Skilled nursing facility · CMS certification number 525327
Clement Manor Health Care Center
GREENFIELD, Wisconsin · Medicare and Medicaid
Certified beds, as filed in Care Compare: 50
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: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for July 1, 2024 to December 31, 2024 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,081,352 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $811,150 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,270,202 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,316,541 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,046,339 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,882,112 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$164,227 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$164,227 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 9,200 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 792 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 4,040 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,760 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 7,592 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 20 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 2 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 22 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,020 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438166, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,272,846 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,747,441 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,525,405 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,153,033 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,627,628 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,548,041 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,079,587 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,079,587 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,047 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 188.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1370555, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 20, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,932,817 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,141,938 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,790,879 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,195,808 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,404,929 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,571,766 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$833,163 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$833,163 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,230 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,975.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1338671, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 20, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,243,821 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,103,201 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,140,620 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,675,492 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,534,872 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,424,428 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $889,556 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $889,556 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,508 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 172 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 860.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309167, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 15, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,886,200 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,962,159 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,924,041 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,883,588 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,959,547 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,186,507 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$773,040 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$969,450 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,453 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 254 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 402.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278414, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,894,553 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,334,058 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,560,495 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,664,974 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,104,479 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,833,280 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$271,199 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$271,199 (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 | 61 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,627 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 236 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 683.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249432, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 27, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,044,898 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,044,346 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,000,552 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,972,100 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,971,548 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,394,900 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$576,648 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$576,648 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,581 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 396 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 687.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217129, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 1, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,179,778 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,416,953 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,762,825 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,072,388 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,309,563 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,552,932 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$756,631 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$756,631 (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 | 111 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,885 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 264 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,086.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 151.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179144, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 2, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,352,126 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,693,320 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,658,806 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,724,479 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,065,673 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,281,147 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $215,474 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $215,474 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,614 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 370 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 805.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1152314, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on December 18, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,780,786 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,940,910 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,839,876 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,490,585 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,650,709 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,257,535 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$393,174 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$393,174 (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 | 154 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,013 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 375 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,033.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1115699, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 20, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,561,619 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,628,337 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,933,282 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,573,105 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,639,823 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,784,663 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $144,840 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $144,840 (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 | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,496 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 486 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 110.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084699, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 14, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,307,567 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,099,735 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,207,832 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,796,030 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,588,198 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,718,126 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,870,072 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,870,072 (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 | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,263 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 409 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 132.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1080222, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,573,281 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,628,397 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,944,884 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,429,011 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,484,127 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,707,816 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $223,689 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $223,689 (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 | 166 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,080 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 436 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 124.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024047, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 20, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $19,225,546 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,398,713 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,173,167 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,394,399 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $221,232 (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 | 166 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,795 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 425 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 126.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423716, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 12, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,780,984 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,998,686 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,217,702 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,625,139 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $407,437 (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 | 166 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 54,212 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 410 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 132.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392349, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 28, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $17,961,708 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,271,267 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,309,559 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,659,914 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $350,355 (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 | 166 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,670 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 379 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 149.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 361736, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $17,273,103 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,506,976 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,233,873 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,643,479 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $409,606 (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 | 166 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 56,984 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 350 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 162.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 336592, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 26, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,480,503 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,526,513 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,046,010 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,603,634 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $557,624 (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 | 166 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,288 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 229 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 250.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 326165, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 27, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,809,709 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,837,996 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,028,287 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,474,568 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $446,281 (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 | 166 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,872 | 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 | 51.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 290.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 292783, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,048,623 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,871,908 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$823,285 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,195,505 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $372,220 (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 | 166 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,860 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 135 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 436 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261467, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for July 1, 2003 to June 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 11, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,132,416 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,212,041 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,079,625 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,136,847 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $57,222 (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 | 166 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,676 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 130 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 451.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 216565, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,157,202 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,180,938 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,023,736 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,203,302 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $179,566 (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 | 166 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,249 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 117 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 506.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 191878, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended June 30, 2002
Cost report for July 1, 2001 to June 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 19, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,973,261 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,104,949 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,131,688 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,194,069 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $62,381 (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 | 166 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,118 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 425.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 171323, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended June 30, 2001
Cost report for July 1, 2000 to June 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 26, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,747,009 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,417,164 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$670,155 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,222,772 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $552,617 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,216 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 123 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 481.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 160912, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended June 30, 2000
Cost report for July 1, 1999 to June 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,536,773 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,947,572 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$410,799 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,155,980 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $30,040 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $715,141 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,824 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 135 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 443.14 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 125073, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended June 30, 1999
Cost report for July 1, 1998 to June 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 31, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,629,690 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,614,013 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$984,323 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $725,003 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$259,320 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,087 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 173 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 341.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 71350, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended June 30, 1998
Cost report for July 1, 1997 to June 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 21, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,410,302 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,651,443 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$241,141 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $438,515 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $197,374 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,920 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 486.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 71348, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended June 30, 1997
Cost report for July 1, 1996 to June 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 11, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,180,099 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,357,874 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$177,775 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $428,147 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $250,372 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,064 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 71.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 504.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 71346, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended June 30, 1996
Cost report for July 1, 1995 to June 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 24, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,092,672 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,733,628 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $359,044 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $473,380 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $832,424 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 60,057 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 130 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 461.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 71345, read from the public cost report file SNFFY1995.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 |
|---|---|---|---|---|
| CHANG, STEVE | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 09/01/2021 |
| LOCH, TIMOTHY | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 04/01/2024 |
| DOUGHERTY, PHILIP | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2015 |
| FERGER, DENNIS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/04/2000 |
| HEINDEL, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/15/2021 |
| MAHER, ANN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/15/2020 |
| SCHULTE, JUDEEN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2009 |
| FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2024 |
| FERGER, DENNIS | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 08/20/1984 |
| LOEWUS, CARLY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 05/18/2020 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CLEMENT MANOR, INC. (enrollment ID O20100728000198).
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 |
|---|---|---|---|---|---|
| STEVE I CHANG | Individual | CONTRACTED MANAGING EMPLOYEE | 0 | 9/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIMOTHY E LOCH | Individual | CONTRACTED MANAGING EMPLOYEE | 0 | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PHILIP DOUGHERTY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANN MAHER | Individual | CORPORATE OFFICER | 0 | 11/15/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DENNIS FERGER | Individual | CORPORATE OFFICER | 100 | 1/4/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN HEINDEL | Individual | CORPORATE OFFICER | 0 | 11/15/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUDEEN SCHULTE | Individual | CORPORATE OFFICER | 0 | 11/1/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CARLY LOEWUS | Individual | W-2 MANAGING EMPLOYEE | 0 | 5/18/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DENNIS FERGER | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 8/20/1984 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2024: TIMOTHY E LOCH (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- August 1, 2024: KRISTA PANKOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: KEVIN NITKA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: DIANE LEPKOWSKI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JUDEEN SCHULTE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: ANN MAHER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 15, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: CARLY LOEWUS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since May 18, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JOHN HEINDEL (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: STEVE I CHANG (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since September 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JUDEEN SCHULTE (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 1, 2009. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
Recent changes on this record
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- October 22, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- September 1, 2024: TIMOTHY E LOCH (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- August 1, 2024: KRISTA PANKOP no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: KEVIN NITKA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: DIANE LEPKOWSKI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JUDEEN SCHULTE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: ANN MAHER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 15, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: CARLY LOEWUS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since May 18, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JOHN HEINDEL (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: STEVE I CHANG (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since September 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- August 1, 2024: JUDEEN SCHULTE (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2024; associated with this enrollment since November 1, 2009. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
- December 14, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- December 20, 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- January 20, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- January 15, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- January 16, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- December 27, 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- December 1, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- February 2, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- December 18, 2015: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- January 20, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- November 14, 2014: 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
- January 20, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- January 12, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- December 28, 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- April 14, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- September 26, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- August 27, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- August 17, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- May 11, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- September 1, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- March 19, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- September 26, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- February 12, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- August 31, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- November 21, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- March 11, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 21, 2026 | May 21, 2026 | 13 | 7 |
| 2 | December 12, 2024 | December 12, 2024 | 0 | 8 |
| 3 | October 25, 2023 | October 25, 2023 | 4 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
17 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 21, 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | June 16, 2026 |
| May 21, 2026 | 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 | June 16, 2026 |
| May 21, 2026 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | K | No | Deficient, Provider has date of correction | June 16, 2026 |
| May 21, 2026 | 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 | June 16, 2026 |
| May 21, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | June 16, 2026 |
| May 21, 2026 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | June 16, 2026 |
| May 21, 2026 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | June 16, 2026 |
| May 21, 2026 | 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 | June 15, 2026 |
| May 21, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | June 16, 2026 |
| May 21, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | June 8, 2026 |
| May 21, 2026 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | June 12, 2026 |
| February 12, 2026 | 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. | D | Yes | Deficient, Provider has date of correction | March 12, 2026 |
| February 12, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | March 12, 2026 |
| October 25, 2023 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | No | Deficient, Provider has date of correction | November 22, 2023 |
| October 25, 2023 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | November 22, 2023 |
| October 25, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | November 22, 2023 |
| October 25, 2023 | Health | F 0849 | Administration Deficiencies | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | No | Deficient, Provider has date of correction | November 22, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Church related |
| Legal Business Name | CLEMENT MANOR, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 1982-11-03 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Milwaukee |
| Telephone Number | 4143211800 |
| Chain Name | FRANCISCAN SISTERS OF CHRISTIAN CHARITY |
| Chain ID | 868 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 50 |
| Average Number of Residents per Day | 44.2 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on Clement Manor Health Care Center: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 29, 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 Clement Manor Health Care Center
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in 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 525327.