Velarion Records

Skilled nursing facility · CMS certification number 435122

St William's Care Center

MILBANK, South Dakota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 60

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 3 · Fines: 3 · Fines, total amount: $132,723.00 · Payment denials: 0. The most recent penalty on file: February 19, 2026, Fine, $78,750. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 10, 2026.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$4,583,873CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$577,248CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,161,121CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,915,115CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$753,994CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$975,738CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$221,744CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $221,744 (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%).

Beds, days and discharges, fiscal year 2025
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components21,900CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days825CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days9,575CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days42CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components10,442CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges18CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges10CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges22CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components50CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.83CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days957.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days208.84CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1447596, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended June 30, 2024

Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 14, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$4,650,158CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$551,111CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,201,269CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,856,072CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$654,803CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$177,820CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$476,983CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$476,983 (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%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,299CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components44CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days103.83CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days704.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days256.8CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403707, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2023, ended June 30, 2023

Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 12, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$4,366,768CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$331,795CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,698,563CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,380,876CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$682,313CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$293,687CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$388,626CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$388,626 (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%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,250CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components51CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days73.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days793CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days240.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1374814, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended June 30, 2022

Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 12, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$4,226,796CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$27,670CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,199,126CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,796,623CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$597,497CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$724,018CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$126,521CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $126,521 (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%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,206CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components39CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days1,357.22CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days338.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1350869, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2021, ended June 30, 2021

Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 30, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$4,247,890CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$465,490CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,782,400CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,170,184CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,387,784CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,521,827CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,134,043CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,134,043 (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%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,071CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components41CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days70.42CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days796.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days294.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313255, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended June 30, 2020

Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 31, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$4,922,542CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$670,819CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,251,723CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,759,220CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$507,497CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$151,129CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$356,368CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$356,368 (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%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,626CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components54CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.11CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days950.69CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days252.33CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1281889, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended June 30, 2019

Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 10, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$4,882,586CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$769,545CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,113,041CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,513,338CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$400,297CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$266,650CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$133,647CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$133,647 (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%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,598CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components60CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days66.29CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days894.8CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days243.3CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1250743, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2018, ended June 30, 2018

Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$4,828,387CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$837,415CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,990,972CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,513,016CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$522,044CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$193,035CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$329,009CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$329,009 (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%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,807CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components41CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.95CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,564.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days336.76CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1218491, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended June 30, 2017

Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$4,927,417CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$864,292CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,063,125CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,457,080CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$393,955CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$184,156CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$209,799CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$210,701 (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%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components57CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,218CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components58CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days127.09CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days656.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days227.9CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1182680, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2016, ended June 30, 2016

Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 24, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$4,581,843CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$792,784CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,789,059CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,355,270CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$566,211CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$228,375CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$337,836CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$348,271 (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%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components57CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,320CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components58CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days67.94CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days666.39CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days229.66CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1153444, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2015, ended June 30, 2015

Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 2, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$4,430,251CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$774,173CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,656,078CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,984,783CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$328,705CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$259,655CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$69,050CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$69,895 (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%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components57CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,804CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components53CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days71.3CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,328.8CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days279.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118467, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2014, ended June 30, 2014

Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 3, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$3,951,512CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$663,134CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,288,378CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,890,769CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$602,391CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$260,927CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$341,464CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$342,118 (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%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components57CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,418CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components37CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,201.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days335.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1086538, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2013, ended June 30, 2013

Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 31, 2014.

None of these figures is carried on this report.

CMS report record 1055009, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2012, ended June 30, 2012

Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 4, 2013.

None of these figures is carried on this report.

CMS report record 1024465, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2011, ended June 30, 2011

Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 18, 2012.

None of these figures is carried on this report.

CMS report record 423525, read from the public cost report file SNFFY2010.zip.

Fiscal year 2010, ended June 30, 2010

Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 3, 2011.

None of these figures is carried on this report.

CMS report record 393583, read from the public cost report file SNFFY2009.zip.

Fiscal year 2009, ended June 30, 2009

Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 13, 2010.

None of these figures is carried on this report.

CMS report record 362251, read from the public cost report file SNFFY2008.zip.

Fiscal year 2008, ended June 30, 2008

Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 9, 2009.

None of these figures is carried on this report.

CMS report record 333313, read from the public cost report file SNFFY2007.zip.

Fiscal year 2007, ended June 30, 2007

Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 2, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$2,939,037CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,553,648CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$614,611CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$322,102CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1,239CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$293,748 (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.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,465CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components53CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days87.64CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days492CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days386.13CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 301632, read from the public cost report file SNFFY2006.zip.

Fiscal year 2006, ended June 30, 2006

Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 16, 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$2,967,179CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,445,759CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$478,580CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$330,249CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$6,379CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$154,710 (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.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,006CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components61CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days124.4CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,108CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days344.36CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 294343, read from the public cost report file SNFFY2005.zip.

Fiscal year 2005, ended June 30, 2005

Cost report for March 15, 2005 to June 30, 2005 — a reporting period of 107 days, not a full year, on form CMS-2540-96, settled, processed by CMS on January 20, 2006.

Net income: −$339,448 (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.

CMS report record 240758, read from the public cost report file SNFFY2005.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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
BUTLER, RITAADP OF THE SNFIndividualNOT APPLICABLEsince 03/04/2005
CHRISTENSON, ANNADP OF THE SNFIndividualNOT APPLICABLEsince 08/17/2012
DENNA, PAULADP OF THE SNFIndividualNOT APPLICABLEsince 01/26/2023
THRIFT, RENEADP OF THE SNFIndividualNOT APPLICABLEsince 01/26/2023
WALKER, MARYADP OF THE SNFIndividualNOT APPLICABLEsince 05/26/2026
BUTLER, RITACORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/04/2005
KOSMAN, JANETCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/26/2026
WILLIAMS, SHARONCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/06/2025
CHRISTENSON, ANNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/17/2012
DENNA, PAULOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/26/2023
THRIFT, RENEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/26/2023

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ST WILLIAMS CARE CENTER (enrollment ID O20050218000373).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
ANN MARIE CHRISTENSONIndividualADP OF THE SNFNot stated in the filing8/17/2012
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARY WALKERIndividualADP OF THE SNFNot stated in the filing5/26/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PAUL T DENNAIndividualADP OF THE SNFNot stated in the filing1/26/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RENE MARY THRIFTIndividualADP OF THE SNFNot stated in the filing1/26/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RITA M BUTLERIndividualADP OF THE SNFNot stated in the filing3/4/2005
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JANET KOSMANIndividualCORPORATE DIRECTORNot stated in the filing5/26/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RITA M BUTLERIndividualCORPORATE DIRECTOR03/4/2005
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHARON WILLIAMSIndividualCORPORATE OFFICER02/6/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANN MARIE CHRISTENSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/17/2012
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PAUL T DENNAIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/26/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RENE MARY THRIFTIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/26/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1February 19, 2026October 2, 2024102
2October 2, 2024August 10, 202350
3August 10, 2023March 1, 2022100

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

25 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
February 19, 2026HealthF 0635Resident Assessment and Care Planning DeficienciesProvide doctor's orders for the resident's immediate care at the time the resident was admitted.DNoDeficient, Provider has date of correctionMarch 31, 2026
February 19, 2026HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correctionMarch 31, 2026
February 19, 2026HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correctionMarch 31, 2026
February 19, 2026HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GNoDeficient, Provider has date of correctionMarch 31, 2026
February 19, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionApril 1, 2026
February 19, 2026HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correctionMarch 31, 2026
February 19, 2026HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FNoDeficient, Provider has date of correctionApril 1, 2026
February 19, 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionApril 1, 2026
February 19, 2026HealthF 0868Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyDNoDeficient, Provider has date of correctionMarch 31, 2026
February 19, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correctionApril 1, 2026
October 2, 2024HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.ENoDeficient, Provider has date of correctionOctober 28, 2024
October 2, 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesDeficient, Provider has date of correctionNovember 5, 2024
October 2, 2024HealthF 0625Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DNoDeficient, Provider has date of correctionOctober 27, 2024
October 2, 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correctionOctober 27, 2024
October 2, 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correctionOctober 27, 2024
July 24, 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.HYesDeficient, Provider has date of correctionAugust 16, 2024
July 24, 2024HealthF 0602Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.DYesPast Non-ComplianceJuly 22, 2024
July 24, 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionAugust 16, 2024
July 24, 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correctionAugust 16, 2024
July 24, 2024HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DYesDeficient, Provider has date of correctionAugust 16, 2024
August 10, 2023HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correctionSeptember 1, 2023
August 10, 2023HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.GNoDeficient, Provider has date of correctionSeptember 1, 2023
August 10, 2023HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.GNoDeficient, Provider has date of correctionSeptember 1, 2023
August 10, 2023HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correctionSeptember 1, 2023
August 10, 2023HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correctionSeptember 1, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
February 19, 2026Fine$78,750138980
October 2, 2024Fine$12,048100240
July 24, 2024Fine$41,925100223

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Other
Legal Business NameST WILLIAMS CARE CENTER
Date First Approved to Provide Medicare and Medicaid Services2005-03-15
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishGrant
Telephone Number6054325811
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds60
Average Number of Residents per Day49.7
Overall Rating2
Health Inspection Rating2
QM Rating3
Long-Stay QM Rating3
Processing Date2026-09-01

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 St William's Care Center: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On February 10, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.

Follow this record for $99/month

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for St William's Care Center

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in South Dakota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

The citable document with full history — $295

Other public records in South Dakota

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 435122.

The Pay Desk is the free weekly executive pay briefing — one company at a time, every number traceable to a public filing.
You’ll confirm on The Pay Desk’s sign-up page.