Skilled nursing facility · CMS certification number 435110
Fountain Springs Healthcare
RAPID CITY, South Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 90
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $22,526.00 · Payment denials: 0. The most recent penalty on file: August 15, 2024, Fine, $16,801. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,536,307 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,914,507 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,621,800 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,474,319 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $147,481 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,877 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $168,358 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $168,358 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 32,940 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,474 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 14,283 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,908 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 29,665 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 124 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 31 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 107 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 262 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 460.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439080, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended August 30, 2023
Cost report for January 1, 2023 to August 30, 2023 — a reporting period of 241 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 26, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,775,689 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,967,879 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,807,810 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,391,929 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$584,119 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,886 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$575,233 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$575,235 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,015 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 277 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 161.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1424575, 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 | $13,327,602 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,961,291 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,366,311 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,482,598 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$116,287 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $187,180 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $70,893 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $70,892 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,230 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 334 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 428.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364906, 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 | $13,230,677 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,033,891 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,196,786 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,928,350 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $268,436 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $751,881 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,020,317 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,020,317 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,817 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 11,370 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 171.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331712, 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 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,719,549 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,941,567 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,777,982 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,347,392 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $430,590 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $713,667 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,144,257 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,144,253 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,833 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 233 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 475.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 123.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303746, 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 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,790,084 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,117,197 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,672,887 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,217,064 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $455,823 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,997 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $458,820 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $458,817 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,760 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 278 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 379.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1290832, 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 July 30, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,401,205 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,793,726 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,607,479 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,243,847 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $363,632 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,484 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $393,116 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $392,486 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,726 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 319 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 382.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238880, 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 26, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,829,816 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,334,641 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,495,175 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,348,563 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $146,612 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,576 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $169,188 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $169,188 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,478 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 238 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 558.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170713, 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 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,140,205 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,784,058 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,356,147 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,863,098 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $493,049 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $33,646 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $526,695 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $526,695 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,028 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 212 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 370.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142564, 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 | $9,083,658 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,769,268 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,314,390 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,583,983 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $730,407 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $62,776 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $793,183 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $751,342 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,096 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 115 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 841.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 270.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103347, 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 20, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,256,600 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,817,331 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,439,269 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,710,433 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $728,836 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $64,371 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $793,207 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $793,207 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,096 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 81.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 640.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 323.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1066558, 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 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,525,361 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,418,180 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,107,181 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,299,435 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $807,746 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $81,216 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $888,962 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $888,962 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,507 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 724 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 350.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047001, 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 | $7,497,282 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $970,603 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,526,679 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,511,307 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,015,372 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $39,739 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,055,111 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,055,111 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,753 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 71 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 112 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 845.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 433.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1019285, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for January 1, 2010 to September 30, 2010 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on November 28, 2011.
None of these figures is carried on this report.
CMS report record 420658, 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 July 14, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,817,143 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,667,363 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $149,780 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $353,312 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $503,092 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,734 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 71.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 666.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 391.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 380318, 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 July 28, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,509,199 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,395,798 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $113,401 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $534,285 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $647,686 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,718 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 561.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 428.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 353004, 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.
None of these figures is carried on this report.
CMS report record 320512, 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 May 9, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,854,922 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,122,051 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$267,129 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $529,682 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $262,553 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,223 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 54 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,104.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 596.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 308625, 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 30, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,579,130 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,928,019 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$348,889 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $72,727 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$276,162 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,674 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 17.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,443.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 459.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 271310, 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 December 9, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,126,384 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,622,833 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$496,449 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,041 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$477,408 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,446 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 19,017 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 441.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 238655, 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 March 7, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,601,420 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,008,685 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$407,265 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,613 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$395,652 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,727 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 146 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 15.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 559.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 196.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 209933, 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 April 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,575,198 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,888,645 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$313,447 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $327,522 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $14,075 (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 | 91 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,304 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,187.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 411.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 174349, 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, settled, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,438,800 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,368,968 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $69,832 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $75,133 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $144,965 (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 | 91 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,854 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,326.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 530.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 126816, 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 March 22, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,145,711 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,983,944 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $161,767 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $138,384 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $17,462 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $282,689 (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 | 91 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,387 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 39 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,214.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 830.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 1941, 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 May 7, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,860,456 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,974,848 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$114,392 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $48,172 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$4,573 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$61,647 (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 | 91 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,604 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 51 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 988.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 619.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 1939, read from the public cost report file SNFFY1999.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 |
| 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 03/17/2025 |
| COUVE HEALTHCARE CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/31/2025 |
| FOUNTAIN SPRINGS SNF OPERATIONS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/31/2025 |
| HARVEY, KRISTINE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| 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 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/31/2025 |
| PHILLIPS, MARIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| PTACEK, TRAVIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| SOUTH DAKOTA SNF CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/31/2025 |
| SPIELMAN, SHIMON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/31/2023 |
| WITZCORP GLOBAL LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/31/2025 |
| 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 |
| CH PACIFIC NORTHWEST HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/31/2023 |
| HERZKA, YISROEL | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/31/2023 |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/31/2023 |
| WITZCORP GLOBAL LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 08/31/2023 |
| LOWE, LEONOR | MANAGING CONTROL - GOVERNING BODY | 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 |
| FOUNTAIN SPRINGS SNF OPERATIONS, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/31/2023 |
| HARVEY, KRISTINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| LOWE, LEONOR | 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 |
| PHILLIPS, MARIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/31/2023 |
| PTACEK, TRAVIS | 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 FOUNTAIN SPRINGS SNF OPERATIONS, LLC (enrollment ID O20231128002935).
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: Yes |
| 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: Yes |
| 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 |
| 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 | 3/17/2025 | 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 | 3/31/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| FOUNTAIN SPRINGS 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 |
| KRISTINE HARVEY | 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 |
| 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 |
| MARIE G PHILLIPS | 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 | 3/31/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| 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 | 3/31/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRAVIS PTACEK | 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 |
| WITZCORP GLOBAL LLC | Organization | ADP OF THE SNF | Not stated in the filing | 8/31/2025 | 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 |
| No owner named in the filing | 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 |
| 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 |
| CH PACIFIC NORTHWEST HOLDINGS LLC | Organization | 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 | INDIRECT OWNERSHIP INTEREST | 100 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| WITZCORP GLOBAL LLC | Organization | INDIRECT OWNERSHIP INTEREST | 25 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| YISROEL E HERZKA | Individual | 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 | 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 |
| 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 | 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 | 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 | 8/31/2023 | 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 | 2.25 | 8/31/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| 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 |
| 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 |
| 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 |
| FOUNTAIN SPRINGS 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 |
| KRISTINE HARVEY | 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 |
| 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 |
| MARIE G PHILLIPS | 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 |
| 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 |
| TRAVIS PTACEK | 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 |
| 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
- June 1, 2025: LEO SATRIAWAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LEO SATRIAWAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: CH PACIFIC NORTHWEST HOLDINGS, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: CH PACIFIC NORTHWEST HOLDINGS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: SHIMON SPIELMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: YISROEL E HERZKA (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: YISROEL E HERZKA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: YITZCHOK YENOWITZ (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: YITZCHOK YENOWITZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KRISTINE HARVEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KRISTINE HARVEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TRAVIS PTACEK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TRAVIS PTACEK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: SOUTH DAKOTA SNF CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 31, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: SOUTH DAKOTA SNF CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: PACIFIC NORTHWEST OPCO MANAGEMENT, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 31, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: FOUNTAIN SPRINGS SNF OPERATIONS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 31, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: FOUNTAIN SPRINGS SNF OPERATIONS, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: COUVE FINANCIAL SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HAROLD PERLMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HAROLD PERLMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LEA LOWE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LEA LOWE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LEA LOWE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: COUVE HEALTHCARE CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 31, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: COUVE HEALTHCARE CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: WITZCORP GLOBAL LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: WITZCORP GLOBAL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MARIE G PHILLIPS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MARIE G PHILLIPS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.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: KRISTINE HARVEY 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 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 DIRECT OWNERSHIP 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: 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: MARIE G PHILLIPS 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 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
- 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
- September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 1, 2025: LEO SATRIAWAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LEO SATRIAWAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: CH PACIFIC NORTHWEST HOLDINGS, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: CH PACIFIC NORTHWEST HOLDINGS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: SHIMON SPIELMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: YISROEL E HERZKA (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: YISROEL E HERZKA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: YITZCHOK YENOWITZ (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: YITZCHOK YENOWITZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KRISTINE HARVEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: KRISTINE HARVEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TRAVIS PTACEK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: TRAVIS PTACEK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: SOUTH DAKOTA SNF CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 31, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: SOUTH DAKOTA SNF CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: PACIFIC NORTHWEST OPCO MANAGEMENT, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 31, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: FOUNTAIN SPRINGS SNF OPERATIONS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 31, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: FOUNTAIN SPRINGS SNF OPERATIONS, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: COUVE FINANCIAL SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HAROLD PERLMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: HAROLD PERLMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LEA LOWE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LEA LOWE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LEA LOWE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: COUVE HEALTHCARE CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 31, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: COUVE HEALTHCARE CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: WITZCORP GLOBAL LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: WITZCORP GLOBAL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MARIE G PHILLIPS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MARIE G PHILLIPS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- May 26, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 6, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 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
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 9, 2025 | December 9, 2025 | 10 | 1 |
| 2 | April 4, 2024 | April 4, 2024 | 2 | 0 |
| 3 | March 2, 2023 | March 2, 2023 | 6 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
18 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| February 12, 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. | D | Yes | Past Non-Compliance | |
| December 9, 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 | December 16, 2025 |
| December 9, 2025 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | December 16, 2025 |
| December 9, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | December 16, 2025 |
| December 9, 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | December 16, 2025 |
| December 9, 2025 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Yes | Deficient, Provider has date of correction | December 16, 2025 |
| December 9, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Past Non-Compliance | August 7, 2025 |
| December 9, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | December 16, 2025 |
| December 9, 2025 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | No | Deficient, Provider has date of correction | December 16, 2025 |
| December 9, 2025 | 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. | E | No | Deficient, Provider has date of correction | December 16, 2025 |
| May 28, 2025 | 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. | D | Yes | Past Non-Compliance | January 24, 2025 |
| August 15, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Past Non-Compliance | July 24, 2024 |
| May 22, 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 | Past Non-Compliance | May 21, 2024 |
| April 4, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 22, 2024 |
| January 2, 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 | December 26, 2023 |
| March 2, 2023 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | April 7, 2023 |
| March 2, 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 | April 7, 2023 |
| March 2, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | April 7, 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 |
|---|---|---|---|---|---|
| August 15, 2024 | Fine | $16,801 | 100191 | ||
| January 2, 2024 | Fine | $5,725 | 100175 |
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 | FOUNTAIN SPRINGS SNF OPERATIONS, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1998-02-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Pennington |
| Telephone Number | 6053433555 |
| Chain Name | EVERGREEN HEALTHCARE GROUP |
| Chain ID | 846 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 90 |
| Average Number of Residents per Day | 81.7 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on Fountain Springs Healthcare: 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 September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for Fountain Springs Healthcare
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in South Dakota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 435110.