Skilled nursing facility · CMS certification number 525461
Pavilion at Glacier Valley
Slinger, Wisconsin · Medicare and Medicaid
Certified beds, as filed in Care Compare: 106
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 June 1, 2024 to May 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 25, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,470,786 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,536,705 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,934,081 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,455,255 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $478,826 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $56,052 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $534,878 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $534,878 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 38,690 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,437 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 15,933 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,720 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 27,090 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 67 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 33 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 168 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 268 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 482.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1442982, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended May 31, 2024
Cost report for June 1, 2023 to May 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,220,402 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,359,342 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,861,060 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,354,246 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $506,814 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $447,383 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $954,197 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $954,197 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,786 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 314 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 347.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1399185, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended May 31, 2023
Cost report for June 1, 2022 to May 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 1, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,653,378 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,604,289 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,049,089 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,966,534 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $82,555 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $539,688 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $622,243 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $622,243 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,504 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 319 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 309.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 86.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1369270, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended May 31, 2022
Cost report for June 1, 2021 to May 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,044,413 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,969,897 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,074,516 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,633,829 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$559,313 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,413,135 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $853,822 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $853,822 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,199 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 328 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 169.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1338499, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended May 31, 2021
Cost report for June 1, 2020 to May 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 23, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,290,391 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,367,552 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,922,839 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,228,085 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,305,246 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $542,842 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$762,404 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$762,404 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,132 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 240 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 218.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305222, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended May 31, 2020
Cost report for June 1, 2019 to May 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 8, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,016,142 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,065,665 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,950,477 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,291,190 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$340,713 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,056 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$313,657 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$313,657 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,904 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 193 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 523.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 160.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275369, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended May 31, 2019
Cost report for June 1, 2018 to May 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 13, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,161,861 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,044,603 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,117,258 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,001,160 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $116,098 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $834 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $116,932 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $116,932 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,424 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 325 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 296.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1247835, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended May 31, 2018
Cost report for June 1, 2017 to May 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,225,649 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,645,731 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,579,918 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,785,973 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$206,055 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,845 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$203,210 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$203,210 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,609 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 246 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 76.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 295.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217407, read from the public cost report file SNF10FY2017.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 27, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,287,017 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,692,707 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,594,310 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,008,230 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,413,920 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,926 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,408,994 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,408,999 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,504 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 104.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 692.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 239.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1181470, 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 January 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,844,732 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,183,893 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,660,839 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,090,076 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$429,237 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,082 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$428,155 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$428,155 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,479 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 110 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 813.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 235.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1150687, 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 September 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,709,094 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,921,087 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,788,007 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,630,648 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$842,641 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,018 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$840,623 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$840,623 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,329 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 200 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 407.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144418, 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 September 30, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,195,527 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,042,701 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,152,826 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,698,131 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$545,305 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $953 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$544,352 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$546,138 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,782 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 107 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 433.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 138.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1243993, 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 December 20, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,887,123 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,251,934 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,635,189 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,650,411 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$15,222 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,118 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$11,104 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$11,104 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,242 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 187 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 199.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1053037, 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 February 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,505,907 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,851,660 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,654,247 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,426,011 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $228,236 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,016 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $234,252 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $234,252 (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 | 106 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,274 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 185 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 317.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024430, 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 | $5,709,026 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,337,919 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $371,107 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,162 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $378,269 (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 | 106 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,523 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 177 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 234.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 127.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422170, 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 January 12, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,074,307 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,044,820 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $29,487 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,144 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $33,631 (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 | 106 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,211 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 142 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 283.02 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 156.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392399, 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 December 28, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,027,462 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,932,606 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $94,856 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,874 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $99,730 (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 | 73 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,856 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 152 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 245.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 150.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 361785, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended May 31, 2008
Cost report for June 1, 2007 to May 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 20, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,425,987 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,444,304 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$18,317 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $669 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$17,648 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,226 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 193 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 231.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 135.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 331774, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended May 31, 2007
Cost report for June 1, 2006 to May 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,241,616 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,296,360 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$54,744 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $413 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$54,331 (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 | 106 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,816 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 198 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 243.66 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 145.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 307053, read from the public cost report file SNFFY2006.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 August 27, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,381,467 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,491,579 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$110,112 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $81 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$110,031 (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 | 106 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,673 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 169 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 337.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 181.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 292676, 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 | $5,423,820 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,529,008 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$105,188 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $846 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $969 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$105,311 (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 | 106 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,937 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 225 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 234.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 133.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 246849, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended May 31, 2004
Cost report for August 30, 2003 to May 31, 2004 — a reporting period of 275 days, not a full year, on form CMS-2540-96, settled, processed by CMS on February 7, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,865,462 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,963,900 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$98,438 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $977 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$97,461 (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 | 107 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,920 | 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 | 57.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 326.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.31 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 206516, 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 December 13, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,405,515 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,490,599 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$85,084 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,068 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$76,016 (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 | 30,375 | 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 | 53.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 220.74 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 210.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 202188, 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, as submitted, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,197,673 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,136,905 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $60,768 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,239 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $67,007 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,386 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 158 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 294.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 185.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 129819, 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, as submitted, processed by CMS on February 1, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,948,138 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,085,172 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$137,034 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,135 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$132,899 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,786 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 224 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 194.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 132.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28258, 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, settled, processed by CMS on January 4, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,024,423 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,260,830 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$236,407 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,766 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$223,641 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,554 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 185 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 391.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 175.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28256, 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 November 2, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,928,493 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,207,151 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$278,658 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,136 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$276,522 (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 | 33,235 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 178 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 421.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 186.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28254, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended May 31, 1998
Cost report for March 12, 1998 to May 31, 1998 — a reporting period of 80 days, not a full year, on form CMS-2540-96, settled, processed by CMS on October 11, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $918,168 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,017,287 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$99,119 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $240 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$98,879 (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 | 115 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 7,238 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 23 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 699 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 314.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28252, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended May 31, 1997
Cost report for June 1, 1996 to May 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 9, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,867,813 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,994,514 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$126,701 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,258 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$123,443 (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 | 111 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,014 | 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 | 42.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 691.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 250.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 65592, 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 |
|---|---|---|---|---|
| THI OF WISCONSIN, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 08/30/2003 |
| GORDON, DAWN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/26/2017 |
| GORDON, DAWN | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/26/2017 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of THI OF WISCONSIN AT HARTFORD, LLC (enrollment ID O20040715000704).
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 |
|---|---|---|---|---|---|
| THI OF WISCONSIN, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 8/30/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| HUNT VALLEY HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 3/28/2006 | Private equity company: No Real estate investment trust: No Holding company: No |
| MURRAY FORMAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 3/28/2006 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THI OF BALTIMORE, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 8/30/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAWN M GORDON | Individual | CORPORATE OFFICER | Not stated in the filing | 6/26/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAWN M GORDON | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 6/26/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- November 25, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- November 19, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- December 1, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- December 16, 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- November 23, 2021: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- December 8, 2020: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- December 13, 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- September 30, 2019: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- January 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- December 27, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- January 17, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- September 30, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- December 20, 2013: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- February 1, 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
- 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
- January 20, 2009: A cost report was filed for fiscal year 2008, 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
- August 27, 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
- February 7, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- December 13, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- December 13, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- February 13, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- February 1, 2002: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- January 4, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- November 2, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- October 11, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- August 23, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- June 9, 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 | February 17, 2026 | February 17, 2026 | 10 | 6 |
| 2 | November 12, 2024 | November 12, 2024 | 14 | 8 |
| 3 | December 13, 2023 | December 13, 2023 | 22 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
46 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 11, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | June 25, 2026 |
| June 11, 2026 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | Yes | Deficient, Provider has date of correction | July 1, 2026 |
| February 17, 2026 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | March 12, 2026 |
| February 17, 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 | March 12, 2026 |
| February 17, 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 | March 12, 2026 |
| February 17, 2026 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | No | Deficient, Provider has date of correction | March 12, 2026 |
| February 17, 2026 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | March 12, 2026 |
| February 17, 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 | March 12, 2026 |
| February 17, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 12, 2026 |
| October 8, 2025 | 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 | Yes | Deficient, Provider has date of correction | December 5, 2025 |
| August 8, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | August 29, 2025 |
| November 12, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | December 6, 2024 |
| November 12, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | No | Deficient, Provider has date of correction | December 6, 2024 |
| November 12, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | December 6, 2024 |
| November 12, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | December 6, 2024 |
| November 12, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | December 6, 2024 |
| November 12, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | December 6, 2024 |
| November 12, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | December 6, 2024 |
| November 12, 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | December 6, 2024 |
| November 12, 2024 | 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 | December 6, 2024 |
| November 12, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | December 6, 2024 |
| November 12, 2024 | Health | F 0800 | Nutrition and Dietary Deficiencies | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | No | Deficient, Provider has date of correction | December 6, 2024 |
| November 12, 2024 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | December 6, 2024 |
| November 12, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | December 6, 2024 |
| July 10, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | August 5, 2024 |
| July 10, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Yes | Deficient, Provider has date of correction | August 5, 2024 |
| July 10, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | August 5, 2024 |
| July 10, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Yes | Deficient, Provider has date of correction | August 5, 2024 |
| July 10, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Yes | Deficient, Provider has date of correction | August 5, 2024 |
| January 16, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Yes | Deficient, Provider has date of correction | February 5, 2024 |
| January 16, 2024 | 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 | February 5, 2024 |
| December 13, 2023 | Health | F 0551 | Resident Rights Deficiencies | Give the resident's representative the ability to exercise the resident's rights. | D | No | Deficient, Provider has date of correction | January 5, 2024 |
| December 13, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | January 8, 2024 |
| December 13, 2023 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | January 8, 2024 |
| December 13, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | January 8, 2024 |
| December 13, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | January 8, 2024 |
| December 13, 2023 | Health | F 0712 | Nursing and Physician Services Deficiencies | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | No | Deficient, Provider has date of correction | December 18, 2023 |
| December 13, 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 | January 5, 2024 |
| December 13, 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | January 5, 2024 |
| December 13, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | January 8, 2024 |
| October 4, 2023 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Yes | Deficient, Provider has date of correction | October 27, 2023 |
| October 4, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | October 27, 2023 |
| October 4, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | October 27, 2023 |
| October 4, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | October 27, 2023 |
| October 4, 2023 | 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 | October 27, 2023 |
| October 4, 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 | Yes | Deficient, Provider has date of correction | October 27, 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 | For profit - Limited Liability company |
| Legal Business Name | THI OF WISCONSIN AT HARTFORD, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1989-11-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Washington |
| Telephone Number | 2622976300 |
| Chain Name | FUNDAMENTAL HEALTHCARE |
| Chain ID | 231 |
| 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 | 106 |
| Average Number of Residents per Day | 74.1 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 1 |
| Short-Stay QM Rating | 2 |
| 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
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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 November 25, 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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The citable document for Pavilion at Glacier Valley
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 525461.