Skilled nursing facility · CMS certification number 505403
BETHANY AT SILVER LAKE
EVERETT, Washington · Medicare and Medicaid
Certified beds, as filed in Care Compare: 151
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: $121,447.00 · Payment denials: 0. The most recent penalty on file: May 2, 2024, Fine, $51,500. 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, as submitted, processed by CMS on May 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,415,942 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,803,898 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,612,044 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,079,382 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $532,662 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$178,981 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $353,681 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $353,681 (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 | 151 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 55,266 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,604 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 26,645 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,999 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 40,248 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 100 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 94 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 257 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 451 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 283.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1424677, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 13, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,976,957 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,036,702 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,940,255 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,839,208 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $101,047 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $57,509 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $158,556 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $158,556 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 151 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,113 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 480 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 271.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1422845, 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 11, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,813,313 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,178,062 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,635,251 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,953,421 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$318,170 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $43,399 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$274,771 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$274,771 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,738 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 420 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 370.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364434, 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 August 10, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,723,261 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,603,423 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,119,838 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,761,447 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$641,609 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $325,387 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$316,222 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$316,222 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,815 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 341 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 534.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1329425, 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 | $15,287,559 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,979,394 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,308,165 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,105,217 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$797,052 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,730,754 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,933,702 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,933,702 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,056 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 271 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 406.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303755, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 9, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,395,247 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,400,937 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,994,310 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,916,195 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $78,115 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $341,434 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $419,549 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $321,152 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,954 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 397 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 635.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279899, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 29, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,332,725 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,974,133 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,358,592 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,343,575 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $15,017 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $313,843 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $328,860 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $326,152 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,730 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 352 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 799.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238687, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,556,965 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,150,039 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,406,926 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,965,266 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $441,660 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $351,292 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $792,952 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $792,952 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,939 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 518 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 345.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 73.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1188978, 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 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,413,276 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,401,325 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,011,951 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,861,520 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,150,431 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $336,726 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,487,157 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,391,609 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,251 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 657 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 276.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 61.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169023, 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 July 29, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,275,450 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,591,997 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,683,453 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,728,801 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $954,652 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $345,225 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,299,877 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,267,101 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,558 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 677 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 355.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138968, 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 June 27, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,404,885 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,427,638 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,977,247 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,322,479 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $654,768 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $285,167 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $939,935 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $878,618 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,931 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 633 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 334.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1132921, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 15, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,173,992 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,599,804 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,574,188 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,959,293 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $614,895 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $222,913 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $837,808 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $677,873 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,862 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 702 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 234.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 55.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111076, 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 April 24, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,303,144 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,203,657 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,099,487 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,940,461 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,159,026 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $218,414 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,377,440 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,120,012 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,819 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 652 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 254.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 61.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1058865, 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 August 12, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,012,817 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $511,249 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,501,568 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,210,003 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,291,565 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $202,844 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,494,409 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,251,278 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,975 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 579 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 322.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046104, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 13, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,802,752 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,931,353 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $871,399 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $193,346 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $265,149 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $799,596 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,174 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 391 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 389.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 100.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431093, 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 August 30, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,464,840 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,665,657 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $799,183 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $248,939 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $225,794 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $822,328 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,611 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 342 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 166.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 112.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 386986, 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 May 5, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,564,287 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,438,284 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $126,003 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $212,063 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $96,040 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $242,026 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,420 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 280 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 228.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 144.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 368961, 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 June 16, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,058,290 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,301,904 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$243,614 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $221,957 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $77,830 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$99,487 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,849 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 342 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 418.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 116.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 345038, 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 June 18, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,684,287 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,933,012 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$248,725 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $275,991 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $162,475 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$135,209 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,937 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 328 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 363.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 315407, 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 August 1, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,105,443 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,395,688 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$290,245 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $263,463 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $478,135 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$504,917 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,813 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 164 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 389.51 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 254.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 290641, 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 September 27, 2005.
None of these figures is carried on this report.
CMS report record 233802, read from the public cost report file SNFFY2004.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 August 19, 2003.
None of these figures is carried on this report.
CMS report record 157170, 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 June 2, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,193,913 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,296,360 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$102,447 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $219,072 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $32,775 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $83,850 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,216 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 154 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 369.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 274.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 146897, 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 February 4, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,248,487 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,938,223 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $310,264 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $216,644 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $52,729 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $474,179 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,935 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,061.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 401.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 67674, 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 October 2, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,115,289 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,500,287 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $615,002 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $170,345 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,000 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $775,347 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,578 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 191 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 542.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 222.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 67672, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 30, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,876,750 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,650,291 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $226,459 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $100,841 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $10,103 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $317,197 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,706 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 219 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 195 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 67670, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 2, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,736,463 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,667,358 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $69,105 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54,263 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $123,368 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,605 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 183 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 536.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 232.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 67668, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 10, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,602,010 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,430,528 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $171,482 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,136 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $203,618 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,703 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 160 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 562.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 266.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 67667, read from the public cost report file SNFFY1996.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 |
|---|---|---|---|---|
| BAUGUESS, TRISTINE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/22/2017 |
| BETHANY OF THE NORTHWEST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/21/2025 |
| LAGERSTROM, CHRISTINE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/25/2025 |
| SCRIVENS, JOSEPH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/06/2019 |
| TOOR, NAVDEEP | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2022 |
| DEGROODT, PATRICIA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/01/2023 |
| DOBLER, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/23/2025 |
| GAY, JEFF | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/24/2017 |
| IHLE, LOREN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/23/2025 |
| JACOBSON, STEVEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/27/2018 |
| KNUDSON, VERONICA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/23/2025 |
| KOENIG, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2007 |
| NESSE, JANICE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/23/2025 |
| NICHOLSON, ERIC | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/26/2023 |
| ROHDE, TOM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/07/2018 |
| SEYED ALIROTEH, MAHDIESADAT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/04/2024 |
| STAVE, LAWRENCE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/23/2025 |
| TIU, SUSAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/03/2019 |
| WALLIN, TERRI | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/23/2020 |
| SCRIVENS, JOSEPH | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/06/2019 |
| BETHANY OF THE NORTHWEST | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 10/12/1999 |
| BAUGUESS, TRISTINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/26/2025 |
| LAGERSTROM, CHRISTINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/25/2025 |
| SCRIVENS, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/06/2019 |
| TOOR, NAVDEEP | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BETHANY OF THE NORTHWEST (enrollment ID O20100208000724).
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 |
|---|---|---|---|---|---|
| BETHANY OF THE NORTHWEST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 10/12/1999 | Private equity company: No Real estate investment trust: No Holding company: No |
| BETHANY OF THE NORTHWEST | Organization | ADP OF THE SNF | Not stated in the filing | 1/21/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHRISTINE LAGERSTROM | Individual | ADP OF THE SNF | Not stated in the filing | 2/25/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH R SCRIVENS | Individual | ADP OF THE SNF | Not stated in the filing | 12/6/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NAVDEEP TOOR | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRISTINE C BAUGUESS | Individual | ADP OF THE SNF | Not stated in the filing | 3/22/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID R KOENIG | Individual | CORPORATE DIRECTOR | 7.14 | 3/1/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIC D NICHOLSON | Individual | CORPORATE DIRECTOR | 7.14 | 10/26/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANICE E NESSE | Individual | CORPORATE DIRECTOR | 7.14 | 1/23/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFF F GAY | Individual | CORPORATE DIRECTOR | 7.14 | 4/24/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAWRENCE B STAVE | Individual | CORPORATE DIRECTOR | 7.14 | 1/23/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LOREN J IHLE | Individual | CORPORATE DIRECTOR | 7.14 | 1/23/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MAHDIESADAT SEYED ALIROTEH | Individual | CORPORATE DIRECTOR | 7.14 | 4/4/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PATRICIA M DEGROODT | Individual | CORPORATE DIRECTOR | 7.14 | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT C DOBLER | Individual | CORPORATE DIRECTOR | 7.14 | 1/23/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN C JACOBSON | Individual | CORPORATE DIRECTOR | 7.18 | 6/27/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN O TIU | Individual | CORPORATE DIRECTOR | 7.14 | 1/3/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TERRI K WALLIN | Individual | CORPORATE DIRECTOR | 7.14 | 7/23/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TOM ROHDE | Individual | CORPORATE DIRECTOR | 7.14 | 6/7/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VERONICA KNUDSON | Individual | CORPORATE DIRECTOR | 7.14 | 1/23/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH R SCRIVENS | Individual | CORPORATE OFFICER | 100 | 12/6/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BETHANY OF THE NORTHWEST | Organization | DIRECT OWNERSHIP INTEREST | 100 | 10/12/1999 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHRISTINE LAGERSTROM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/25/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH R SCRIVENS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/6/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NAVDEEP TOOR | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRISTINE C BAUGUESS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/26/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- October 1, 2025: CHRISTINE O ADKINSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TOM GAFFNEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TRISTINE C BAUGUESS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CATHIE M HOIBY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ROBERT CAMPBELL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARY LINDBERG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PHUC H HUYNH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PAUL L ONERHEIM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ERIC D NICHOLSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 26, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JANICE E NESSE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ROBERT C DOBLER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOSEPH R SCRIVENS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 6, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOSEPH R SCRIVENS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 6, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TRISTINE C BAUGUESS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 22, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TRISTINE C BAUGUESS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LAWRENCE B STAVE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: VERONICA KNUDSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CHRISTINE LAGERSTROM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CHRISTINE LAGERSTROM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: BETHANY OF THE NORTHWEST (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 12, 1999. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: BETHANY OF THE NORTHWEST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: NAVDEEP TOOR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: NAVDEEP TOOR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MAHDIESADAT SEYED ALIROTEH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LOREN J IHLE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- August 1, 2023: RICHARD HOMME no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: GORDON D FERGUSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: LINDA A WHITESELL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: MERRY R GOSHHORN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: DAVID PARKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: MATTHEW L TODD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: MARYBETH DINGLEDY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: MARK D JUDY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: CHRISTINE O ADKINSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: TOM GAFFNEY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since September 5, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: PATTY DEGROODT (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: TERRI K WALLIN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since July 23, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: JOSEPH R SCRIVENS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since December 6, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: CATHIE M HOIBY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since January 28, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: MARY LINDBERG (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since March 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: PHUC H HUYNH (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since February 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
Recent changes on this record
- October 1, 2025: CHRISTINE O ADKINSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TOM GAFFNEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TRISTINE C BAUGUESS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CATHIE M HOIBY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ROBERT CAMPBELL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MARY LINDBERG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PHUC H HUYNH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PAUL L ONERHEIM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ERIC D NICHOLSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 26, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JANICE E NESSE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ROBERT C DOBLER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOSEPH R SCRIVENS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 6, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JOSEPH R SCRIVENS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since December 6, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TRISTINE C BAUGUESS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 22, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TRISTINE C BAUGUESS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LAWRENCE B STAVE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: VERONICA KNUDSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CHRISTINE LAGERSTROM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: CHRISTINE LAGERSTROM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since February 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: BETHANY OF THE NORTHWEST (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 12, 1999. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: BETHANY OF THE NORTHWEST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: NAVDEEP TOOR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: NAVDEEP TOOR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MAHDIESADAT SEYED ALIROTEH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LOREN J IHLE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- May 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- May 13, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 11, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- August 1, 2023: RICHARD HOMME no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: GORDON D FERGUSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: LINDA A WHITESELL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: MERRY R GOSHHORN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: DAVID PARKS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: MATTHEW L TODD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: MARYBETH DINGLEDY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: MARK D JUDY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: CHRISTINE O ADKINSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: TOM GAFFNEY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since September 5, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: PATTY DEGROODT (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: TERRI K WALLIN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since July 23, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 20, 2026 | March 20, 2026 | 7 | 3 |
| 2 | December 20, 2024 | December 20, 2024 | 6 | 3 |
| 3 | October 31, 2023 | October 31, 2023 | 22 | 13 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
35 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 20, 2026 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | No | Deficient, Provider has date of correction | April 24, 2026 |
| March 20, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | April 24, 2026 |
| March 20, 2026 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | April 24, 2026 |
| March 20, 2026 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | April 24, 2026 |
| March 20, 2026 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | D | No | Deficient, Provider has date of correction | April 24, 2026 |
| March 20, 2026 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | April 24, 2026 |
| March 20, 2026 | Health | F 0825 | Quality of Life and Care Deficiencies | Provide or get specialized rehabilitative services as required for a resident. | E | Yes | Deficient, Provider has date of correction | April 24, 2026 |
| December 20, 2024 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | January 30, 2025 |
| December 20, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | No | Deficient, Provider has date of correction | January 30, 2025 |
| December 20, 2024 | 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 | E | No | Deficient, Provider has date of correction | January 30, 2025 |
| December 20, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | No | Deficient, Provider has date of correction | January 30, 2025 |
| December 20, 2024 | 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 | January 30, 2025 |
| December 20, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | January 30, 2025 |
| May 2, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | June 12, 2024 |
| October 31, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | 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. | E | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0811 | Nutrition and Dietary Deficiencies | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | D | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | December 14, 2023 |
| October 31, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | December 14, 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 |
|---|---|---|---|---|---|
| May 2, 2024 | Fine | $51,500 | 43595 | ||
| October 31, 2023 | Fine | $69,947 | 43474 |
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 | Non profit - Church related |
| Legal Business Name | BETHANY OF THE NORTHWEST |
| Date First Approved to Provide Medicare and Medicaid Services | 1992-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Snohomish |
| Telephone Number | 4253383000 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 151 |
| Average Number of Residents per Day | 115.5 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| 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.
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