Skilled nursing facility · CMS certification number 525274
Edenbrook of Fond Du Lac
Fond Du Lac, Wisconsin · Medicare and Medicaid
Certified beds, as filed in Care Compare: 90
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $9,113.00 · Payment denials: 0. The most recent penalty on file: June 11, 2025, Fine, $9,113. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 22, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,456,613 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,082,627 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,373,986 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,347,401 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $26,585 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $62,941 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $89,526 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $89,526 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 32,940 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 893 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,183 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,489 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 18,565 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 18 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 64 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 100 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 182 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 190.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 102.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1424718, 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 June 4, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,584,420 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,277,428 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,306,992 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,181,657 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $125,335 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $876,252 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,001,587 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,001,587 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,401 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 329 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 121.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1381046, 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 June 22, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,873,640 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,424,261 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,449,379 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,422,115 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $27,264 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $84,732 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $111,996 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $111,996 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,712 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 277 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 166.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 67.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1353576, 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 18, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,888,155 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,540,678 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,347,477 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,772,886 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$425,409 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $806,208 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $380,799 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $380,799 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,091 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 305 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 119.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1330109, 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 September 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,169,551 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,222,644 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,946,907 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,881,965 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $64,942 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $855,595 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $920,537 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $920,537 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,298 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 155 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 214.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1299788, 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 October 19, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,168,772 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,807,753 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,361,019 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,144,006 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $217,013 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,427 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $224,440 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $224,440 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,775 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 208 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 209.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1271760, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for November 1, 2018 to December 31, 2018 — a reporting period of 60 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 21, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,189,544 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $316,685 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $872,859 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $870,916 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,943 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $470 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,413 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,413 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 3,704 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 13 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 18.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 284.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241649, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2017, ended May 31, 2017
Cost report for June 1, 2016 to May 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 21, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,747,907 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,354,411 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,393,496 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,953,024 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$559,528 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,886 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$551,642 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$551,642 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,564 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 290 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 152.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1181188, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended May 31, 2016
Cost report for June 1, 2015 to May 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,824,137 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,724,338 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,099,799 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,905,053 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$805,254 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,065 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$795,189 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$795,189 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,357 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 278 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 146.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1150546, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended May 31, 2015
Cost report for June 1, 2014 to May 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,550,378 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,635,614 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,914,764 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,164,932 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$250,168 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,091 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$233,077 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$233,140 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,337 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 207 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 186.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111886, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended May 31, 2014
Cost report for June 1, 2013 to May 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 27, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,487,593 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,491,120 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,996,473 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,670,701 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$674,228 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,624 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$666,604 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$666,604 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,829 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 256 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 186.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1105552, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended May 31, 2013
Cost report for June 1, 2012 to May 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 22, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,949,217 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,279,407 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,669,810 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,668,493 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$998,683 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,031 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$993,652 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$993,652 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,255 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 257 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 210.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1051038, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended May 31, 2012
Cost report for June 1, 2011 to May 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,661,887 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,223,587 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,438,300 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,404,541 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,966,241 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,682 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,960,559 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,960,559 (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 | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,698 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 211 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 205.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 107.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1022947, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended May 31, 2011
Cost report for June 1, 2010 to May 31, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 20, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,219,722 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,813,332 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $406,390 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,486 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $412,876 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,650 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 199 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 317.03 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 113.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422169, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended May 31, 2010
Cost report for June 1, 2009 to May 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 27, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,409,983 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,933,058 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $476,925 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,963 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $482,888 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,730 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 218 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 348.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 122.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 391740, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended May 31, 2009
Cost report for June 1, 2008 to May 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 19, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,255,130 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,739,078 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $516,052 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,867 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $522,919 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,994 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 175 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 239.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 159.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 359369, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended May 31, 2008
Cost report for December 20, 2007 to May 31, 2008 — a reporting period of 163 days, not a full year, on form CMS-2540-96, settled, processed by CMS on November 18, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,556,517 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,348,692 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $207,825 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,369 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $213,194 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,337 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 223.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 152.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 328574, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 19, 2007
Cost report for June 1, 2007 to December 19, 2007 — a reporting period of 201 days, not a full year, on form CMS-2540-96, settled, processed by CMS on May 6, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,048,922 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,189,454 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$140,532 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,264 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$134,268 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,790 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 305.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 167.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 308404, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended May 31, 2006
Cost report for June 1, 2005 to May 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 9, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,497,138 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,405,235 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $91,903 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,736 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $104,639 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,673 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 153 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 539.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 213.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 272107, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended May 31, 2005
Cost report for June 1, 2004 to May 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 11, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,392,824 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,299,777 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $93,047 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,819 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $108,866 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,158 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 192 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 567.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 177.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 246824, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended May 31, 2004
Cost report for June 1, 2003 to May 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 31, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,079,382 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,679,875 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $399,507 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,751 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $28 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $412,230 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,359 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 161 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 561 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 219.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205756, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended May 31, 2003
Cost report for June 1, 2002 to May 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,796,952 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,159,801 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $637,151 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,615 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $652,766 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,145 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 672.34 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 244.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 198069, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended May 31, 2002
Cost report for June 1, 2001 to May 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 18, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,460,037 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,016,695 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $443,342 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,203 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$97 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $465,642 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,284 | 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 | 54.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 987.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 320.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 157061, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended May 31, 2001
Cost report for June 1, 2000 to May 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,006,068 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,937,736 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $68,332 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,104 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,280 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $90,156 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,507 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 153 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 656.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 212.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 139892, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended May 31, 2000
Cost report for June 1, 1999 to May 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on March 10, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,546,064 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,719,913 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$173,849 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $18,675 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$74,962 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$80,212 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,830 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 170 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.99 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 314.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 163.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 395364, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended May 31, 1999
Cost report for June 1, 1998 to May 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on July 27, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,897,242 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,791,799 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $105,443 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,253 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $37,772 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $86,924 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,464 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 138 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 92.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 228 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 413285, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended May 31, 1998
Cost report for November 1, 1997 to May 31, 1998 — a reporting period of 211 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on September 10, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,290,111 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,173,568 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $116,543 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,083 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $138,626 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,284 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 244.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 387580, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended October 31, 1997
Cost report for November 1, 1996 to October 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on December 15, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,360,446 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,049,671 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $310,775 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,033 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $320,808 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,534 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 163 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.01 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 224.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 360955, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended October 31, 1996
Cost report for November 1, 1995 to October 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 31, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,993,070 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,340,649 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,652,421 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,141 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,664,562 (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 | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,234 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 133 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 249.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28240, 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 |
|---|---|---|---|---|
| LIFSICS, CHANNIE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 12% | since 11/01/2018 |
| POLSTEIN, MORDECHAI | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 18% | since 11/01/2018 |
| STESEL, MAXIM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 49% | since 11/01/2018 |
| SEYLER, MIRIAH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/26/2025 |
| WEBER, LISA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/26/2025 |
| RICE, PAMELA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2017 |
| SEYLER, MIRIAH | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 11/01/2018 |
| WEBER, LISA | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 11/01/2018 |
| POLSTEIN, MORDECHAI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2018 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of FOND DU LAC NURSING AND REHAB, LLC (enrollment ID O20181126000761).
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 |
|---|---|---|---|---|---|
| CHANNIE B LIFSICS | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12 | 11/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOVIE MAUER | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12 | 11/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MAXIM STESEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49.18 | 11/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MORDECHAI POLSTEIN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17.88 | 11/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROSTISLAV PUKSHANSKY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8.94 | 11/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LISA R WEBER | Individual | ADP OF THE SNF | Not stated in the filing | 3/26/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MIRIAH SEYLER | Individual | ADP OF THE SNF | Not stated in the filing | 3/26/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAMELA D RICE | Individual | CORPORATE OFFICER | Not stated in the filing | 3/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LISA R WEBER | Individual | INDIRECT OWNERSHIP INTEREST | Not stated in the filing | 11/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MIRIAH SEYLER | Individual | INDIRECT OWNERSHIP INTEREST | Not stated in the filing | 11/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MORDECHAI POLSTEIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- June 1, 2025: DOVIE MAUER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: STACY NEIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: PAMELA D RICE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: PAMELA D RICE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LISA R WEBER (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LISA R WEBER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MIRIAH SEYLER (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MIRIAH SEYLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: PAMELA D RICE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
Recent changes on this record
- June 1, 2025: DOVIE MAUER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: STACY NEIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: PAMELA D RICE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: PAMELA D RICE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LISA R WEBER (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: LISA R WEBER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MIRIAH SEYLER (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since November 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: MIRIAH SEYLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 26, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 1, 2025: PAMELA D RICE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on June 1, 2025; associated with this enrollment since March 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- May 22, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 4, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- June 22, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- August 18, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 16, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- October 19, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 21, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2019.zip
- April 18, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- October 30, 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- December 21, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- December 30, 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- October 26, 2015: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- July 27, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- November 22, 2013: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- January 24, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- December 20, 2011: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- July 27, 2011: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- March 10, 2011: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- December 27, 2010: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- September 10, 2010: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- December 15, 2009: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- November 19, 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- November 18, 2008: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- May 6, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- April 23, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- February 9, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- April 11, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- January 31, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- October 26, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- August 18, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- April 7, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 11, 2025 | June 11, 2025 | 3 | 7 |
| 2 | May 15, 2024 | May 15, 2024 | 9 | 5 |
| 3 | April 19, 2023 | April 19, 2023 | 2 | 10 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
14 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 11, 2025 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | July 3, 2025 |
| June 11, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Past Non-Compliance | May 20, 2025 |
| June 11, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | July 3, 2025 |
| June 11, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | July 3, 2025 |
| May 6, 2025 | 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 | Yes | Deficient, Provider has date of correction | May 29, 2025 |
| March 5, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | April 3, 2025 |
| November 8, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | December 6, 2024 |
| May 15, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | No | Deficient, Provider has date of correction | June 7, 2024 |
| May 15, 2024 | 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 | June 17, 2024 |
| May 15, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | No | Deficient, Provider has date of correction | June 17, 2024 |
| May 15, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | June 17, 2024 |
| May 15, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | June 17, 2024 |
| April 19, 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 | May 18, 2023 |
| April 19, 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. | F | No | Deficient, Provider has date of correction | May 15, 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 |
|---|---|---|---|---|---|
| June 11, 2025 | Fine | $9,113 | 135679 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | FOND DU LAC NURSING AND REHAB, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1976-12-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Fond Du Lac |
| Telephone Number | 9209227342 |
| Chain Name | EDEN SENIOR CARE |
| Chain ID | 192 |
| 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 | 90 |
| Average Number of Residents per Day | 55.1 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on Edenbrook of Fond Du Lac: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On May 22, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for Edenbrook of Fond Du Lac
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Wisconsin at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 525274.