
| Average Number of Residents per Day | 107.1 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Short-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 FIRESTEEL HEALTHCARE CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On July 30, 2026: A deficiency was cited under tag F 0880, scope and severity D. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for FIRESTEEL HEALTHCARE CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in 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.
Other public records in South Dakota
- HYDRO EXTRUSIONS USA, LLC, YANKTON Water discharge permit
- ADAM THERMAL SYSTEMS,INC, CANTON Water discharge permit
- MANITOU AMERICAS INC., MADISON Water discharge permit
- MTRONPTI, YANKTON Water discharge permit
- WHEELER MANUFACTURING CO, INC., LEMMON, CITY OF Water discharge permit
- SCOTCHMAN INDUSTRIES INC, PHILIP, CITY OF Water discharge permit
- GOPHER SIGN COMPANY, CLEAR LAKE Water discharge permit
- RIDLEY BLOCK OPERATIONS, WHITEWOOD Water discharge permit
- LAKE VIEW HUTTERITE BRETHREN, LAKE ANDES Air emission source
- CITY/SCHOOL COMMON ENERGY PLANT - DO NOT USE, RAPID CITY Air emission source
- BRANDON MATERIALS COMPANY, SIOUX FALLS Air emission source
- MYRL & ROYS PAVING INC, SIOUX FALLS Air emission source
- SPENCER QUARRIES INC, SPENCER Air emission source
- SPENCER QUARRIES INC, SPENCER Air emission source
- DIESEL MACHINERY INC, SIOUX FALLS Air emission source
- SPENCER QUARRIES INC, SPENCER Air emission source
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 435109.